Simplifying Critical Criteria For low testosterone

There is a fantastic reason men go girl-crazy in their teens and twenties: Continued Their testosterone levels are at their peak. From there, though, testosterone visit this site right here levels gradually pop over to these guys 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 men also. Fortunately, all of 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 ignore it.


For younger guys, a fall in testosterone levels can be brought on by some illnesses, including type 2 diabetes, diabetes, chronic liver or kidney disease, COPD or other lung disorder, 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 disorder that could cause 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 in the Smith Institute for Urology of their North Shore-LIJ Health System.

Other causes of low testosterone in males younger than 50 include pituitary 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 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."

Is It 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.

"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.’ ”

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 a urologist or endocrinologist.

Treatments for Low Testosterone in Younger Men

Not everyone with low testosterone needs treatment. "When it comes to treating low testosterone in younger guys, we generally reserve treatment for people who have symptoms, such as tiredness and low libido," Gilbert says.

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

In these circumstances,"therapies are often used just in the brief term, and if a physician has close monitoring and knowledge of the individual," Gilbert says.

An important consideration for younger men before getting treatment is fertility. "You do not wish to give supplemental testosterone to guys 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 in addition to preserve their sperm production," he says. One 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 healthy and increasing exercise.

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

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