Testosterone: Roles, Normal Values, Deficiency, and Replacement Therapy | Clinique Omicron<\/title>\n<meta name=\"description\" content=\"La testost\u00e9rone est l'androg\u00e8ne principal chez l'homme et la femme. Hypogonadisme masculin, d\u00e9ficit en testost\u00e9rone TRT, testost\u00e9rone libre SHBG, hyperandrog\u00e9nie f\u00e9minine SOPK et bilan hormonal au Qu\u00e9bec.\">\n<meta name=\"keywords\" content=\"testost\u00e9rone, testost\u00e9rone d\u00e9ficit, hypogonadisme masculin, testost\u00e9rone libre, TRT traitement testost\u00e9rone, testost\u00e9rone totale SHBG, testost\u00e9rone femme SOPK, testost\u00e9rone valeurs normales, testost\u00e9rone vieillissement, testost\u00e9rone Qu\u00e9bec\">\n<link rel=\"preconnect\" href=\"https:\/\/fonts.googleapis.com\">\n<link href=\"https:\/\/fonts.googleapis.com\/css2?family=Cinzel:wght@600&family=Poppins:wght@400;500;600;700&display=swap\" rel=\"stylesheet\">\n<style>\n@import url('https:\/\/fonts.googleapis.com\/css2?family=Cinzel:wght@600&family=Poppins:wght@400;500;600;700&display=dump');\n\n.co-wrap * {\n font-family: 'Poppins', sans-serif;\n box-sizing: border-box;\n}\n.co-wrap {\n max-width: 1100px;\n margin: 0 auto;\n padding: 30px 0 60px;\n margin-top: 10px;\n}\n.co-label {\n font-family: 'Cinzel', serif;\n font-size: 14px;\n font-weight: bold;\n letter-spacing: 1px;\n text-transform: uppercase;\n color: #4D6577;\n margin-bottom: 14px;\n display: block;\n}\n.co-wrap h1 {\n font-size: 32px;\n font-weight: 500;\n color: #323C52;\n margin: 0 0 22px;\n line-height: 1.2;\n letter-spacing: 0.5px;\n}\n.co-intro {\n font-size: 16px;\n font-weight: 400;\n line-height: 1.75;\n color: #4D6577;\n margin-bottom: 36px;\n padding-bottom: 32px;\n border-bottom: 1px solid rgba(77,101,119,.2);\n}\n.co-wrap h2 {\n font-size: 20px;\n font-weight: 600;\n color: #323C52;\n margin: 32px 0 12px;\n letter-spacing: 0.3px;\n}\n.co-wrap p {\n font-size: 15px;\n font-weight: 400;\n color: #4D6577;\n line-height: 1.7;\n margin-bottom: 14px;\n}\n.co-list {\n list-style: none;\n padding: 0;\n margin: 12px 0 24px;\n}\n.co-list li {\n font-size: 15px;\n font-weight: 400;\n color: #4D6577;\n padding: 10px 14px 10px 38px;\n margin-bottom: 8px;\n border-radius: 6px;\n position: relative;\n background: rgba(77,101,119,.06);\n border-left: 3px solid #4D6577;\n}\n.co-list li::before {\n content: \"\u2713\";\n position: absolute;\n left: 12px;\n font-weight: 700;\n color: #4D6577;\n}\n.co-table {\n width: 100%;\n border-collapse: collapse;\n margin: 14px 0 22px;\n font-size: 14px;\n border-radius: 8px;\n overflow: hidden;\n}\n.co-table thead tr {\n background: #323C52;\n color: #fff;\n}\n.co-table thead th {\n padding: 11px 16px;\n text-align: left;\n font-weight: 600;\n font-size: 13px;\n}\n.co-table tbody tr:nth-child(even) {\n background: rgba(77,101,119,.06);\n}\n.co-table tbody tr:nth-child(odd) {\n background: #fff;\n}\n.co-table td {\n padding: 10px 16px;\n color: #4D6577;\n border-bottom: 1px solid rgba(77,101,119,.12);\n font-size: 14px;\n vertical-align: top;\n}\n.co-table td:first-child {\n font-weight: 600;\n color: #323C52;\n}\n.co-infobox {\n display: flex;\n gap: 12px;\n background: rgba(77,101,119,.06);\n border-radius: 8px;\n border-left: 4px solid #4D6577;\n padding: 14px 18px;\n margin: 18px 0 28px;\n font-size: 14px;\n font-weight: 400;\n color: #4D6577;\n line-height: 1.65;\n}\n.co-infobox .ico {\n font-size: 18px;\n flex-shrink: 0;\n}\n.co-urgence {\n background: #fff8f8;\n border-left: 5px solid #c0392b;\n border-radius: 6px;\n padding: 20px 26px;\n margin: 24px 0 32px;\n}\n.co-urgence .co-urgence-titre {\n font-size: 13px;\n font-weight: 700;\n color: #c0392b;\n letter-spacing: 1.5px;\n text-transform: uppercase;\n margin-bottom: 10px;\n}\n.co-urgence p {\n color: #5a2020;\n font-size: 14px;\n margin: 0 0 10px;\n line-height: 1.7;\n}\n.co-urgence p:last-child {\n margin-bottom: 0;\n}\n.co-disclaimer {\n font-size: 13px;\n color: #8a9aaa;\n font-style: italic;\n border-top: 1px solid rgba(77,101,119,.15);\n padding-top: 24px;\n margin-top: 40px;\n line-height: 1.6;\n}\n<\/style>\n<\/head>\n<body>\n<div class=\"co-wrap\">\n\n <span class=\"co-label\">Endocrinology & Urology & Family Medicine<\/span>\n <h1>Testost\u00e9rone<\/h1>\n\n <div class=\"co-intro\">\n La testost\u00e9rone est le principal androg\u00e8ne st\u00e9ro\u00efdien \u2014 synth\u00e9tis\u00e9e \u00e0 partir du cholest\u00e9rol dans les cellules de Leydig des testicules (chez l'homme : 95 % de la production totale) + dans les cellules th\u00e9cales ovariennes (chez la femme) + et dans la zone r\u00e9ticul\u00e9e du cortex surr\u00e9nalien (les deux sexes \u2014 contribution plus modeste) \u2014 et exerce ses effets biologiques via les r\u00e9cepteurs aux androg\u00e8nes (AR) pr\u00e9sents dans pratiquement tous les tissus : muscle squelettique + os + cerveau + moelle osseuse + foie + rein + peau + prostate + organes g\u00e9nitaux. Chez l'homme, la testost\u00e9rone est indispensable au d\u00e9veloppement et au maintien des caract\u00e8res sexuels primaires (spermatogen\u00e8se + d\u00e9veloppement des organes g\u00e9nitaux) et secondaires (pilosit\u00e9 + masse musculaire + r\u00e9partition corporelle + voix grave) + \u00e0 la min\u00e9ralisation osseuse + \u00e0 la libido + \u00e0 la fonction \u00e9rectile + \u00e0 la masse musculaire + \u00e0 la production de globules rouges (stimulation de l'\u00e9rythropo\u00ef\u00e9tine r\u00e9nale) + et \u00e0 l'humeur et aux fonctions cognitives. Sa r\u00e9gulation se fait par l'axe hypothalamo-hypophyso-gonadique : la GnRH hypothalamique (pulsatile) \u2192 stimule la LH et la FSH hypophysaires \u2192 la LH stimule les cellules de Leydig \u2192 s\u00e9cr\u00e9tion de testost\u00e9rone \u2192 r\u00e9trocontr\u00f4le n\u00e9gatif sur l'hypothalamus et l'hypophyse. La testost\u00e9rone circule sous trois formes : li\u00e9e \u00e0 la SHBG (sex hormone-binding globulin \u2014 40\u201370 % \u2014 non biodisponible) + li\u00e9e \u00e0 l'albumine (20\u201350 % \u2014 biodisponible) + et libre (1\u20133 % \u2014 biologiquement active). La testost\u00e9rone totale mesure toutes ces fractions \u2014 mais c'est la testost\u00e9rone libre (ou calcul\u00e9e par la formule de Vermeulen) ou la testost\u00e9rone biodisponible qui refl\u00e8te l'androg\u00e9nicit\u00e9 r\u00e9elle des tissus, particuli\u00e8rement chez les patients avec SHBG anormale (ob\u00e9sit\u00e9 + cirrhose + vieillissement).\n <\/div>\n\n <h2>Normal values by sex and age<\/h2>\n <ul class=\"co-list\">\n <li><strong>Homme adulte (20\u201340 ans) :<\/strong> Total testosterone 8\u201335 nmol\/L (230\u20131010 ng\/dL) + morning fasting sample between 7 a.m. and 11 a.m. (morning peak \u2014 circadian variation of 30\u201340 30\u201340 %) + calculated free testosterone: 180\u2013550 pmol\/L<\/li>\n <li><strong>Homme \u00e2g\u00e9 (> 60 ans) :<\/strong> total testosterone decreases gradually by 1\u20132 % per year after age 30 + + SHBG increases with age \u2192 free testosterone decreases faster than total testosterone \u2192 a 70-year-old man may have normal total testosterone but low free testosterone (androgen deficiency in aging males \u2014 ADAM)<\/li>\n <li><strong>Adult woman:<\/strong> total testosterone 0.5\u20132.5 nmol\/L (15\u201370 ng\/dL) + about 20 times lower than in men + important concentrations for libido + well-being + muscle mass + bone density in women too<\/li>\n <li><strong>Circadian variation<\/strong> morning between 6 am and 10 am + nadir in the afternoon and evening \u2192 always collect in the morning for reliable dosage<\/li>\n <\/ul>\n\n <h2>Hypogonadisme masculin \u2014 d\u00e9ficit en testost\u00e9rone<\/h2>\n <ul class=\"co-list\">\n <li><strong>Primary hypogonadism (hypergonadotropic):<\/strong> Testicular failure \u2192 low testosterone + high LH + high FSH + causes: Klinefelter syndrome (XXY \u2014 most common genetic cause of primary hypogonadism + gynecomastia + firm small testicles + infertility) + orchitis (mumps ++) + chemotherapy + radiotherapy + trauma + bilateral cryptorchidism + testicular torsion<\/li>\n <li><strong>Secondary hypogonadism (hypogonadotropic)<\/strong> Hypothalamic-pituitary failure \u2192 low testosterone + low LH + low FSH + causes: pituitary adenoma + hyperprolactinemia (prolactinoma) + Kallmann syndrome (anosmia + GnRH deficiency) + hemochromatosis (iron deposition in the pituitary) + aging (PADAM - late-onset hypogonadism) + severe obesity (hyperestrogenism from peripheral aromatization + insulin's suppressive effect on GnRH) + prolonged corticosteroids + opioids (gonadal axis suppression)<\/li>\n <li><strong>Sympt\u00f4mes du d\u00e9ficit en testost\u00e9rone chez l'homme :<\/strong> Decreased libido +++ + erectile dysfunction + fatigue + decreased energy + depression + cognitive impairment + decreased muscle mass + increased fat mass (particularly abdominal) + decreased bone density + osteoporosis + normocytic anemia + decreased body hair + hot flashes + gynecomastia (if estradiol is high)<\/li>\n <li><strong>Crit\u00e8res diagnostiques (European Association of Urology 2023) :<\/strong> testost\u00e9rone totale < 8\u201310 nmol\/L (sympt\u00f4mes tr\u00e8s probables) + OU testost\u00e9rone totale entre 8 et 12 nmol\/L avec testost\u00e9rone libre basse + ET sympt\u00f4mes cliniques compatibles \u2192 le diagnostic requiert toujours la combinaison d'une testost\u00e9rone basse ET de sympt\u00f4mes<\/li>\n <\/ul>\n\n <h2>Traitement substitutif en testost\u00e9rone (TRT)<\/h2>\n\n <table class=\"co-table\">\n <thead>\n <tr>\n <th>Formulation<\/th>\n <th>Dosage<\/th>\n <th>Advantages<\/th>\n <th>Inconv\u00e9nients<\/th>\n <\/tr>\n <\/thead>\n <tbody>\n <tr>\n <td>Gel transdermique (AndroGel\u00ae + Testim\u00ae)<\/td>\n <td>25\u201375 mg\/j appliqu\u00e9 sur les \u00e9paules + abdomen + bras<\/td>\n <td>Taux stables + facile \u00e0 utiliser + ajustement de dose simple + r\u00e9versible<\/td>\n <td>Risque de transfert par contact cutan\u00e9 (partenaire + enfants) + application quotidienne<\/td>\n <\/tr>\n <tr>\n <td>Injection IM \u2014 und\u00e9canoate de testost\u00e9rone (Nebido\u00ae)<\/td>\n <td>1 000 mg IM toutes les 10\u201314 semaines<\/td>\n <td>Injections peu fr\u00e9quentes + bonne observance + taux stables<\/td>\n <td>Pic et nadir possibles + injection douloureuse (volume important) + peu r\u00e9versible si effets ind\u00e9sirables<\/td>\n <\/tr>\n <tr>\n <td>Injection IM \u2014 cypionate ou \u00e9nanthate de testost\u00e9rone<\/td>\n <td>100\u2013200 mg IM toutes les 1\u20132 semaines<\/td>\n <td>Efficace + peu co\u00fbteux + disponible<\/td>\n <td>Fluctuations importantes (pic post-injection + nadir avant la prochaine dose) + injections fr\u00e9quentes<\/td>\n <\/tr>\n <tr>\n <td>Patch transdermique (Androderm\u00ae)<\/td>\n <td>2,5\u20135 mg\/j la nuit<\/td>\n <td>Physiological Profile (Morning Peak)<\/td>\n <td>R\u00e9actions cutan\u00e9es locales fr\u00e9quentes + application quotidienne<\/td>\n <\/tr>\n <tr>\n <td>Und\u00e9canoate oral (Andriol\u00ae Testocaps)<\/td>\n <td>120\u2013240 mg\/j avec repas gras<\/td>\n <td>Oral<\/td>\n <td>Absorption variable et impr\u00e9visible + 2 prises\/j + moins efficace<\/td>\n <\/tr>\n <\/tbody>\n <\/table>\n\n <h2>Contraindications and monitoring of TRT<\/h2>\n <ul class=\"co-list\">\n <li><strong>Absolute contraindications to TRT:<\/strong> cancer de la prostate (connu ou suspect\u00e9) + cancer du sein chez l'homme + d\u00e9sir de paternit\u00e9 (la testost\u00e9rone exog\u00e8ne supprime la spermatogen\u00e8se par r\u00e9trocontr\u00f4le n\u00e9gatif sur la LH\/FSH \u2192 azoospermie sous TRT) + polyglobulie s\u00e9v\u00e8re (Ht > 54 %) + insuffisance cardiaque non contr\u00f4l\u00e9e + apn\u00e9e du sommeil s\u00e9v\u00e8re non trait\u00e9e<\/li>\n <li><strong>Surveillance under TRT<\/strong> Total testosterone (target 12\u201325 nmol\/L or mid-normal range) + CBC (hemoglobin + hematocrit \u2014 risk of polycythemia) + PSA (before treatment + at 3 months + then annually) + lipid panel + weight + symptoms + mood + libido + erectile function + bone density if initial osteoporosis<\/li>\n <li><strong>Risks of TRT:<\/strong> polyglobulie (augmentation de l'h\u00e9moglobine \u2192 risque thrombotique si Ht > 54 % \u2192 r\u00e9duire la dose ou phl\u00e9bo) + atrophie testiculaire (suppression de la LH endog\u00e8ne) + infertilit\u00e9 (azoospermie r\u00e9versible \u00e0 l'arr\u00eat dans 90 % des cas apr\u00e8s 1\u20132 ans) + aggravation possible de l'apn\u00e9e du sommeil + acn\u00e9 + \u00e9largissement de la prostate (mais pas de preuve d'augmentation du risque de cancer de la prostate dans les \u00e9tudes randomis\u00e9es r\u00e9centes)<\/li>\n <li><strong>hCG (human chorionic gonadotropin):<\/strong> Alternative to TRT for preserving fertility + stimulates endogenous Leydig cells \u2192 increased testosterone + no suppression of spermatogenesis + used if desire for paternity or if unacceptable testicular atrophy<\/li>\n <\/ul>\n\n <h2>Testost\u00e9rone chez la femme \u2014 hyperandrog\u00e9nie et d\u00e9ficit<\/h2>\n <ul class=\"co-list\">\n <li><strong>Hyperandrog\u00e9nie f\u00e9minine :<\/strong> testost\u00e9rone totale \u00e9lev\u00e9e + ou index d'androg\u00e8nes libres (IAL) \u00e9lev\u00e9 \u2192 acn\u00e9 s\u00e9v\u00e8re + hirsutisme + alop\u00e9cie androg\u00e9nique + irr\u00e9gularit\u00e9s menstruelles + virilisation \u2192 causes : SOPK (la plus fr\u00e9quente) + hyperplasie cong\u00e9nitale des surr\u00e9nales (d\u00e9ficit en 21-hydroxylase) + tumeur ovarienne ou surr\u00e9nalienne (testost\u00e9rone tr\u00e8s \u00e9lev\u00e9e > 5\u20136 nmol\/L \u2192 urgence diagnostique) + Cushing<\/li>\n <li><strong>Bilan d'hyperandrog\u00e9nie :<\/strong> Total testosterone + SHBG + Free Androgen Index (FAI) + DHEA-S (adrenal androgen) + 17-OHP (21-hydroxylase deficiency) + prolactin + TSH + FSH + LH + cortisol if Cushing's suspected + ovarian ultrasound<\/li>\n <li><strong>D\u00e9ficit en testost\u00e9rone chez la femme (contexte controvers\u00e9) :<\/strong> menopause + post-oophorectomy + adrenal insufficiency \u2192 significant reduction of testosterone \u2192 decreased libido + fatigue + reduced well-being + low-dose testosterone gel (300 \u00b5g\/day) \u2192 improved libido in menopausal women (ESHRE + Endocrine Society 2019 data) + not formally approved in Canada but used in practice<\/li>\n <\/ul>\n\n <div class=\"co-infobox\">\n <span class=\"ico\">\u2119\ufe0f<\/span>\n <span>Le traitement substitutif en testost\u00e9rone (TRT) supprime la spermatogen\u00e8se en inhibant la LH et la FSH par r\u00e9trocontr\u00f4le n\u00e9gatif \u2014 conduisant \u00e0 une azoospermie dans 90 % des cas apr\u00e8s plusieurs mois de traitement. La suppression est g\u00e9n\u00e9ralement r\u00e9versible \u00e0 l'arr\u00eat (retour \u00e0 une spermatogen\u00e8se normale dans 90 % des cas dans les 12\u201318 mois), mais peut \u00eatre d\u00e9finitive chez certains patients. Tout homme en \u00e2ge de procr\u00e9er d\u00e9sirant une paternit\u00e9 future ne doit pas initier un TRT sans discussion pr\u00e9alable sur la pr\u00e9servation de la fertilit\u00e9 (cryoconservation du sperme avant le traitement) ou l'utilisation de l'HCG comme alternative.<\/span>\n <\/div>\n\n <div class=\"co-urgence\">\n <div class=\"co-urgence-titre\">Medical consultation recommended<\/div>\n <p>Consulter un m\u00e9decin si des sympt\u00f4mes \u00e9vocateurs d'un d\u00e9ficit en testost\u00e9rone persistent chez un homme adulte (fatigue chronique + perte de libido + dysfonction \u00e9rectile + perte de masse musculaire + d\u00e9pression + ost\u00e9oporose sans autre cause) \u2014 un dosage de la testost\u00e9rone totale le matin permettra d'objectiver le d\u00e9ficit. Chez la femme, consulter si une acn\u00e9 s\u00e9v\u00e8re + un hirsutisme marqu\u00e9 + ou des irr\u00e9gularit\u00e9s menstruelles persistent \u2014 le bilan d'hyperandrog\u00e9nie orientera le diagnostic. Pour le bilan hormonal complet (testost\u00e9rone + SHBG + LH + FSH + prolactine) et l'initiation du traitement substitutif si indiqu\u00e9, Clinique Omicron offre des consultations dans ses points de service au Qu\u00e9bec et en t\u00e9l\u00e9m\u00e9decine. Pour prendre rendez-vous, visitez <a href=\"https:\/\/cliniqueomicron.ca\" style=\"color:#c0392b;font-weight:600;text-decoration:none;\">cliniqueomicron.ca<\/a>.<\/p>\n <\/div>\n\n <h2>Consult at Clinique Omicron<\/h2>\n <p>Les m\u00e9decins et infirmiers praticiens sp\u00e9cialis\u00e9s (IPS) de Clinique Omicron dosent et interpr\u00e8tent la testost\u00e9rone totale et libre dans le bon contexte clinique, diagnostiquent l'hypogonadisme masculin (primaire vs secondaire \u2014 LH + FSH + prolactine + IRM hypophysaire si secondaire), initient et surveillent le TRT selon le profil du patient (gel + injection + patch), assurent la surveillance (NFS + PSA + lipides + sympt\u00f4mes), \u00e9valuent l'hyperandrog\u00e9nie f\u00e9minine (SOPK + hyperplasie surr\u00e9nalienne + tumeur), et orientent vers l'endocrinologie ou l'urologie pour les cas complexes. Des consultations sont disponibles dans plusieurs points de service au Qu\u00e9bec et en t\u00e9l\u00e9m\u00e9decine. Pour prendre rendez-vous, visitez <a href=\"https:\/\/cliniqueomicron.ca\" style=\"color:#4D6577;font-weight:600;text-decoration:none;\">cliniqueomicron.ca<\/a>.<\/p>\n\n <p class=\"co-disclaimer\">Le contenu de cette page est fourni \u00e0 titre informatif uniquement et ne remplace pas l'avis d'un m\u00e9decin ou d'un endocrinologue. Le traitement substitutif en testost\u00e9rone est contre-indiqu\u00e9 en cas de cancer de la prostate connu ou suspect\u00e9 et en cas de d\u00e9sir de paternit\u00e9 sans mesures de pr\u00e9servation de la fertilit\u00e9 pr\u00e9alables. Toujours pr\u00e9lever la testost\u00e9rone le matin entre 7 h et 11 h pour un dosage fiable.<\/p>\n\n<\/div>\n<\/body>\n<\/html>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Testost\u00e9rone : r\u00f4les, valeurs normales, d\u00e9ficit et traitement substitutif | Clinique Omicron Endocrinologie & Urologie & M\u00e9decine de famille Testost\u00e9rone La testost\u00e9rone est le principal androg\u00e8ne st\u00e9ro\u00efdien \u2014 synth\u00e9tis\u00e9e \u00e0 partir du cholest\u00e9rol dans les cellules de Leydig des testicules (chez l’homme : 95 % de la production totale) + dans les cellules th\u00e9cales ovariennes… <a href=\"https:\/\/cliniqueomicron.ca\/en\/testosterone\/\" rel=\"bookmark\">Read More \"<span class=\"screen-reader-text\">Testosterone: Roles, Normal Values, Deficiency, and Replacement Therapy | Clinique Omicron<\/span><\/a><\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"om_disable_all_campaigns":false,"neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"off","neve_meta_content_width":100,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","_themeisle_gutenberg_block_has_review":false,"_metasync_otto_title":"Testost\u00e9rone | Brossard | Clinique Omicron","_metasync_otto_description":"Testost\u00e9rone Testost\u00e9rone est un test de laboratoire qui permet d'\u00e9valuer certains aspects de votre \u00e9tat de sant\u00e9. Ce test est disponible \u00e0 la Clinique Omicr...","_metasync_otto_keywords":"","_metasync_otto_og_title":"Testosterone | Clinique Omicron Qu\u00e9bec","_metasync_otto_og_description":"Testost\u00e9rone Testost\u00e9rone est un test de laboratoire qui permet d'\u00e9valuer certains aspects de votre \u00e9tat de sant\u00e9. Ce test est disponible \u00e0 la Clinique Omicr...","_metasync_otto_twitter_title":"Testosterone | Clinique Omicron","_metasync_otto_twitter_description":"Testost\u00e9rone Testost\u00e9rone est un test de laboratoire qui permet d'\u00e9valuer certains aspects de votre \u00e9tat de sant\u00e9. Ce test est disponible \u00e0 la Clinique Omicr...","rank_math_title":"","rank_math_description":"","_yoast_wpseo_title":"","_yoast_wpseo_metadesc":"","_aioseo_title":"Testost\u00e9rone : r\u00f4les, valeurs normales, d\u00e9ficit et traitement substitutif | Clinique Omicron","_aioseo_description":"La testost\u00e9rone est l'androg\u00e8ne principal chez l'homme et la femme. Hypogonadisme primaire secondaire LH FSH Klinefelter, TRT gel injection Nebido surveillance PSA NFS, azoospermie HCG fertilit\u00e9, hyperandrog\u00e9nie SOPK 17-OHP au Qu\u00e9bec.","_metasync_seo_title":"Testost\u00e9rone | Clinique Omicron","_metasync_seo_desc":"","_metasync_breadcrumb_title":"","_metasync_primary_category":0,"_metasync_primary_product_cat":0,"_metasync_otto_disabled":"","_metasync_hreflang":"","_metasync_plugin_sync_ts":"{\"aioseo\":\"2026-09-03T07:53:19+00:00\"}","_metasync_robots_advanced":"","footnotes":""},"class_list":["post-25003","page","type-page","status-publish","hentry"],"aioseo_notices":[],"aioseo_head":"\n\t\t\n\t<meta name=\"description\" content=\"Testost\u00e9rone Testost\u00e9rone est un test de laboratoire qui permet d'\u00e9valuer certains aspects de votre \u00e9tat de sant\u00e9. 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\n\t\t\t\t\t\n\n\n\n\nTestosterone: Roles, Normal Values, Deficiency, and Replacement Therapy | Clinique Omicron<\/title>\n<meta name=\"description\" content=\"La testost\u00e9rone est l'androg\u00e8ne principal chez l'homme et la femme. Hypogonadisme masculin, d\u00e9ficit en testost\u00e9rone TRT, testost\u00e9rone libre SHBG, hyperandrog\u00e9nie f\u00e9minine SOPK et bilan hormonal au Qu\u00e9bec.\">\n<meta name=\"keywords\" content=\"testost\u00e9rone, testost\u00e9rone d\u00e9ficit, hypogonadisme masculin, testost\u00e9rone libre, TRT traitement testost\u00e9rone, testost\u00e9rone totale SHBG, testost\u00e9rone femme SOPK, testost\u00e9rone valeurs normales, testost\u00e9rone vieillissement, testost\u00e9rone Qu\u00e9bec\">\n<link rel=\"preconnect\" href=\"https:\/\/fonts.googleapis.com\">\n<link href=\"https:\/\/fonts.googleapis.com\/css2?family=Cinzel:wght@600&family=Poppins:wght@400;500;600;700&display=swap\" rel=\"stylesheet\">\n<style>\n@import url('https:\/\/fonts.googleapis.com\/css2?family=Cinzel:wght@600&family=Poppins:wght@400;500;600;700&display=dump');\n\n.co-wrap * {\n font-family: 'Poppins', sans-serif;\n box-sizing: border-box;\n}\n.co-wrap {\n max-width: 1100px;\n margin: 0 auto;\n padding: 30px 0 60px;\n margin-top: 10px;\n}\n.co-label {\n font-family: 'Cinzel', serif;\n font-size: 14px;\n font-weight: bold;\n letter-spacing: 1px;\n text-transform: uppercase;\n color: #4D6577;\n margin-bottom: 14px;\n display: block;\n}\n.co-wrap h1 {\n font-size: 32px;\n font-weight: 500;\n color: #323C52;\n margin: 0 0 22px;\n line-height: 1.2;\n letter-spacing: 0.5px;\n}\n.co-intro {\n font-size: 16px;\n font-weight: 400;\n line-height: 1.75;\n color: #4D6577;\n margin-bottom: 36px;\n padding-bottom: 32px;\n border-bottom: 1px solid rgba(77,101,119,.2);\n}\n.co-wrap h2 {\n font-size: 20px;\n font-weight: 600;\n color: #323C52;\n margin: 32px 0 12px;\n letter-spacing: 0.3px;\n}\n.co-wrap p {\n font-size: 15px;\n font-weight: 400;\n color: #4D6577;\n line-height: 1.7;\n margin-bottom: 14px;\n}\n.co-list {\n list-style: none;\n padding: 0;\n margin: 12px 0 24px;\n}\n.co-list li {\n font-size: 15px;\n font-weight: 400;\n color: #4D6577;\n padding: 10px 14px 10px 38px;\n margin-bottom: 8px;\n border-radius: 6px;\n position: relative;\n background: rgba(77,101,119,.06);\n border-left: 3px solid #4D6577;\n}\n.co-list li::before {\n content: \"\u2713\";\n position: absolute;\n left: 12px;\n font-weight: 700;\n color: #4D6577;\n}\n.co-table {\n width: 100%;\n border-collapse: collapse;\n margin: 14px 0 22px;\n font-size: 14px;\n border-radius: 8px;\n overflow: hidden;\n}\n.co-table thead tr {\n background: #323C52;\n color: #fff;\n}\n.co-table thead th {\n padding: 11px 16px;\n text-align: left;\n font-weight: 600;\n font-size: 13px;\n}\n.co-table tbody tr:nth-child(even) {\n background: rgba(77,101,119,.06);\n}\n.co-table tbody tr:nth-child(odd) {\n background: #fff;\n}\n.co-table td {\n padding: 10px 16px;\n color: #4D6577;\n border-bottom: 1px solid rgba(77,101,119,.12);\n font-size: 14px;\n vertical-align: top;\n}\n.co-table td:first-child {\n font-weight: 600;\n color: #323C52;\n}\n.co-infobox {\n display: flex;\n gap: 12px;\n background: rgba(77,101,119,.06);\n border-radius: 8px;\n border-left: 4px solid #4D6577;\n padding: 14px 18px;\n margin: 18px 0 28px;\n font-size: 14px;\n font-weight: 400;\n color: #4D6577;\n line-height: 1.65;\n}\n.co-infobox .ico {\n font-size: 18px;\n flex-shrink: 0;\n}\n.co-urgence {\n background: #fff8f8;\n border-left: 5px solid #c0392b;\n border-radius: 6px;\n padding: 20px 26px;\n margin: 24px 0 32px;\n}\n.co-urgence .co-urgence-titre {\n font-size: 13px;\n font-weight: 700;\n color: #c0392b;\n letter-spacing: 1.5px;\n text-transform: uppercase;\n margin-bottom: 10px;\n}\n.co-urgence p {\n color: #5a2020;\n font-size: 14px;\n margin: 0 0 10px;\n line-height: 1.7;\n}\n.co-urgence p:last-child {\n margin-bottom: 0;\n}\n.co-disclaimer {\n font-size: 13px;\n color: #8a9aaa;\n font-style: italic;\n border-top: 1px solid rgba(77,101,119,.15);\n padding-top: 24px;\n margin-top: 40px;\n line-height: 1.6;\n}\n<\/style>\n<\/head>\n<body>\n<div class=\"co-wrap\">\n\n <span class=\"co-label\">Endocrinology & Urology & Family Medicine<\/span>\n <h1>Testost\u00e9rone<\/h1>\n\n <div class=\"co-intro\">\n La testost\u00e9rone est le principal androg\u00e8ne st\u00e9ro\u00efdien \u2014 synth\u00e9tis\u00e9e \u00e0 partir du cholest\u00e9rol dans les cellules de Leydig des testicules (chez l'homme : 95 % de la production totale) + dans les cellules th\u00e9cales ovariennes (chez la femme) + et dans la zone r\u00e9ticul\u00e9e du cortex surr\u00e9nalien (les deux sexes \u2014 contribution plus modeste) \u2014 et exerce ses effets biologiques via les r\u00e9cepteurs aux androg\u00e8nes (AR) pr\u00e9sents dans pratiquement tous les tissus : muscle squelettique + os + cerveau + moelle osseuse + foie + rein + peau + prostate + organes g\u00e9nitaux. Chez l'homme, la testost\u00e9rone est indispensable au d\u00e9veloppement et au maintien des caract\u00e8res sexuels primaires (spermatogen\u00e8se + d\u00e9veloppement des organes g\u00e9nitaux) et secondaires (pilosit\u00e9 + masse musculaire + r\u00e9partition corporelle + voix grave) + \u00e0 la min\u00e9ralisation osseuse + \u00e0 la libido + \u00e0 la fonction \u00e9rectile + \u00e0 la masse musculaire + \u00e0 la production de globules rouges (stimulation de l'\u00e9rythropo\u00ef\u00e9tine r\u00e9nale) + et \u00e0 l'humeur et aux fonctions cognitives. Sa r\u00e9gulation se fait par l'axe hypothalamo-hypophyso-gonadique : la GnRH hypothalamique (pulsatile) \u2192 stimule la LH et la FSH hypophysaires \u2192 la LH stimule les cellules de Leydig \u2192 s\u00e9cr\u00e9tion de testost\u00e9rone \u2192 r\u00e9trocontr\u00f4le n\u00e9gatif sur l'hypothalamus et l'hypophyse. La testost\u00e9rone circule sous trois formes : li\u00e9e \u00e0 la SHBG (sex hormone-binding globulin \u2014 40\u201370 % \u2014 non biodisponible) + li\u00e9e \u00e0 l'albumine (20\u201350 % \u2014 biodisponible) + et libre (1\u20133 % \u2014 biologiquement active). La testost\u00e9rone totale mesure toutes ces fractions \u2014 mais c'est la testost\u00e9rone libre (ou calcul\u00e9e par la formule de Vermeulen) ou la testost\u00e9rone biodisponible qui refl\u00e8te l'androg\u00e9nicit\u00e9 r\u00e9elle des tissus, particuli\u00e8rement chez les patients avec SHBG anormale (ob\u00e9sit\u00e9 + cirrhose + vieillissement).\n <\/div>\n\n <h2>Normal values by sex and age<\/h2>\n <ul class=\"co-list\">\n <li><strong>Homme adulte (20\u201340 ans) :<\/strong> Total testosterone 8\u201335 nmol\/L (230\u20131010 ng\/dL) + morning fasting sample between 7 a.m. and 11 a.m. (morning peak \u2014 circadian variation of 30\u201340 30\u201340 %) + calculated free testosterone: 180\u2013550 pmol\/L<\/li>\n <li><strong>Homme \u00e2g\u00e9 (> 60 ans) :<\/strong> total testosterone decreases gradually by 1\u20132 % per year after age 30 + + SHBG increases with age \u2192 free testosterone decreases faster than total testosterone \u2192 a 70-year-old man may have normal total testosterone but low free testosterone (androgen deficiency in aging males \u2014 ADAM)<\/li>\n <li><strong>Adult woman:<\/strong> total testosterone 0.5\u20132.5 nmol\/L (15\u201370 ng\/dL) + about 20 times lower than in men + important concentrations for libido + well-being + muscle mass + bone density in women too<\/li>\n <li><strong>Circadian variation<\/strong> morning between 6 am and 10 am + nadir in the afternoon and evening \u2192 always collect in the morning for reliable dosage<\/li>\n <\/ul>\n\n <h2>Hypogonadisme masculin \u2014 d\u00e9ficit en testost\u00e9rone<\/h2>\n <ul class=\"co-list\">\n <li><strong>Primary hypogonadism (hypergonadotropic):<\/strong> Testicular failure \u2192 low testosterone + high LH + high FSH + causes: Klinefelter syndrome (XXY \u2014 most common genetic cause of primary hypogonadism + gynecomastia + firm small testicles + infertility) + orchitis (mumps ++) + chemotherapy + radiotherapy + trauma + bilateral cryptorchidism + testicular torsion<\/li>\n <li><strong>Secondary hypogonadism (hypogonadotropic)<\/strong> Hypothalamic-pituitary failure \u2192 low testosterone + low LH + low FSH + causes: pituitary adenoma + hyperprolactinemia (prolactinoma) + Kallmann syndrome (anosmia + GnRH deficiency) + hemochromatosis (iron deposition in the pituitary) + aging (PADAM - late-onset hypogonadism) + severe obesity (hyperestrogenism from peripheral aromatization + insulin's suppressive effect on GnRH) + prolonged corticosteroids + opioids (gonadal axis suppression)<\/li>\n <li><strong>Sympt\u00f4mes du d\u00e9ficit en testost\u00e9rone chez l'homme :<\/strong> Decreased libido +++ + erectile dysfunction + fatigue + decreased energy + depression + cognitive impairment + decreased muscle mass + increased fat mass (particularly abdominal) + decreased bone density + osteoporosis + normocytic anemia + decreased body hair + hot flashes + gynecomastia (if estradiol is high)<\/li>\n <li><strong>Crit\u00e8res diagnostiques (European Association of Urology 2023) :<\/strong> testost\u00e9rone totale < 8\u201310 nmol\/L (sympt\u00f4mes tr\u00e8s probables) + OU testost\u00e9rone totale entre 8 et 12 nmol\/L avec testost\u00e9rone libre basse + ET sympt\u00f4mes cliniques compatibles \u2192 le diagnostic requiert toujours la combinaison d'une testost\u00e9rone basse ET de sympt\u00f4mes<\/li>\n <\/ul>\n\n <h2>Traitement substitutif en testost\u00e9rone (TRT)<\/h2>\n\n <table class=\"co-table\">\n <thead>\n <tr>\n <th>Formulation<\/th>\n <th>Dosage<\/th>\n <th>Advantages<\/th>\n <th>Inconv\u00e9nients<\/th>\n <\/tr>\n <\/thead>\n <tbody>\n <tr>\n <td>Gel transdermique (AndroGel\u00ae + Testim\u00ae)<\/td>\n <td>25\u201375 mg\/j appliqu\u00e9 sur les \u00e9paules + abdomen + bras<\/td>\n <td>Taux stables + facile \u00e0 utiliser + ajustement de dose simple + r\u00e9versible<\/td>\n <td>Risque de transfert par contact cutan\u00e9 (partenaire + enfants) + application quotidienne<\/td>\n <\/tr>\n <tr>\n <td>Injection IM \u2014 und\u00e9canoate de testost\u00e9rone (Nebido\u00ae)<\/td>\n <td>1 000 mg IM toutes les 10\u201314 semaines<\/td>\n <td>Injections peu fr\u00e9quentes + bonne observance + taux stables<\/td>\n <td>Pic et nadir possibles + injection douloureuse (volume important) + peu r\u00e9versible si effets ind\u00e9sirables<\/td>\n <\/tr>\n <tr>\n <td>Injection IM \u2014 cypionate ou \u00e9nanthate de testost\u00e9rone<\/td>\n <td>100\u2013200 mg IM toutes les 1\u20132 semaines<\/td>\n <td>Efficace + peu co\u00fbteux + disponible<\/td>\n <td>Fluctuations importantes (pic post-injection + nadir avant la prochaine dose) + injections fr\u00e9quentes<\/td>\n <\/tr>\n <tr>\n <td>Patch transdermique (Androderm\u00ae)<\/td>\n <td>2,5\u20135 mg\/j la nuit<\/td>\n <td>Physiological Profile (Morning Peak)<\/td>\n <td>R\u00e9actions cutan\u00e9es locales fr\u00e9quentes + application quotidienne<\/td>\n <\/tr>\n <tr>\n <td>Und\u00e9canoate oral (Andriol\u00ae Testocaps)<\/td>\n <td>120\u2013240 mg\/j avec repas gras<\/td>\n <td>Oral<\/td>\n <td>Absorption variable et impr\u00e9visible + 2 prises\/j + moins efficace<\/td>\n <\/tr>\n <\/tbody>\n <\/table>\n\n <h2>Contraindications and monitoring of TRT<\/h2>\n <ul class=\"co-list\">\n <li><strong>Absolute contraindications to TRT:<\/strong> cancer de la prostate (connu ou suspect\u00e9) + cancer du sein chez l'homme + d\u00e9sir de paternit\u00e9 (la testost\u00e9rone exog\u00e8ne supprime la spermatogen\u00e8se par r\u00e9trocontr\u00f4le n\u00e9gatif sur la LH\/FSH \u2192 azoospermie sous TRT) + polyglobulie s\u00e9v\u00e8re (Ht > 54 %) + insuffisance cardiaque non contr\u00f4l\u00e9e + apn\u00e9e du sommeil s\u00e9v\u00e8re non trait\u00e9e<\/li>\n <li><strong>Surveillance under TRT<\/strong> Total testosterone (target 12\u201325 nmol\/L or mid-normal range) + CBC (hemoglobin + hematocrit \u2014 risk of polycythemia) + PSA (before treatment + at 3 months + then annually) + lipid panel + weight + symptoms + mood + libido + erectile function + bone density if initial osteoporosis<\/li>\n <li><strong>Risks of TRT:<\/strong> polyglobulie (augmentation de l'h\u00e9moglobine \u2192 risque thrombotique si Ht > 54 % \u2192 r\u00e9duire la dose ou phl\u00e9bo) + atrophie testiculaire (suppression de la LH endog\u00e8ne) + infertilit\u00e9 (azoospermie r\u00e9versible \u00e0 l'arr\u00eat dans 90 % des cas apr\u00e8s 1\u20132 ans) + aggravation possible de l'apn\u00e9e du sommeil + acn\u00e9 + \u00e9largissement de la prostate (mais pas de preuve d'augmentation du risque de cancer de la prostate dans les \u00e9tudes randomis\u00e9es r\u00e9centes)<\/li>\n <li><strong>hCG (human chorionic gonadotropin):<\/strong> Alternative to TRT for preserving fertility + stimulates endogenous Leydig cells \u2192 increased testosterone + no suppression of spermatogenesis + used if desire for paternity or if unacceptable testicular atrophy<\/li>\n <\/ul>\n\n <h2>Testost\u00e9rone chez la femme \u2014 hyperandrog\u00e9nie et d\u00e9ficit<\/h2>\n <ul class=\"co-list\">\n <li><strong>Hyperandrog\u00e9nie f\u00e9minine :<\/strong> testost\u00e9rone totale \u00e9lev\u00e9e + ou index d'androg\u00e8nes libres (IAL) \u00e9lev\u00e9 \u2192 acn\u00e9 s\u00e9v\u00e8re + hirsutisme + alop\u00e9cie androg\u00e9nique + irr\u00e9gularit\u00e9s menstruelles + virilisation \u2192 causes : SOPK (la plus fr\u00e9quente) + hyperplasie cong\u00e9nitale des surr\u00e9nales (d\u00e9ficit en 21-hydroxylase) + tumeur ovarienne ou surr\u00e9nalienne (testost\u00e9rone tr\u00e8s \u00e9lev\u00e9e > 5\u20136 nmol\/L \u2192 urgence diagnostique) + Cushing<\/li>\n <li><strong>Bilan d'hyperandrog\u00e9nie :<\/strong> Total testosterone + SHBG + Free Androgen Index (FAI) + DHEA-S (adrenal androgen) + 17-OHP (21-hydroxylase deficiency) + prolactin + TSH + FSH + LH + cortisol if Cushing's suspected + ovarian ultrasound<\/li>\n <li><strong>D\u00e9ficit en testost\u00e9rone chez la femme (contexte controvers\u00e9) :<\/strong> menopause + post-oophorectomy + adrenal insufficiency \u2192 significant reduction of testosterone \u2192 decreased libido + fatigue + reduced well-being + low-dose testosterone gel (300 \u00b5g\/day) \u2192 improved libido in menopausal women (ESHRE + Endocrine Society 2019 data) + not formally approved in Canada but used in practice<\/li>\n <\/ul>\n\n <div class=\"co-infobox\">\n <span class=\"ico\">\u2119\ufe0f<\/span>\n <span>Le traitement substitutif en testost\u00e9rone (TRT) supprime la spermatogen\u00e8se en inhibant la LH et la FSH par r\u00e9trocontr\u00f4le n\u00e9gatif \u2014 conduisant \u00e0 une azoospermie dans 90 % des cas apr\u00e8s plusieurs mois de traitement. La suppression est g\u00e9n\u00e9ralement r\u00e9versible \u00e0 l'arr\u00eat (retour \u00e0 une spermatogen\u00e8se normale dans 90 % des cas dans les 12\u201318 mois), mais peut \u00eatre d\u00e9finitive chez certains patients. Tout homme en \u00e2ge de procr\u00e9er d\u00e9sirant une paternit\u00e9 future ne doit pas initier un TRT sans discussion pr\u00e9alable sur la pr\u00e9servation de la fertilit\u00e9 (cryoconservation du sperme avant le traitement) ou l'utilisation de l'HCG comme alternative.<\/span>\n <\/div>\n\n <div class=\"co-urgence\">\n <div class=\"co-urgence-titre\">Medical consultation recommended<\/div>\n <p>Consulter un m\u00e9decin si des sympt\u00f4mes \u00e9vocateurs d'un d\u00e9ficit en testost\u00e9rone persistent chez un homme adulte (fatigue chronique + perte de libido + dysfonction \u00e9rectile + perte de masse musculaire + d\u00e9pression + ost\u00e9oporose sans autre cause) \u2014 un dosage de la testost\u00e9rone totale le matin permettra d'objectiver le d\u00e9ficit. Chez la femme, consulter si une acn\u00e9 s\u00e9v\u00e8re + un hirsutisme marqu\u00e9 + ou des irr\u00e9gularit\u00e9s menstruelles persistent \u2014 le bilan d'hyperandrog\u00e9nie orientera le diagnostic. Pour le bilan hormonal complet (testost\u00e9rone + SHBG + LH + FSH + prolactine) et l'initiation du traitement substitutif si indiqu\u00e9, Clinique Omicron offre des consultations dans ses points de service au Qu\u00e9bec et en t\u00e9l\u00e9m\u00e9decine. Pour prendre rendez-vous, visitez <a href=\"https:\/\/cliniqueomicron.ca\" style=\"color:#c0392b;font-weight:600;text-decoration:none;\">cliniqueomicron.ca<\/a>.<\/p>\n <\/div>\n\n <h2>Consult at Clinique Omicron<\/h2>\n <p>Les m\u00e9decins et infirmiers praticiens sp\u00e9cialis\u00e9s (IPS) de Clinique Omicron dosent et interpr\u00e8tent la testost\u00e9rone totale et libre dans le bon contexte clinique, diagnostiquent l'hypogonadisme masculin (primaire vs secondaire \u2014 LH + FSH + prolactine + IRM hypophysaire si secondaire), initient et surveillent le TRT selon le profil du patient (gel + injection + patch), assurent la surveillance (NFS + PSA + lipides + sympt\u00f4mes), \u00e9valuent l'hyperandrog\u00e9nie f\u00e9minine (SOPK + hyperplasie surr\u00e9nalienne + tumeur), et orientent vers l'endocrinologie ou l'urologie pour les cas complexes. Des consultations sont disponibles dans plusieurs points de service au Qu\u00e9bec et en t\u00e9l\u00e9m\u00e9decine. Pour prendre rendez-vous, visitez <a href=\"https:\/\/cliniqueomicron.ca\" style=\"color:#4D6577;font-weight:600;text-decoration:none;\">cliniqueomicron.ca<\/a>.<\/p>\n\n <p class=\"co-disclaimer\">Le contenu de cette page est fourni \u00e0 titre informatif uniquement et ne remplace pas l'avis d'un m\u00e9decin ou d'un endocrinologue. Le traitement substitutif en testost\u00e9rone est contre-indiqu\u00e9 en cas de cancer de la prostate connu ou suspect\u00e9 et en cas de d\u00e9sir de paternit\u00e9 sans mesures de pr\u00e9servation de la fertilit\u00e9 pr\u00e9alables. Toujours pr\u00e9lever la testost\u00e9rone le matin entre 7 h et 11 h pour un dosage fiable.<\/p>\n\n<\/div>\n<\/body>\n<\/html>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Testost\u00e9rone : r\u00f4les, valeurs normales, d\u00e9ficit et traitement substitutif | Clinique Omicron Endocrinologie & Urologie & M\u00e9decine de famille Testost\u00e9rone La testost\u00e9rone est le principal androg\u00e8ne st\u00e9ro\u00efdien \u2014 synth\u00e9tis\u00e9e \u00e0 partir du cholest\u00e9rol dans les cellules de Leydig des testicules (chez l’homme : 95 % de la production totale) + dans les cellules th\u00e9cales ovariennes… <a href=\"https:\/\/cliniqueomicron.ca\/en\/testosterone\/\" rel=\"bookmark\">Read More \"<span class=\"screen-reader-text\">Testosterone: Roles, Normal Values, Deficiency, and Replacement Therapy | Clinique Omicron<\/span><\/a><\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"om_disable_all_campaigns":false,"neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"off","neve_meta_content_width":100,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","_themeisle_gutenberg_block_has_review":false,"_metasync_otto_title":"Testost\u00e9rone | Brossard | Clinique Omicron","_metasync_otto_description":"Testost\u00e9rone Testost\u00e9rone est un test de laboratoire qui permet d'\u00e9valuer certains aspects de votre \u00e9tat de sant\u00e9. Ce test est disponible \u00e0 la Clinique Omicr...","_metasync_otto_keywords":"","_metasync_otto_og_title":"Testosterone | Clinique Omicron Qu\u00e9bec","_metasync_otto_og_description":"Testost\u00e9rone Testost\u00e9rone est un test de laboratoire qui permet d'\u00e9valuer certains aspects de votre \u00e9tat de sant\u00e9. Ce test est disponible \u00e0 la Clinique Omicr...","_metasync_otto_twitter_title":"Testosterone | Clinique Omicron","_metasync_otto_twitter_description":"Testost\u00e9rone Testost\u00e9rone est un test de laboratoire qui permet d'\u00e9valuer certains aspects de votre \u00e9tat de sant\u00e9. Ce test est disponible \u00e0 la Clinique Omicr...","rank_math_title":"","rank_math_description":"","_yoast_wpseo_title":"","_yoast_wpseo_metadesc":"","_aioseo_title":"Testost\u00e9rone : r\u00f4les, valeurs normales, d\u00e9ficit et traitement substitutif | Clinique Omicron","_aioseo_description":"La testost\u00e9rone est l'androg\u00e8ne principal chez l'homme et la femme. Hypogonadisme primaire secondaire LH FSH Klinefelter, TRT gel injection Nebido surveillance PSA NFS, azoospermie HCG fertilit\u00e9, hyperandrog\u00e9nie SOPK 17-OHP au Qu\u00e9bec.","_metasync_seo_title":"Testost\u00e9rone | Clinique Omicron","_metasync_seo_desc":"","_metasync_breadcrumb_title":"","_metasync_primary_category":0,"_metasync_primary_product_cat":0,"_metasync_otto_disabled":"","_metasync_hreflang":"","_metasync_plugin_sync_ts":"{\"aioseo\":\"2026-09-03T07:53:19+00:00\"}","_metasync_robots_advanced":"","footnotes":""},"class_list":["post-25003","page","type-page","status-publish","hentry"],"aioseo_notices":[],"aioseo_head":"\n\t\t\n\t<meta name=\"description\" content=\"Testost\u00e9rone Testost\u00e9rone est un test de laboratoire qui permet d'\u00e9valuer certains aspects de votre \u00e9tat de sant\u00e9. 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