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Hormones, Metabolism, Aging, and Men s Health ment of all aspects of sexual function was found in men with low (<7 nmol/L, 2 ng/mL) and low normal T (7 12 nmol/L, 2 346 ng/mL) receiving standard replacement doses of T, with respect to placebo Concerning erectile function, the magnitude of the effect was inversely related to the baseline T concentration and was detectable only in studies with mean baseline T level < 12 nmol/L (346 ng/mL) No statistically signi cant effect on libido (though close to signi cance) or erections was found in studies with mean baseline T level above this The type of T preparation used, the length of follow-up assessment, as well as the presence of ED and other co-morbidities (diabetes mellitus, hypertension, dyslipidemia), all in uenced response to treatment The effect of age was not studied in this metaanalysis Although this data suggests a signi cant effect of T therapy on erectile function in cases of marked or moderate hypogonadism, the effects reported in the literature regarding this treatment have been mostly disappointing when it was used alone in middle-aged patients consulting for ED who are subsequently found to be hypogonadal This situation may be quite different from that of men with organic hypogonadism, diagnosed earlier in life, who constitute the majority of the populations studied in RCTs No controlled trial has been speci cally devoted to such patients, but the compilation of eight observational studies totalling 259 cases (T < 3 ng/mL or 115 nmol/L) leads to the conclusion that only 36% were de nitely improved regarding their erectile function [18,20,54 59] Perhaps TT is a poor index of androgenicity, and only its bioavailable fractions should be taken into account This speculation was not con rmed by the results of T therapy in ED patients with low levels of FT or BT, since the success rate was even poorer in this category, including cases that had low FT or BT and normal TT levels [23,60] Probably the low T level of some ED patients is not the real, or at least the sole cause of their ED The lability of serum T has to be considered, and every low result should be con rmed by a second determination In addition, ED is often multifactorial, and the meta-analysis by Isidori et al found that comorbidities in uence the effect of T therapy [53] Signi cant vascular factors, such as obstruction of the penile arteries or venoocclusive dysfunction.

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the routing protocol The subsequent data traf c though makes use of linkIDs, due to which the data traf c cannot be tied to the route discovery process MASK has the following properties: it conceals the identities of the senders as well as the relationship between the sender and the receiver In addition, an adversary will not be able to trace the intended recipient of a data packet MASK also ensures that adversaries cannot trace a packet back to its source nor trace it forward to its destination MASK also achieves neighborhood authentication while ensuring that the nodes do not have to disclose their real identi ers Note also that MASK can provide a better packet delivery ratio than ANODR This is because in ANODR, data packets are locally broadcast which, combined with the hidden terminal problem, can lead to many packet collisions On the other hand, MASK allows anonymous RTS/CTS exchange, leading to reduced packet collisions

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