Examining Significant Things In low testosterone

There's a fantastic reason men go girl-crazy in their teens and twenties: Their testosterone levels are click this link at their peak. From click over here now there, though, testosterone click to read levels slowly decrease.

"After age 30, most men begin to experience a gradual decline in testosterone," states 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 libido, and loss of muscle mass.

While reduced testosterone is more common in older men, it may occur in younger guys as well. Luckily, all the causes of low testosterone in young guys are curable, so in the event that you experience these symptoms at any age, there is no reason to dismiss it.


For younger guys, a drop in testosterone levels can be caused by some ailments, such as type 2 diabetes, chronic liver or liver disease, COPD or other lung disease, or adrenal gland issues, according to Dr. Samadi.

Genetic causes of low testosterone in males include the ailments Klinefelter syndrome, Kallmann syndrome, Prader-Willi syndrome, and Myotonic dystrophy. Another disorder that could cause low testosterone is hemochromatosis, which makes 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," 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 at the Smith Institute for Urology of their North Shore-LIJ Health System.

Additional causes of low testosterone in men younger than 50 contain adrenal gland tumors, HIV disease, and radiation therapy 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?

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

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


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.

Treatments for Low Testosterone in Younger Men

"When it comes to treating low testosterone in younger men, we generally reserve treatment for those who have symptoms, such as fatigue and low libido," Gilbert says.


In these circumstances,"therapies are often used just in the brief 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 want to be 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. "Therefore, men of reproductive age should consider alternatives that might increase their testosterone as well as maintain their semen production," he states. 1 such choice is a category of drugs known as selective estrogen receptor modulators (SERMs).

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

The bottom line, though, is that if you have low testosterone symptoms, then it is very important to see your physician. Then, your doctor can rule out more serious causes of your symptoms, such as high blood pressure or a thyroid problem, and offer treatment that could enhance your energy and high quality of life.

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