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What is Low Testosterone?

Low testosterone, also known as Testosterone Deficiency (TD) or Low-T, happens when your body doesn’t make enough of the male hormone testosterone. It can lead to issues like a lower sex drive, trouble getting or keeping an erection, feeling tired, feeling down, and losing muscle.

What Are The Causes of Low Testosterone?

Low testosterone, known as Low-T, can be caused by various factors, including aging, obesity, medical conditions (like Klinefelter syndrome or pituitary gland disease), testicular damage or removal, certain medications, and autoimmune diseases. Identifying the cause is crucial for determining the right treatment. Consult a healthcare provider for evaluation and guidance if you suspect Low-T.

What Are The Signs And Symptoms of Low T?

The symptoms of low testosterone can be categorized into specific and non-specific symptoms.

Specific Symptoms of Low Testosterone (Low-T):

  • Reduced sex drive
  • Erectile dysfunction
  • Loss of body hair
  • Fatigue
  • Obesity
  • Symptoms of depression
  • And more

Non-Specific Symptoms of Low Testosterone (Low-T):

  • Lower energy levels
  • Poor memory
  • Difficulty finding words
  • Poor focus
  • Decreased work performance

What Are The Risk Factors of Low Testosterone?

Several factors can increase the risk of low testosterone (Low-T) in men. These risk factors include:

  • Aging: Testosterone levels naturally decline with age.
  • Obesity: Excess body fat can lower testosterone levels.
  • Certain Medical Conditions: Conditions like diabetes and pituitary gland disorders can affect testosterone production.
  • Medications: Certain medications can lower testosterone.
  • Testicular Injury or Removal: Damage, infection, or surgical removal of testicles can impact testosterone production.
  • Chronic Illness: Conditions such as HIV/AIDS and kidney disease can contribute to Low-T.
  • Stress: High stress levels can affect hormone production.
  • Unhealthy Lifestyle: Poor diet, lack of exercise, and inadequate sleep can increase the risk.
  • Sleep Apnea: Untreated sleep apnea may be linked to Low-T.
  • Genetics: Family history and genetics can play a role in Low-T risk.

Keep in mind that having these risk factors doesn’t guarantee you’ll develop Low-T, but they can increase the likelihood. If you’re concerned about your testosterone levels, consult a healthcare provider for evaluation and guidance.

How is Low Testosterone Diagnosed?

Doctors diagnose low testosterone through a physical exam, medical history review, and blood tests measuring testosterone, LH, and prolactin levels. They also consider symptoms and signs like obesity, metabolic syndrome, gynecomastia, and testicle size as part of a comprehensive evaluation.

What Are Possible Treatments For Low T?

Hypogonadism (low testosterone level) is treated with testosterone replacement therapy (TRT). There are different options to use testosterone:

  1. Testosterone skin gel is applied daily to clean dry skin. Skin-to-skin contact should be avoided until the gel is completely dry to avoid male hormone transfer to another person.
  2. Intramuscular testosterone injections are self administered once in 1 to 2 weeks.
  3. Testosterone pellets are cylindrical pellets about the size of a grain of rice. Theta are implanted under a patient’s skin at the medical office every 3 to 6 months.
  4. Oral testosterone for daily use was recently approved by FDA.
  5. For some patients who want to preserve fertility, the medications that indirectly increase testosterone level are used.

Treatment options should be discussed  with your healthcare provider.

Are There Preventative Steps or Measures To Avoid Low Testosterone?

To maintain healthy testosterone levels and reduce the risk of low testosterone, here are some steps you can take:

  • Keep a healthy weight by staying active and eating balanced meals. Being overweight is linked to low testosterone.
  • If you have chronic conditions make sure to take your medications and have regular check-ups to prevent testosterone problems.
  • Talk to your healthcare provider about alternative medications if you’re concerned about those that might lower testosterone, like some antidepressants or strong pain relievers.
  • Avoid or limit the use of anabolic steroids, as they can affect your natural testosterone production.
  • Visit your healthcare provider regularly for check-ups and blood tests to keep an eye on your overall health, identify any underlying issues, and check hormone levels.

Remember, it’s crucial to consult with a healthcare professional for personalized advice based on your individual situation. By following these steps, you can support hormonal balance and lower the risk of low testosterone.

What Are The Risks If Low Testosterone Is Left Untreated?

Untreated low testosterone can lead to complications, including sexual function problems, muscle loss, fatigue, obesity, depression symptoms, cognitive issues, and increased risk of conditions like metabolic syndrome and cardiovascular disease. Consultation with a doctor is vital for diagnosis and treatment, such as testosterone replacement therapy, with regular monitoring for effective management.

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Medical Offices of Manhattan is one of NYC's leading multi-specialty medical groups. Located in Midtown East, Upper East Side, Upper West Side, Medical Offices of Manhattan specializes in Primary Care, Cardiology, Dermatology, Endocrinology, Gastroenterology, and Podiatry. Medical Offices of Manhattan uses the most innovative methods... Learn More »