Crucial Elements In low testosterone - The Basics

There is a good reason men go girl-crazy in their teens and twenties: Their testosterone check out this sitevisit site levels are at their peak. From that point, though, testosterone levels slowly check over here 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 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 if you experience such symptoms at any given age, there's no reason to dismiss it.

Causes of Low Testosterone in Younger Men

For younger men, a fall in testosterone levels may 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 men include the ailments Klinefelter syndrome, Kallmann syndrome, Prader-Willi syndrome, and Myotonic dystrophy. Another disorder that could result in 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," states 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 their North Shore-LIJ Health System.

Other causes of low testosterone in men younger than 50 contain adrenal gland tumors, HIV disease, and radiation treatment or chemotherapy for cancer.

Doctors categorize causes of low testosterone as secondary or primary.

"Primary hypogonadism stems from a problem in the testicles," Samadi says.

Is It Low Testosterone?

Irrespective of the reason, low testosterone symptoms would be 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 men, we usually reserve treatment for those who have symptoms, such as tiredness and reduced 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 usually used just in the brief term, and if a doctor has close monitoring and understanding of the individual," 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 maintain their semen production," he states. 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 changes, such as eating healthy and raising exercise.

The main point, though, is that if you've got low testosterone symptoms, then it's important to see your doctor. Then, your doctor can rule out potentially more significant causes of your symptoms, including hypertension or a thyroid problem, and offer treatment that can improve your power and high quality of life.

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