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Low Testosterone: Causes, Diagnosis & Treatment

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Hypogonadism Wikipedia

For adults in general, behavior-based interventions have been found to be safe and effective. Specifically, the AUA does not recommend routine PSA testing in men years of age unless they are at higher risk (e.g., positive family history, African American race), at which point decisions regarding PSA testing should be individualized. In men years of age, biennial PSA testing should be considered. Testosterone preparations can reduce a man’s levels of follicle-stimulating hormone (FSH), which triggers sperm production. Men who are hoping to become a father need to carefully consider the risks testosterone replacement therapy may present to fertility.

Herpes zoster is caused by the same virus that causes chickenpox. After you have had chickenpox, the virus that caused it remains in the body of nerve cells. Sometimes after many years, the virus becomes active again and causes herpes zoster. Hypogonadism is a common condition in the male population, with a higher prevalence in older men, obese men, and men with type 2 diabetes.

The American Urology Association reports that low testosterone affects around 2 in every 100 men. The risk increases with age, though most people naturally lose testosterone as they get older. It is important to remember that males typically lose testosterone as they age, and the potential benefits of lifestyle changes also decrease over time.

This effect is believed to occur due to an imbalance between testosterone and estrogen. While there are three injectable drugs, two of them are short-acting and one is long-acting. Finally, testosterone pellets are also available in branded form, with no generic agents currently available. An updated evidence search was subsequently performed in 2022. The original guideline search strategy was updated and used to systematically search PubMed for new evidence published between the previous search end date and February 2022. This search covered the topic areas of all Key Questions listed previously. The literature search returned 11,537 citations after deduplication.

Hypogonadism means diminished functional activity of the gonads—the testicles or the ovaries—that may result in diminished production of sex hormones. Low androgen (e.g., testosterone) levels are referred to as hypoandrogenism and low estrogen (e.g., estradiol) as hypoestrogenism. These are responsible for the observed signs and symptoms in both males and females. If your symptoms and tests verify a diagnosis of low testosterone, you and your doctor may decide that testosterone therapy (TT) is right for you.

Testosterone plays a crucial role in stimulating sexual desire. One of the most noticeable symptoms of low testosterone is a decline in libido or sex drive. A reduction in your testosterone levels can lead to decreased sexual need and activity, which may negatively affect relationships and your overall quality of life. It may be possible in these cases to have testosterone levels return to normal levels after treatment or lifestyle change. In these cases, your healthcare provider may recommend treatment such as testosterone replacement therapy (TRT).

Low testosterone can lead to a reduction in this volume, which can make the bones more susceptible to fractures. It’s a good idea to talk with a healthcare professional before adding any supplements to your routine, especially if you have any underlying health conditions or are taking medications that could interact with herbal supplements. Low testosterone can affect many aspects of health in men and women. However, keep in mind that this supplement does not contain enough vitamin D to treat low or deficient vitamin D levels.

You should discuss with your physician how long does testosterone cypionate stay in your system to monitor for prostate cancer and other risks to your prostate. Men with known or suspected prostate or breast cancer should not receive testosterone therapy. You should also talk to your doctor about the risks of testosterone therapy if you have, or are at risk for, heart disease or stroke. In addition, if you are planning fertility, you should not use testosterone therapy.

Testosterone production is highest in males from adolescence through early adulthood. After you reach 30 years old, testosterone declines by about 1% a year. Low “T,” as testosterone is often called, can impair health in several ways, including increasing the risk of erectile dysfunction and even depression. Your provider will test your blood level of testosterone if you have signs or symptoms of hypogonadism. Because testosterone levels vary and are generally highest in the morning, blood testing is usually done early in the day, before 10 a.m., possibly on more than one day.

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