Essential Criteria For low testosterone - Insights

There is a good reason men go girl-crazy in their teens and twenties: her response Their testosterone levels are at their read review peak. From there, though, testosterone visit this page levels slowly 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 New York City.

Although 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 reduced testosterone is more common in older men, it may occur in younger guys as well. Luckily, every one of the causes of low testosterone in young men are curable, so if you experience these symptoms at any given age, there's 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, chronic liver or liver disease, COPD or other lung disease, or adrenal gland problems, based on Dr. Samadi.

Genetic causes of low testosterone in men include the ailments Klinefelter syndrome, Kallmann syndrome, Prader-Willi syndrome, and Myotonic dystrophy. Another disease that can result in low testosterone is hemochromatosis, making the body shop 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 reproductive medicine at the Smith Institute for Urology of the North Shore-LIJ Health System.

Other causes of low testosterone in males younger than 50 include pituitary 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 says. "This could be from a developmental issue, injury to the testicles, or radiation or chemotherapy treatment. 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?

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

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

"Younger men with low testosterone usually come to me and say, ‘I can't work out like I used to, and I've lost interest in sex.’ ”

If you suspect low testosterone, the first step is to see your primary care physician.

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 men, we usually reserve treatment for those who have symptoms, such as fatigue and low libido," Gilbert says.


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

An important consideration for younger men before getting treatment is fertility. "You don't wish to offer 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. "Hence, men of reproductive age should think about alternatives which may improve their testosterone as well as maintain their sperm production," he says. One such choice is a category of drugs called selective estrogen receptor modulators (SERMs).

Other remedies for low testosterone include weight loss and other lifestyle changes, such as eating healthy and raising exercise.

The bottom line, though, is that if you've got low testosterone symptoms, it is important to see your doctor. Then, your doctor can rule out potentially more serious causes of your symptoms, such as hypertension or a thyroid problem, and give treatment that could improve your power and high quality of life.

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