Recommended Clinical Assessment of Men Before the Start of Androgen Deprivation Therapy and During Follow-up
| Risk assessment before the initiation of ADT: |
| History taking: prior fractures, prior cardiovascular events, family history of osteoporosis and cardiovascular disease, alcohol consumption, and smoking habits |
| Rule out or treat affective disorders |
| Advise lifestyle modification, including weight-bearing exercise, healthful dietary pattern, and abstinence from smoking and excessive alcohol use |
| Physical examination: especially weight, height, blood pressure |
| Complete laboratory screen, with fasting glucose (to detect incident diabetes), lipid profile, hemoglobin, and hematocrit level |
| DEXA |
| Clinical assessment after the initiation of ADT: |
| History taking and physical examination (every six months): especially evaluate for signs and symptoms of weight gain, hypertension, hot flushes, depression, emotional disturbances, and other constitutional symptoms |
| Laboratory examination: fasting glucose, lipid profile, hemoglobin, and hematocrit level |
| DEXA (every one or two years) |