How common is low testosterone?
by Admin
Posted on 10-04-2023 09:51 AM
Having too much naturally-occurring testosterone is not a common problem among men. That may surprise you given what people might consider obvious evidence of testosterone excess: road rage, fighting among fathers at little league games and sexual promiscuity. Part of this may be due to the difficulty defining "normal" testosterone levels and "normal" behavior. Blood levels of testosterone vary dramatically over time and even during the course of a day.
In addition, what may seem like a symptom of testosterone excess (see below) may actually be unrelated to this hormone. In fact, most of what we know about abnormally high testosterone levels in men comes from athletes who use anabolic steroids, testosterone or related hormones to increase muscle mass and athletic performance.
Although the measurement of serum testosterone levels is commonly used in the diagnosis of male hg, the cut-off values for low testosterone are not well defined and vary throughout the literature, ranging from 200–400 ng/dl, with 300 ng/dl being the most commonly utilized in clinical practice. Other measurements such as ft may also be used. Although cut-off is an important component in diagnosing hg, guidelines from the united states endocrine society define hg as symptoms of hg with tt <300 ng/dl, which differs from the cut-off of 249 ng/dl recommended by the european association for urology ( 10 , 26 ). https://www.prolinkdirectory.com/detail/link-1412750.html
What are the symptoms of low testosterone?
Dr. Clavijo is fellowship trained in andrology (having also completed a urology residency) and strives to practice up-to-date evidence based medicine when treating patients with low testosterone. Please call us at 916-734-2222 to inquire about appointments. Testosterone deficiency syndrome (tds) (aka: low testosterone, hypogonadism) can be characterized by a serologic laboratory value, generally total testosterone, below a certain pre-defined cutoff and symptoms such as decrease or loss of muscle strength, libido, memory, vitality, alterations in mood, and erectile dysfunction (ed).
One recent study helped define testosterone ranges in young men by measuring sample testosterone levels obtained during the conduction of several large studies in a central centers for disease control and prevention (cdc) lab¹.
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The bottom of a man's normal total testosterone range is about 300 nanograms per deciliter (ng/dl). The upper limit is about 800ng/dl depending on the lab. A lower-than-normal score on a blood test can be caused by a number of conditions, including: injury to the testicles type 2 diabetes obesity some medicines and genetic conditions can also lower a man's testosterone score. Aging does contribute to low scores. In some cases, the cause is unknown. A low score does not always translate to symptoms, mezitis says, "but we often find something that's off when we see scores of 200 or 100 ng/dl. "hedges agrees and warns that even if a man does not have symptoms, he may be well advised to seek treatment. https://www.etoro.com/people/testosil
What causes low testosterone?
The standard treatment for testosterone deficiency is testosterone therapy (tt), which comes in formulations such as topical gels, self-injection, and pellets under the skin. These medications should be avoided in men interested in having children, as they can decrease sperm production and fertility. Men taking tt should be seen regularly by their physician. Side effects of tt can include changes in mood, headache, hair growth, male pattern baldness, breast tenderness, acne, and decreased testicular size. Regular blood tests are necessary to check testosterone levels and blood counts, which can become abnormally high. There is no strong evidence that tt increases risk of blood clots.
Aasebo u. , gyltnes a. , bremnes r. , aakvaag a. , slordal l. (1993) reversal of sexual impotence in male patients with chronic obstructive pulmonary disease and hypoxemia with long-term oxygen therapy. J steroid biochem mol biol 46: 799–803. [ pubmed ] [ google scholar ] agarwal p. , oefelein m. (2005) testosterone replacement therapy after primary treatment for prostate cancer. J urol 173: 533–536. [ pubmed ] [ google scholar ] amory j. , watts n. , easley k. , sutton p. , anawalt b. , matsumoto a. , et al. (2004) exogenous testosterone or testosterone with finasteride increases bone mineral density in older men with low serum testosterone.
Total testosterone 231 ng/dl (n=130). 28 similarly, a cross-sectional analysis of 355 diabetic men found that 68% of men (49/71) who had total testosterone 346 ng/dl reported fatigue. 27 men who have been diagnosed with depression are more likely to have low testosterone than men who are not depressed (or=1. 81; ci: 1. 48, 2. 32)30-34 however, a meta-analysis of 7 observational studies that compared the prevalence of depression between men with low testosterone and men with normal testosterone did not detect a significant difference between the two groups (or=1. 23; ci: 0. 92,1. 63). 1, 35-40 this is partly due to the subjective nature of depressive symptoms and the fact that the symptoms of depression can overlap with those associated with other conditions.
After you’ve been diagnosed, your doctor will work with you on a treatment plan tailored to your needs. It might include testosterone replacement therapy or hormone replacement in the form of injections, patches, pellets or gels.