Trouble-Free low testosterone Secrets Considered

There's a good reason men go girl-crazy in their teens and twenties: Their testosterone levels click here for more info are at their peak. From there, however, testosterone levels gradually site webher latest blog decrease.

"After age 30, most men begin to experience a gradual decline in testosterone," says David Samadi, MD, chairman of the urology department at Lenox Hill Hospital in nyc.

Though testosterone levels never reach zero (as estrogen levels do in women during menopause), low testosterone levels men to experience symptoms like fatigue, low sex drive, and reduction of muscle mass.

While low testosterone is more prevalent in older men, it may occur in younger guys also. Luckily, every one the causes of low testosterone in young men are treatable, so if you experience such symptoms at any age, there is no reason to dismiss it.


For younger men, a fall in testosterone levels may be brought on by some ailments, such as type 2 diabetes, diabetes, chronic liver or kidney disease, COPD or other lung disease, or adrenal gland problems, based on Dr. Samadi.

Genetic causes of low testosterone in men include the diseases Klinefelter syndrome, Kallmann syndrome, Prader-Willi syndrome, and Myotonic dystrophy. Another disease which can cause low testosterone is hemochromatosis, which makes the body store too much iron.

"Low testosterone can also result when something happens, like trauma or steroid use, that prevents the testes from making the hormone," says Bruce Gilbert, MD, PhD, an adjunct clinical professor of urology and reproductive medicine at Weill Cornell Medical College and director of reproductive and sexual medicine in the Smith Institute for Urology of their North Shore-LIJ Health System.

Other causes of low testosterone in males younger than 50 contain adrenal gland tumors, HIV disease, and radiation therapy or chemotherapy for cancer.

Doctors categorize causes of low testosterone as secondary or primary.

"Primary hypogonadism stems from a problem in the testicles," Samadi states. In secondary hypogonadism, the testicles are normal but function improperly because of a problem with the hypothalamus or pituitary gland."

Can It Be Low Testosterone?

Irrespective of the cause, low testosterone symptoms are the same.

"Symptoms include low libido, erectile dysfunction, fatigue, decreased mental acuity and moodiness," Dr. Gilbert says.


If you suspect low testosterone, the first step is to see your primary care physician. Your doctor can diagnose low testosterone with a blood test.

If your blood test reveals low testosterone (usually defined as a level lower than 300 ng/dL), the doctor may treat you or refer you to a specialist, such as an urologist or endocrinologist.


"When it comes to treating low testosterone in older guys, we generally reserve treatment for people who have symptoms, such as tiredness and reduced libido," Gilbert says.

In men who don't make the hormone in their testes because of a condition such as Klinefelter syndrome, or those who have lost their testes because of cancer, the only option is testosterone replacement therapy. Such testosterone supplements come in the form of gel, injections, patches, long-acting pellets, or oral inserts.

In these circumstances,"treatments are often used only in the short term, and if a physician has close monitoring and understanding of the individual," Gilbert says.

An important consideration for younger men before getting treatment is fertility. "You do not want to give supplemental testosterone to men who are interested in being fertile since it can turn off sperm production," Gilbert says.

Once a young man goes off testosterone supplementation, there's a chance his sperm count will never return to what it was before he started. "Therefore, men of reproductive age should think about alternatives which may improve their testosterone in addition to preserve their sperm production," he says. 1 such choice is a class of drugs called selective estrogen receptor modulators (SERMs).

Other treatments for low testosterone include weight loss and other lifestyle changes, such as eating healthier and increasing exercise.

The bottom line, however, is that in the event that you've got low testosterone symptoms, it's important to see your physician. Then, your doctor can rule out more serious causes of your symptoms, including high blood pressure or a thyroid problem, and give treatment that could improve your energy and high quality of life.

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