Rudimentary Elements Of low testosterone - A Introduction

There is a good reason guys go girl-crazy in their teens and twenties: Their testosterone levels are at try this web-site their peak. page From that point, though, click for source testosterone levels slowly decrease.

"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 libido, and reduction of muscle mass.

While low testosterone is more prevalent in older men, it can occur in younger guys as well. Luckily, all the causes of low testosterone in young guys are treatable, so in the event that you encounter such symptoms at any given age, there's no reason to dismiss it.


For younger men, a fall 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 pituitary 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 which 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," says 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.

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

Is It Low Testosterone?

Irrespective of the reason, 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.' ”


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 guys, we generally reserve treatment for people who have symptoms, such as fatigue and low libido," Gilbert says.

In men who don't make the hormone in their testes because of a condition such as Klinefelter syndrome, or those who have lost their testes because of cancer, the only option is testosterone replacement therapy.

In these circumstances,"treatments are usually used only in the short term, and when a doctor has close observation and knowledge of the patient," Gilbert says.

An important consideration for younger men before getting treatment is fertility. "You don't want to give supplemental testosterone to men who want to be 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 that might increase their testosterone as well as preserve their semen production," he says. One such alternative is a category 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 physician. Then, your doctor can rule out more serious causes of your symptoms, including hypertension or a thyroid problem, and give treatment that could improve your energy and quality of life.

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