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Low Testosterone Information & Treatment



Hypogonadism Wikipedia



The care offered at Richmond University Medical Center goes beyond innovative treatments. Our team understands the emotional toll low-T and other male reproductive conditions can take. For this, we are happy to recommend and refer patients to counseling services and support.


Research shows that normal testosterone levels in females are vital to maintaining libido, cognitive function, lean muscle repair and growth, and bone strength. It may also play a role in reducing the risk of certain endocrine cancers. Low levels of testosterone can cause a loss of sexual drive, reduced bone and muscle mass, mood disorders, and may exacerbate symptoms of erectile dysfunction.


When testosterone levels are too low, some men have noticeable symptoms. Many men and a surprising number of providers don't realize that taking exogenous (synthetic) testosterone or over-the-counter supplements may have harmful side effects from testosterone pellets; Capilosophie wrote, effects if not administered properly. Tinkering with your testosterone levels without direction from a qualified specialist can cause other health issues, such as testicular atrophy, infertility, and an increased risk of prostate cancer. Because low testosterone can harm both physical and mental health, it’s essential to get the right diagnosis and medical care.


If a doctor diagnoses low testosterone, they may recommend hormone replacement therapy, which can effectively increase your testosterone levels. All men with low testosterone levels are at an increased risk for developing osteoporosis, or weakening of the bones, and should receive counseling on osteoporosis prevention. Though it is not included in the ASA guidelines, I recommend to consider obtaining a DEXA scan (which evaluates bone density) in men with a baseline total testosterone of less than 200 ng/dL.


As testosterone levels fall, the bones may get thinner, weaker, and more likely to break. On the other hand, changes in the body that occur as a result of sleep apnea can lead to low testosterone levels. TRT seems to be more effective in young men with very low testosterone levels.


But if you do not have any key symptoms, especially fatigue and sexual dysfunction, which are the most common, it is not recommended you go on the therapy given the uncertainty about long-term safety. Doctors diagnose low testosterone based on a physical exam, a review of symptoms, and the results of multiple blood tests since levels can fluctuate daily. Men who are no longer interested in conceiving may benefit from safe, monitored testosterone replacement therapy. Some patients with genetic issues that cause subfertility, such as Klinefelter's syndrome, may also benefit. You may think osteoporosis, or brittle bone disease, is a woman's disease, but it can affect men as well.


Low testosterone (low T) occurs when levels fall below 300 nanograms per deciliter (ng/dL). A normal range for men is typically 300–1,000 ng/dL, according to the U.S. Low testosterone is often called hypogonadism, although this refers to low or no production of hormones by the gonads, which are the ovaries in women and the testicles in men.


While there may be some evidence that testosterone levels increase slightly with strength training, the evidence is controversial. Furthermore, the increases in blood testosterone levels are minimal and would not be expected to have any significant clinical impact on fertility. An exception to this may be men with significant obesity which is a risk factor for low T. If exercise is part of a weight loss program, then this can increase T levels substantially over time. Unfortunately, this seemingly basic concept is not as widely known as it should be within the medical community.


Some men go to their doctor’s office to receive testosterone injections. Frequency can vary from one injection every week to one injection every 10 weeks. (Most men have an injection every 2 weeks.) Shots may be placed just under the skin or directly into a muscle.

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