The measurable effects of Testosterone Replacement Therapy (TRT) on executive functions, memory, attention, and overall neurocognitive performance in individuals with documented testosterone deficiency. This clinical assessment focuses on the direct and indirect influence of optimized androgen levels on neural health and psychological well-being. It is a critical metric for evaluating the comprehensive benefits of endocrine restoration.
Origin
This term originates from the clinical practice of endocrinology and geriatric psychiatry, specifically addressing the neuroendocrine axis and its impact on the central nervous system. It acknowledges the significant role of testosterone as a neurosteroid.
Mechanism
Testosterone influences cognitive function by acting on androgen receptors present in key brain regions, including the hippocampus and frontal cortex. TRT increases circulating testosterone, which can enhance cerebral blood flow, promote neuronal plasticity, and reduce the accumulation of neurotoxic proteins. The therapy aims to reverse cognitive deficits often associated with hypogonadism by restoring optimal androgenic signaling within the brain.
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