Causes of Low Testosterone
Jul 08, · What’s Causing My Low Testosterone? Symptoms of low T. Low levels of testosterone that are atypical of normal aging are due to other primary or secondary Causes of low testosterone. The two basic types of hypogonadism are primary and secondary hypogonadism. Underactive Changes you can make. If. There are many other potential causes of low testosterone, including the following: Injury (trauma, interrupted blood supply to the testes) or infection of the testes (orchitis) Chemotherapy for cancer.
Testosterone is the testosrerone sex hormone that is made in the testicles. Testosterone hormone levels are important to normal male sexual development and functions. During puberty in the teen yearstestosterone helps boys develop male features like body and facial hair, deeper voice, and qhat strength. Men need testosterone to make sperm. Testosterone levels generally decrease with age, so older men tend to have low blood testosterone levels.
Some men have low testosterone levels. Deficiency means that the body does not have enough of a needed substance. Syndrome is a group of symptoms that, together, suggest a disease or health condition. These symptoms or conditions may accompany Low-T:. You may need testosterone therapy TT if you have Low-T. You also may need TT if you harm or lose your testicles. If your testicles are removed because of a sickness such as cancer, you may need TT.
Most men with Low-T no matter what the cause will be treated if they have both symptoms of Low-T and blood tests showing Low-T levels. Talk with your doctor if you feel that you may need TT. TT may help you but it may have adverse harmful results. See discussion of these side effects below.
The Federal Drug Administration FDA has said that testosterone drug labels should state that there is a risk for heart disease and stroke for some men using testosterone products.
All men should be checked for heart disease and stroke before, and periodically while on, TT. The AUA however, on careful review of evidence-based peer review literature, has stated that there is no strong evidence that TT either increases or decreases the risk of cardiovascular events. There is ongoing research to determine if about TT in aging men. Your doctor will talk with you about the benefits and risks of TT and carefully consider how to treat your symptoms. It is hard to know how many men among us have TD, although data suggest that overall about 2.
People who study the condition often use different cut-off points for the numbers, so testostsrone may hear different numbers being stated. TD is more common in men who have diabetes or who are overweight.
The same testostrone found diabetes to be a risk factor for TD. In another study, There are many signs and symptoms of Low Testosterone. Some are more closely related to Low-T levels specific signs and symptoms. Others may not necessarily be linked non-specific signs and symptoms.
Your doctor will help you make sense of your own situation. Having any one of the specific or non-specific symptoms may not mean that you have TD. But if you have a mix of symptoms, for instance, if you start to feel very tired and sad over a period of time and this is a change for you, you may want to check for TD. Low sexual desire alone may not mean that you have TD. But if you have a combination of low sexual desire, reduced erectile function, and feelings of sadness and tiredness, you should talk to your doctor.
Basically, if your testicles keep making less testosterone than normal, your blood levels of testosterone will fall. Many men who develop TD have Low-T levels linked to:. Although many symptoms may be tied to Low Testosterone Low-Ttotal blood testosterone level is the most important measure of testosterone deficiency.
To make a diagnosis, your doctor will use other specific signs and symptoms in addition to your testosterone blood level. At your medical visit, your health history will be taken, and the doctor will do an exam and look for some of the signs and symptoms mentioned in this article. You may hear about free testosterone or bioavailable tests for testosterone.
These are not the same as total testosterone level tests. Ask your doctor about the differences and if you need these tests. In recent years, the media has reported more about Testosterone Therpy TTlegels more men between the ages of 40 and 64 have been tested and given TT. Some men with certain symptoms may even want TT teetosterone being tested. This action may not be safe or helpful for them. Total testosterone level should always be tested before any TT. Here are some of the things you will need to know about TT:.
There what is the cause of low testosterone levels generally levela different ways to take testosterone. No what is cedar wood oil used for is better than another. While you are taking TT, your doctor will test your blood to determine testosterone levels. A topical patch is like a band-aid with medicine on it.
You put it on and leave it until the next dose is due. The medicine on the patch is less likely than liquids, gels and creams to transfer to others. You may want to choose how you take your testosterone based on what is best or most useful for you. In some cases, your insurance provider may decide the order in which testosterone therapies are provided.
Talk about the choices with your doctor. There are some side effects of TT. Some side effects are lebels while others are more serious. You should ask your doctor or pharmacist about these side effects and watch for them while you are taking TT. Some of the side effects are as follows:. Remember that each person is unique, and each body responds differently to treatment.
However, there is no strong evidence that TT will help memory recall, measures of diabetes, energy, tiredness, lipid profiles, or quality of life. You will need routine checkups to see that your testosterone level stays normal. In patients who are stable on TT, total testosterone and certain other lab tests should testostegone checked every months.
If you are overweight, try to work on keeping your weight within recommended ranges. Increasing physical activity may help you lose weight and also what are some common chemical formulas help increase testosterone levels.
What is Low Testosterone? These symptoms or conditions may accompany Low-T: Low sex drive Fatigue Reduced lean muscle mass Irritability Erectile dysfunction Depression There are many other possible reasons for these how to open a locked door with a credit card, such as: opioid use, some congenital conditions medical conditions you are born withloss of or harm to the testicles, diabetes, and obesity what is the cause of low testosterone levels overweight.
See your doctor if you have any of these symptoms. Why Testosterone Therapy TT? How Common is Low Testosterone in Men? Some persons are born with conditions that cause Testosterone Deficiency TD such as: Klinefelter syndrome Noonan syndrome Ambiguous genitalia when the sex organs develop in ways that are not typical looking Some men may develop Low-T because of conditions like these: Damage to testicles by accident Removal of testicles because of cancer Chemotherapy or radiation Pituitary gland disease leading to hormone deficiency Infection How to record a video on your pc disease when the body makes antibodies that attack its own cells Basically, if your testicles keep making less testosterone than normal, your blood levels of testosterone will fall.
Many men who develop TD have Low-T levels linked to: Aging Obesity Metabolic syndrome high blood pressure, high blood sugar, unhealthy cholesterol levels, and belly fat Use of medications such as antidepressants and narcotic pain medications Men with certain health problems also tend to have low testosterone.
These are symptoms seen together of increased blood pressure, high blood sugar, excess tedtosterone fat around the waist, and abnormal cholesterol or triglyceride levels Hair pattern, amount, and location Gynecomastia enlarged breasts Whether testicles are present and their size Prostate size and any abnormalities Testing Your doctor may order these blood tests: Total testosterone level. This test should be done at two different times on samples taken before noon.
Testosterone levels are lower later in the day. If you are ill, the doctor will wait until you are not sick because your illness may cause a false result.
Luteinizing hormone LH. This test is done to help find the cause of a Low-T level. This hormone controls how you make testosterone. Testsoterone levels may mean a pituitary gland problem. Blood prolactin level. If your prolactin level testosteronee high, your doctor may repeat the blood test to make sure what does height and weight proportional mean is no error.
High prolactin levels also may be a sign of pituitary problems or tumors. Blood hemoglobin or Hgb. Before doing this test, your doctor will look for other reasons for low Hgb such as climate level like climate altitudewhat is the cause of low testosterone levels apnea, or tobacco smoking.
The following also may be done to help with further diagnosis: Follicle stimulating hormone FSH. This test is to check for sperm-making function if you want to have children. You may also need to have semen tests.
These tests will lebels done before any hormone therapy. Estradiol hormone test is done if there are breast leevls.
What is Low Testosterone?
Men need testosterone to make sperm. Testosterone levels generally decrease with age, so older men tend to have low blood testosterone levels. Some men have low testosterone levels. This is called Testosterone Deficiency Syndrome (TD) or Low Testosterone (Low-T). Deficiency means that the body does not have enough of a needed substance. Feb 23, · Low testosterone levels, or "low T," can be caused by a wide variety of medical conditions or by the use of some drugs. After age 30, most men experience a gradual drop in testosterone. However.
Low testosterone male hypogonadism is a condition in which the testes testicles, the male reproductive glands do not produce enough testosterone a male sex hormone. It is difficult to define normal testosterone levels, because levels vary throughout the day and are affected by body mass index BMI , nutrition, alcohol consumption , certain medications, age and illness.
As a man ages , the amount of testosterone in his body gradually drops. Low testosterone is diagnosed by measuring the amount of testosterone in the blood with a blood test. It may take several measurements to determine if a patient has low testosterone, since levels tend to change throughout the day. The highest levels of testosterone are generally in the morning, near 8 a.
This is why doctors prefer to measure testosterone levels in the early morning. Low testosterone is treated with testosterone replacement therapy, which can be given in several different ways:.
If you are taking hormone replacement therapy, regular follow-up appointments with your physician are important. Guidelines suggest discussing the potential risk vs. The doctor and patient will decide together regarding prostate cancer monitoring. For patients who choose monitoring, clinicians should assess prostate cancer risk before starting testosterone treatment, and 3 to 12 months after starting testosterone:.
Testosterone replacement therapy may cause the prostate to grow. If a man has early prostate cancer, there is concern that testosterone may stimulate the cancer's growth. Therefore, men who have prostate cancer should not take testosterone replacement therapy. It is important for all men considering testosterone replacement therapy to undergo prostate screening before starting this therapy. There are no known ways to prevent low testosterone that is caused by genetic conditions or damage to the testes or pituitary gland.
A healthy lifestyle that includes good nutrition, exercise, weight management, and that avoids excessive use of alcohol and drugs can help keep testosterone levels normal. Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Low Testosterone Male Hypogonadism Low testosterone male hypogonadism is a condition in which the testes testicles, the male reproductive glands do not produce enough testosterone a male sex hormone.
In men, testosterone helps maintain and develop: Sexual features Muscle mass Adequate levels of red blood cells Bone density Sense of well-being Sexual and reproductive function How common is low testosterone? Symptoms and Causes What causes low testosterone? Also called XXY syndrome High levels of the milk-producing hormone prolactin Obesity or extreme weight loss Uncontrolled type 2 diabetes mellitus Congenital defect present at birth Obstructive sleep apnea Aging Estrogen excess usually from an external or environmental source Previous anabolic steroid abuse Severe primary hypothyroidism Pubertal delay Trauma head injury Radiation exposure or prior surgery of the brain What are the symptoms of low testosterone?
Symptoms of low testosterone depend on the age of person, and include the following: Low sex drive Erectile dysfunction Decreased sense of well-being Depressed mood Difficulties with concentration and memory Fatigue Moodiness and irritability Loss of muscular strength Other changes that occur with low testosterone include: A decrease in hemoglobin and mild anemia A decrease in body hair Thinning of the bones osteoporosis Increased body fat Breast development gynecomastia Infertility.
Diagnosis and Tests How is low testosterone diagnosed? Management and Treatment How is low testosterone treated? Low testosterone is treated with testosterone replacement therapy, which can be given in several different ways: Intramuscular injections into a muscle , usually every 10 to 14 days; Testosterone patches, which are used every day and are applied to different parts of the body, including the buttocks, arms, back, and abdomen Testosterone gels that are applied every day to the clean dry skin of the upper back and arms the gels require care in making sure that the hormone is not accidentally transferred to another person or partner Pellets that are implanted under the skin every two months Oral testosterone is not approved for use in the United States.
What are the benefits of testosterone replacement therapy? Potential benefits of testosterone replacement therapy may include: In boys, avoiding problems related to delayed puberty Loss of fat Increased bone density and protection against osteoporosis Improved mood and sense of well-being Improved sexual function Improved mental sharpness Greater muscle strength and physical performance What are the side effects of testosterone replacement therapy?
The side effects of testosterone replacement therapy include: Acne or oily skin Swelling in the ankles caused by mild fluid retention Stimulation of the prostate, which can cause urination symptoms such as difficulty urinating Breast enlargement or tenderness Worsening of sleep apnea a sleep disorder that results in frequent nighttime awakenings and daytime sleepiness Smaller testicles Skin irritation in patients receiving topical testosterone replacement Laboratory abnormalities that can occur with testosterone replacement include: Increase in prostate-specific antigen PSA Increase in red blood cell count Decrease in sperm count, producing infertility inability to have children , which is especially important in younger men who desire fertility If you are taking hormone replacement therapy, regular follow-up appointments with your physician are important.
For patients who choose monitoring, clinicians should assess prostate cancer risk before starting testosterone treatment, and 3 to 12 months after starting testosterone: PSA levels should be checked at 3, 6, and 12 months within the first year, and then every year after that. A digital rectal examination of the prostate should be done at months and 1 year after beginning therapy, and then every year after that.
This is recommended even for men who are not on testosterone replacement therapy, as an age-related prostate cancer screening. This usually begins at age Hematocrit levels will be checked before testosterone therapy starts, and then on a regular basis to make sure red blood cell levels remain normal. Who shouldn't take testosterone replacement therapy? Other men who should not take testosterone replacement therapy include those who have: An enlarged prostate resulting in urinary symptoms difficulty starting a urinary stream A lump on their prostate that has not been evaluated A PSA measurement above 4 Breast cancer An elevated hematocrit level higher-than-normal number of red blood cells Severe congestive heart failure Obstructive sleep apnea that has not been treated.
Prevention Can low testosterone be prevented? Show More.
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