Easy Plans In Reduced testosterone - A Closer Look

There's a fantastic reason men go girl-crazy in their teens and twenties: Their testosterone levels are click over here now at their anonymous peak. From there, though, testosterone levels gradually decrease. visit site

"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.

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

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


For younger guys, a drop in testosterone levels may be caused by some illnesses, including type 2 diabetes, diabetes, chronic liver or kidney disease, COPD or other lung disorder, or pituitary gland issues, according to Dr. Samadi.

Genetic causes of low testosterone in males include the diseases Klinefelter syndrome, Kallmann syndrome, Prader-Willi syndrome, and Myotonic dystrophy. Another disease that could cause low testosterone is hemochromatosis, making 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," states 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 the North Shore-LIJ Health System.

Additional causes of low testosterone in men younger than 50 contain adrenal gland tumors, HIV infection, and radiation treatment or chemotherapy for cancer.

Doctors categorize causes of low testosterone as primary or secondary.

"Primary hypogonadism stems from a problem in the testicles," Samadi states. "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 would be 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 guys, we usually reserve treatment for those who have symptoms, such as tiredness and reduced libido," Gilbert says.

Such testosterone supplements come in the form of a gel, injections, patches, long-acting pellets, or oral inserts.

In these circumstances,"therapies are usually used only in the brief term, and when a physician has close observation and understanding of the patient," Gilbert says.

An important consideration for younger men before getting treatment is fertility. "You do not want to offer supplemental testosterone to men who are interested in being fertile because 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 consider alternatives which may increase their testosterone in addition to maintain their sperm production," he says. One such alternative is a class of drugs known as selective estrogen receptor modulators (SERMs).

Other remedies for low testosterone include weight loss and other lifestyle modifications, like eating healthy and raising exercise.

The main point, though, is that if you have low testosterone symptoms, it's important to see your doctor. Then, your doctor can rule out potentially more serious causes of your symptoms, such as high blood pressure or a thyroid problem, and offer treatment that can improve your energy and quality of life.

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