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Instead, the focus of treatment is generally to assist the patient in selecting the optimal therapy for him and then giving it a clinical trial. Patients should continue testosterone therapy only if there is improvement in the symptoms of hypogonadism and should be monitored regularly. With the patient s consent, this should be offered to the partner as well. Effects of definition, clinical relevance and duration of follow up in the Krimpen study. This could help to avoid a potentially serious problem from developing in the near future.