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How to Know If You Have Too Low Testosterone and How it is Treated

Testosterone, a hormone that is produced in the testicles in men, defines typically masculine characteristics, such as the severity of the voice, facial hair, musculature, and sexual capacity.



All men need to have testosterone in order to have a healthy life physically and psychologically. But the level of this hormone naturally decreases with age, it is estimated that 2% per year from 30-40 years.

This gradual decrease should not cause health problems but certain diseases, treatments or injuries can cause lower than normal hormone levels.

The lack of testosterone is called hypogonadism and is estimated to affect 5 men in 1. 000, according to data published by the NHS, the British public health system.

How to know if the level of this hormone is lower than normal?

Fatigue and lethargy
Depression, anxiety, irritability
Less sexual desire, erectile dysfunction or impotence
Less exercise tolerance and less strength
Shaving frequency reduction
Increased sweating and night perspiration
Low concentration or memory
In the long term, hypogonadism can increase the risk of osteoporosis, a condition that weakens the bones and makes them more fragile and prone to fractures.

What is hypogonadism?

Hypogonadism is a specific medical condition that is not part of the normal aging process.

Its late-onset is related to obesity and types 2 diabetes.

Its diagnosis can be made with a series of blood tests to measure the evolution of the level of testosterone, which can vary greatly throughout the same day.

If a deficiency is confirmed, the patient is usually referred to an endocrine specialist.

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What causes a low level of testosterone?

Testosterone is a hormone produced in the testicles whose regulation is in charge of the pituitary gland and the hypothalamus.

So any disease that affects the pituitary gland or the hypothalamus can cause hypogonadism.

This condition may also be due to a direct problem with the testicles, such as surgery, an injury, Klinefelter syndrome, which is a genetic disorder, or inflammation, known as orchitis.

Infections and liver and kidney diseases, as well as alcohol abuse, or treatments such as chemotherapy or radiotherapy can also result in a decrease in testosterone levels.

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And what about the "menopause of men"?

There is a lot of controversy among specialists about whether the term andropause is correct and whether there really is a "menopause of men".

According to the NHS, andropause is an unfortunate term often used by the media to explain certain common symptoms among men aged 40 and 50.

Among those symptoms are depression, loss of sexual desire, impotence and other physical and emotional symptoms, such as mood swings and irritability, weakening, breast enlargement and reduction of muscle mass and the ability to exercise.


Although these common symptoms are very similar to those caused by a low level of testosterone, the NHS says that in many cases they have nothing to do with the production of hormones, but with psychological problems or factors related to lifestyles, such as diet, stress or lack of sleep.

Even so, these symptoms can interfere with men's daily lives and affect their well-being, so it is important to consult them with a doctor to find out what their cause is.

Once the diagnosis is confirmed, the endocrine can offer treatments with hormonal supplements that seek to correct the deficiency, and that can be administered in the form of pills, skin and gum patches, gels and intramuscular injections.

All these available options have advantages and disadvantages, as well as certain side effects.

The NHS recommends having regular blood tests during treatment to monitor that testosterone levels are adequate.

Why do I fall asleep when I read and what can I do to avoid it?

The fashion of medicating with testosterone
During the last decade, testosterone prescriptions for men have skyrocketed worldwide.

In the United States, sports and news television channels are full of ads for middle-aged men who are too tired to play basketball or too cranky to enjoy a romantic dinner are their partners.

The fashion of testosterone supplements to recover sexual desire (and the dangers of abusing them)
These ads are selling to the public a "new disease" known as "Low T" or "Low T", testosterone.

Since 2001, testosterone prescriptions in the United States have tripled, to the point that the highest health authority, the FDA (Food & Drug Administration) issued several notices warning that only hormone replacement therapies are recommended in patients with a level low testosterone due to illness or injury, and not aging.

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