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Category : Low T

Low T – Regional Urology

Hypogonadism is commonly referred to as low testosterone, or low-T. Low-T can cause a range of symptoms including lack of libido (loss of sex drive), fatigue, low energy, sleep disturbances, difficulty losing weight and depression. Long term effects can include night sweats and osteoporosis (soft bones).

Primary hypogonadism, or testicular failure, is a condition where the testicles do not make enough testosterone. Secondary hypogonadism occurs when the brain (pituitary and/or hypothalamus) do not send appropriate signals (luteinizing hormone, LH) to the testicles telling them to make testosterone. Acquired hypogonadism refers to low testosterone related to aging.

As in all medical conditions, evaluation begins with an appointment where your urologist can take your medical history, perform a physical exam, and order appropriate blood tests.

In a male with symptoms of low-T, a testosterone level can easily be measured with a simple blood test. Testosterone levels naturally fluctuate during the day and peak in the morning between 7 and 9am. For this reason, it is best to measure a testosterone level in the early morning. A normal testosterone level is between 300 and 800 ng/dl. Other lab tests that may get ordered include a prolactin, LH (luteinizing hormone), FSH (follicle-stimulating hormone), complete blood count, and PSA (prostate specific antigen).

There are many options for the management of Low-T:

After initiation of replacement therapy, most men see their symptoms markedly improve within one to two weeks.

There are side effects of testosterone replacement to be aware of.

If you are interested in learning more about testosterone replacement, make an appointment with one of our Urologists today.

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Low T – Regional Urology

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Men, Low T, and the Facts | Lifespan

What is testosterone?

Testosterone is a hormone. For men, it is primarily produced in the testicles. It is most often associated with sex drive, but also plays a role in bone and muscle mass and can affect how the body stores fat. Even a mans mood can be impacted by testosterone levels.

It seems as if recently we have heard a lot about Low T. That is the more popular name for a condition known as testosterone deficiency, or hypogonadism. This deficiency can be seen through laboratory findings as well as through physical symptoms, which may include:

In addition to the typical symptoms of Low T, men who have below normal levels of this hormone may experience a sense of ill-being, foreboding, or feeling as if something is terribly wrong, but not knowing what. Men may also report fatigue, inadequate sleep, increased irritability, and poor mood.

If a man exhibits symptoms of testosterone deficiency, the best way to confirm is with morning blood tests, drawn on two separate days, to measure the levels of testosterone. If both tests show levels below 300 ng/dl (nanograms per deciliter), the diagnosis may be confirmed.

Causes include:

There are two types of low testosterone. The first is due to reduced production of testosterone from the testes, known as classical, or primary hypogonadism. This often appears in younger men, from conditions such as testicular cancer, testicular trauma or torsion (strangulation), or a congenital condition.

The second is decreased stimulation of the testes from the pituitary gland within the brain. This is known as secondary hypogonadism and it occurs more often in middle-aged and older men. This is the kind of Low T that is usually associated with obesity and other medical conditions described above.

The basis of Low T may be inflammation due to the other diseases present with Low T, or some men may have a genetic predisposition to low testosterone levels. Not all men with low levels will show the signs and symptoms of testosterone deficiency.

Like with so many other conditions, weight loss, adequate regular physical activity, and a healthy diet are the best ways a man can prevent Low T. Weight loss can also help men to improve other medical problems that are associated with Low T, including high blood pressure, type 2 diabetes, and elevated lipids or blood fats.

Fortunately, there are several options for treatment of Low T. To be most effective, a healthy diet and exercise is recommended with any form of testosterone treatment.

It is important for a man to be checked when he is showing signs of testosterone deficiency. If Low T is left untreated, men often experience a sense of impending doom, poor health, and fear. Men may also experience increased weight gain in the mid-section, have difficulties with focus and concentration, poor motivation, reduced memory, and perhaps difficulty engaging with others.

Men should seek medical attention when clinical signs and symptoms are present and before illness progresses too far. Men notoriously wait until the last moment to seek medical care. It is recommended that men see a physician once every three years until age 40, every two years after age 40, and every year or two after age 50, or more often as needed for managing other medical conditions.

It is important to remember that help is available. If you are experiencing signs of Low T, our Mens Health Center, now celebrating its 10th anniversary, can help. Learn more about our center here.

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You’ve Heard About "Low T" But What About "Low E"?

Estrogen: An Unlikely Player

As most men approach middle age, the seemingly inevitable starts to occur: we gain weight around the waistline, sexual desire starts to wane, were unable to lift as much weight at the gym, and we seem to simply have a harder time keeping up with the younger guys.

And most of us doctors included think that loss of testosterone is the main culprit. Not totally true. Were learning that another hormone plays a key role in the development of some of these symptoms of aging in men. And its an unlikely player. That hormone is estrogen.

When most of us think of estrogen, we think of women. Thats because estrogen is a key hormone in womens health. And the loss of estrogen in women at menopause causes big physiological changes. Weight gain, skin dryness, wrinkles, heart attacks, bone loss and osteoporosis, loss of sexual sensation and dementia are just some of the effects of loss of estrogen in women.

Yet estrogen is proving to play a serious role in the aging of men, too. A study published in the New England Journal of Medicinedemonstrated that in men, while low testosterone is the main culprit in loss of muscle strength, loss of estrogen is a big cause of that mid-section weight gain, the infamous pot-belly. And it seems that loss of both testosterone and estrogen together contributes to diminished sex drive and sexual function in men.

But Wait.Isnt Estrogen Harmful to Men?

The answer to this question seems to be related to where the estrogen comes from. So lets talk about that for a moment.

In healthy men, estrogen, specifically estradiol (a form of estrogen), comes from testosterone. There is an enzyme, aromatase, that converts a certain amount of a mans testosterone to estradiol. So as a healthy mans testosterone levels rise or fall, estradiol levels tend to rise and fall as well. The average estradiol level of an adult male is about 75 pg/mL. But men can make estrogen another way as well. In obese men, there is an increased concentration of a different form of estrogen, estrone. This estrone gets converted to estradiol (as opposed to conversion of testosterone to estradiol). So high estrogen in obese men is due to another reason than high estrogen in healthy men. It is important to not confuse two, because they play out very differently with regard to our health.

The Protective Effect of Estrogen in Men

High endogenous estrogen levels in normal men is protective against coronary artery disease, Type 2 Diabetes, and prostate cancer. (This is not true, however, in obese men with high estrogen levels because the estrogen produced in visceral fat is estrone, which then converts to estradiol versus the aromatization of testosterone to estradiol.)

As men age, testosterone levels fall, and so do estrogen levels. This contributes to the accumulation of excess fat in men and their lack of sex drive and sexual function. They also begin to lose the protection against heart disease, Type 2 Diabetes, and prostate cancer that estrogen provides.

Estrogen deficiency has also been implicated in the pathogenesis of osteoporosis in men. A study published in Osteoporosis Int.demonstrated that 38% of men with osteoporosis had undetectable serum estradiol levels. This as well as more recent studies show that estrogen deficiency, not androgen (e.g. testosterone) deficiency is much more prevalent in male osteoporosis.

Additionally, estradiol levels in men are inversely correlated with sperm DNA damage, suggesting that estradiol may have a protective effect on sperm DNA.

So How Do Men Maintain Optimal Estrogen Levels as They Age?

One of the goals of hormone replacement therapy (HRT) is to restore hormone levels back to the optimal levels of a young adult. For estrogen in men, this means restoring levels to about 75 pg/mL. The best way to achieve this in men is by optimizing testosterone levels. Some of the testosterone will be converted to estrogen, therefore maintaining adequate levels.

To get started, you should have your testosterone and estrogen levels checked by a physician who specializes in hormone optimization. Its a simple blood test. Once you know if youre deficient, you can discuss options to optimize your levels so you can look and feel as good as possible while at the same time significantly decreasing your risk for chronic degenerative diseases.

To schedule an evaluationwith Dr. Mike Carragher, call1-323-874-9355.

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Low T 99 – 10 Photos – Health & Medical – 1239 120th Ave NE …


LowT 99 was established to bridge the gap between the absolute best Low T Treatment and the affordability of smaller monthly plans to aid in the treatment of low testosterone in men. Many studies have shown that testosterone levels begin to decline by about 1% per year after the age of 30. Low Testosterone levels can lead to a lack of energy, decrease in muscle, fatigue, bad mood, irritability, an increase in body fat, weak erections, low libido, poor sleep, decreased urge to exercise, and more. We can help you start treating these symptoms as soon as possible. Contact us today for more information!

Established in 2015.

“Bring Effective, Safe and Affordable Testosterone Therapy to All in Need”.

Through the efficient structure of the therapy options offered by Low T 99, it is now possible for all those in need to receive effective testosterone therapy at a fraction of the price. Low T 99 not only offers the best testosterone therapy available, but at the least expensive price. $99 to $159 total cost per month is less than most co-pays would charge for significantly inferior therapies. Our model is one of transparency and full disclosure. Truly unique in the testosterone therapy market. All prices and services are published clearly on the web site so prospective patients can feel confident before spending penny one.

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7 Symptoms of Low Testosterone in Women – Low T Treatment …

The Symptoms of Low Testosterone in Women Include More Than You Might Think

The symptoms of low testosterone in women are often passed off as just part of getting older, but they shouldnt be.

Testosterone is a hormone generally considered important for men, but did you know it is also a vital hormone for women to maintain a high quality of life?

Women often worry more about having high testosterone than low testosterone, but its possible your high testosterone is actually low testosterone thats been misdiagnosed.

That being said, if youve already been diagnosed with low testosterone, youre in the right place.

If youre experiencing any of these common symptoms, it may be time to consult with a medical professional who can check your hormone levels and help you determine the best course of action.

If you want to learn more about our testosterone therapy services for women, click here.

Here are 7 of the more common symptoms of low testosterone in women:

If youre constantly tired, even when youre able to obtain a full nights sleep, you could be experiencing one of the symptoms of low testosterone in women. Decreased testosterone levels may contribute to you feeling exhausted and drained.

You may even find it difficult to sleep through the night. Disrupted sleep is another common symptom for women with low testosterone. A healthy hormonal balance is key to achieving consistent, restful sleep.

Many women with low testosterone experience loss of muscle and progressive weight gain.

Midlife weight gain is so common that women often assume its just part of getting older, but if you are appreciate the inability to control your weight or have changes in muscle tone and bone density, you may be exhibiting symptoms of low testosterone.

Just like in men, testosterone affects sexual arousal in women. Low testosterone can affect womens sex lives in the following ways:

Because all of these symptoms are often associated with other types of illnesses, make sure you talk to your doctor before you begin testosterone treatments.

If you are experiencing sudden bouts of depression, unexplained mood swings, or a generally low mood, then you may be suffering from low testosterone.

Testosterone plays an important role in mood regulation in the body, and low levels of testosterone can play havoc with the bodys ability to regulate itself. If you are considering taking antidepressants to deal with your depression, then you may want to talk to your doctor about the possibility that your testosterone is low.

Even if you are not experiencing severe depression, you may still be having unpredictable mood swings, or even just a general low feeling, or low mood. If you are experiencing these symptoms, talk to your doctor about the possibility of low testosterone.

Another possible symptom of decreased testosterone levels is anxiety. Although anxiety caused by low testosterone is usually mild, it can possibly cause panic attacks.

If you suddenly experience bouts of anxiety, especially if you have never had anxiety issues in the past, then you may want to talk to your doctor about low testosterone.

According to this article, These mood-related symptoms, like anxiety and depression, occur because testosterone plays an important role in mood and neuropsychiatric regulation, and hormonal fluctuations can cause changes in brain chemistry that trigger symptoms.

If you find that you are having difficulty concentrating on normal tasks, especially when you have always been able to concentrate easily on the task at hand, then you may be suffering from low testosterone.

One of the difficulties in detecting low testosterone in women, and in men, is that the symptoms, like difficulty concentrating, often mimic the classic signs of aging.

Always check with your doctor before starting a testosterone replacement program to make sure you are not suffering from normal aging symptoms.

Hair loss is one of the more obvious symptoms of low testosterone, so keep an eye out for any hair loss, on your head or otherwise.

Although hair loss from low testosterone will be most obvious on the head, hair loss on other areas of the body may also occur.

If you notice that you have to shave your legs and armpits fewer times per month than normal, or if you notice that your hair is getting patchy, you may be suffering from low testosterone.

According to this article, Hair loss is one of the more visual symptoms of low testosterone as the hormone supports healthy hair production and maintenance. This symptom most often manifests as patchy hair cover on the head, or even baldness in women.

Body hair is also affected, though these symptoms are typically less noticeable, particularly in women who regularly shave their legs and armpits.

If youre experiencing any of these symptoms, the next best step is to consult with your doctor or book a free consultation at one of our DFW locations. Well discuss your symptoms, check your levels and determine if testosterone replacement therapy is right for you.

Or,if you just want to learn more about our testosterone therapy services for women, click here.

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Low T-Helper (CD4) Cell Level – Symptoms and Diagnosis

T-cells are white-blood-cells or lymphocytes which mature in the thymus. They protect us against invading cells, or antigens. These antigens cause T-cells to become active and produce antibodies. These antibodies stay attached to the cell that created them and the whole antibody-bearing cell attacks the antigens.

Diagnose your symptoms now!

T-cells are among the most important cells in the immune system. They originate in the bone marrow and then migrate to the thymus gland (hence the ‘T’), where they are trained to respond to a particular target. One T-cell may be subtly altered so that it responds to the polio virus, another to hepatitis-B, a third to the AIDS virus, and so on. Each T-cell has a unique target. When a T-cell leaves the thymus, it goes on the prowl for its enemy. Normally we each have billions of T-cells in our bodies, on the lookout for their individual targets. Once a T-cell spots its enemy, a complex process is set in motion that results in the production of millions of clones. Thus your body can go from having a single scout to well equipped army in a matter of days.

Our bodies produce two main types of T-cells: T-killer cells, which are part of the attack team, and T-helper cells, which direct the whole operation. T-helper cells coordinate other cells in the immune system by producing a family of intercellular signaling substances called ‘cytokines’. Each cytokine regulates a different set of cells, suppressing the growth of some and stimulating the growth of others. (Cytokines include the interleukins, interferons, colony-stimulating factors, and tumor necrosis factors.) Without the T-helper cells coordinating the immune system, the battle would be lost. It would be as if you were trying to fight a war when your entire communication network has broken down.

The number of circulating T-cells can give us a clue to the level of an infection. More antigens mean more T-cells.

Low CD4+ T-cell counts (CD4 counts) are associated with a variety of conditions, including many viral infections, bacterial infections, parasitic infections, sepsis, tuberculosis, coccidioidomycosis, burns, trauma, intravenous injections of foreign proteins, malnutrition, over-exercising, pregnancy, normal daily variation, psychological stress, and social isolation.

The low CD4 counts caused by some of these conditions often fall below 200 per cubic millimeter, which is the level needed to diagnose acquired immunodeficiency syndrome (AIDS) in someone who was previously positive for antibodies to the human immunodeficiency virus (HIV-positive).

In addition to the diagnosis of AIDS, CD4 counts are regularly used to make treatment decisions, such as when to start antiretroviral medications and when to begin preventative antibiotics. Because many of the conditions that cause low CD4 counts are common in people diagnosed HIV-positive, caution is advised regarding the use of CD4 counts to make treatment and diagnostic decisions. This is made more urgent since some of the conditions, like psychological stress, are greatly increased when people are told that their CD4 counts are low, which may compound the problem and cause the CD4 count to fall even further. Psychological stress and social isolation are also created by the diagnosis, HIV-positive, and by the diagnosis of AIDS, which may also affect the CD4 count.

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ED Clinic Nashville TN, Erectile Dysfunction Treatment, Low T

We have your solution! Its well known in the medical community that mass-market drugs like dont work for as many as 50% of men. Thats not surprising to anyone in medicine with experience treating sexual health: a mans sexual function is complex and engages many systemsincluding the brain, heart, hormones, and vascular and nervous systems. But unfortunately for most men, the standard erectile dysfunction treatment is a little blue pill that gets results as infrequently as half of the time in some cases. That means disappointment for everyone involved.

Mens sexual issues can be symptoms of other, more serious conditions. Diabetes, strokes, heart attacks, high blood pressure, prostate issues, stress, obesity, and a variety of other issues can lead to problems in bed. So-called herbal or home-grown solutions and ED treatments not only under-deliver when its time to perform; they can also lead to complications when other conditions are involved.

Our staff of esteemed, experienced Nashville ED doctors approach your sexual health from a total mens health perspective. From Low Testosterone (Low T) treatments to safe, customized medications that wont counteract other medications or treatments, we have the experience and professional knowledge to improve your life, today!

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Low-Testosterone (Low-T) – Controversy Over … – AARP

But is low T from aging really a disease in need of medication? Critics of the campaign say many men have been convinced to take a potentially risky drug for a condition they don’t have. Steven Woloshin, a professor of medicine at the Dartmouth Institute for Health Policy and Clinical Practice, dubs low T “the mother of all disease mongering.”

On the other hand, proponents say testosterone replacement can help older men improve their quality of life. “The true outrage is that social forces and hysteria have combined to deprive men of a useful treatment without regard for medical science,” Abraham Morgentaler, a Harvard urologist, wrote recently in the Journal of Sexual Medicine.

Experts agree on at least one thing: After age 30, every man’s testosterone drops about 1 percent a year, according to Ranjith Ramasamy, a urologist at Baylor College of Medicine in Houston. Being overweight or obese, as well as having type 2 diabetes, may drag your levels down even lower.

But what is a healthy T level for an older man? Doctors can’t agree. Many laboratories use wildly varying reference numbers based on the average testosterone levels of young men, anywhere from 300 to 900 nanograms per deciliter.

Meanwhile, some symptom lists virtually guarantee that any middle-aged man will self-diagnose low T. Several websites that promote testosterone replacement feature a 10-question self-quiz. Answer yes to just three you’re grumpy now and then, you don’t have the strength you used to have, and you sometimes fall asleep after dinner and you could have low T. “These complaints may have nothing to do with testosterone,” says Woloshin.

T therapy was originally developed for men whose bodies can’t produce enough testosterone, often because of injury to the testicles, cancer or genetic defects. But now, critics say, aggressive marketing has convinced many men to take the hormone in hopes of feeling and looking younger. That exposes otherwise healthy bodies to serious side effects.

“When you take testosterone, your body shuts down its own production,” says John La Puma, M.D., director of a clinic in Santa Barbara, Calif., that focuses on men’s health. As a result, the testicles may shrink and you could require supplementation indefinitely. That means long-term considerations like expense, inconvenience and, worst of all, possible catastrophic health issues.

A study published last year in the Journal of the American Medical Association reported a 30 percent jump in the risk of stroke, heart attack and death among men undergoing testosterone therapy. The FDA is investigating whether warnings should be issued.

There is one piece of useful information that no advertiser will offer: “A lot of men don’t need testosterone replacement to feel and look better,” says La Puma. “All they need to do is eat a healthier diet and be a little more active.” When obese men shed an average of 17 pounds, a recent study found, their testosterone levels climbed 15 percent. Indeed, a healthy diet, quality sleep and regular exercise can help any man build muscle, improve libido and raise energy levels. No prescription required.

Peter Jaret writes on health and medical issues for national publications.

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Low testosterone symptoms | Effects of low testosterone

Effects of Low Testosterone

Low testosterone symptoms and their side effects can occur when the body does not produce enough testosterone. Levels lower than what is considered normal by the medical community, are referred to as low testosterone. Normal levels of testosterone range from about 300 to 900 nanograms per deciliter. Many Low Testosterone Symptoms are often the result of a health or sexual issue, and can also be caused by other medical problems or conditions. Men tend to have naturally high levels of Testosterone that control the functions of sexual activity and also assists with muscle and bone density. This is why a low level of Testosterone can cause many sexual complications and impact a mans overall health. Low testosterone symptoms can be mild or severe, but they will usually not get better if left untreated. Make an appointment to see one of our doctors today!

Even men who fall under the normal T level deal with erectile dysfunction. Men with any of the following symptoms can benefit from an expert evaluation.

While there are many different low testosterone symptoms. The symptoms of low testosteronegenerally follow certain things. The following list contains many of the more common side effects of low testosterone.

What Causes Low Testosterone?

It is natural to produce lower levels of testosterone as the age of a man increases. The body produces less testosterone as it ages. At times, low testosterone symptoms are not severe enough to cause menproblems, but at other times the issues caused by lower testosterone levels impact the daily sexual functioning of a man severely.

How are the symptoms of low testosterone in men diagnosed?

A simple blood test can identify and diagnose Low Testosterone levels that often cause a mans low t symptoms.

Low testosterone treatment options

Treatment options include low testosterone therapy or other hormone therapies and/or replacement. Physicians at American Male Medical work with each individual patient to identify and treat Low Testosterone when it is affecting your sexual health and overall vitality.

Testosterone Replacement Therapy

Testosterone replacement therapy can vary and can be in the form of tablets that dissolve under your lip, gels, patches, or injections. Each option has its own benefits, drawbacks, and side effects.

Injections: Some testosterone injections are given in the form of Depo-Testosterone and Delatestryl. The benefits of injectable testosterone are that it can be taken every other week or every two weeks. However, with injectable, the testosterone level may be hard to maintain equilibrium in the body as it may be too high when first injected and too low prior to the next injection.

Gels: AndroGel and Testim are two testosterone gels that allow a smooth therapy process and have shown to be effective in controlling testosterone levels. The testosterone gels are applied on the arms or shoulders at the same time every day. On the other hand, gels seem to be more costly and may irritate the skin or eyes.

Replacement Patch: Androderm is a transdermal patch applied every night and left on for 24 hours. The best places to apply the patch are areas of the skin with the least hair. Make sure you choose a different spot every night. Skin irritation is the only disadvantage to the Androderm patch.

Tablet: The tablet is placed under the upper lip against the gum and must be replaced every 12 hours. Eating and drinking are possible while the tablet is under the lip. Some drawbacks include bitter taste, gum irritation, and toothache.

Each testosterone replacement option has its own advantages and disadvantage, but long-term side-effects are likely with all testosterone replacement treatments:

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Low Testosterone (Low T) Treatments –

What Is Testosterone?

Testosterone is a hormone that is necessary for proper muscular development and masculinity. Testosterone is made in the testes (testicles). Women also have testosterone, but in much smaller amounts than in men. If testosterone levels are below normal, a doctor may prescribe one of several types of treatments. However, there is debate about who needs to be treated.

Testosterone levels decrease as men age. Sometimes this lower level of testosterone is termed “andropause” or “male menopause.” Symptoms of male menopause may not be caused by low testosterone, but additional research is needed. Many men do not show any symptoms of decreasing levels of testosterone.

Although osteoporosis (brittle bone disease) is usually thought of as occurring mainly in women, the disease in men is commonly caused by low testosterone. Low testosterone levels can cause bones to thin, weaken, and become more likely to fracture.

Low testosterone doesn’t always interfere with sex, but it is possible. Some men with low testosterone may experience a drop in libido while others lose interest in sex completely. Low testosterone levels can make sex more difficult because it may be tougher to get or keep an erection. Low testosterone might not be the sole cause of low libido; stress, sleep deprivation, depression, and chronic medical illnesses can also alter a man’s sex drive.

Some of the changes that may occur with low testosterone are nonspecific symptoms such as easy irritability, mood changes, poor concentration, and feeling fatigued or having less energy. However, these symptoms may be caused by a condition other than low testosterone.

One of the many functions of testosterone is to help produce sperm. When testosterone levels are low, the “sperm count” can also be low. If the sperm count is very low, the man may not be able to father a child.

Although increased age is the most common cause of decreased testosterone levels in men, there can be other causes. Other common causes include:

You might need to be tested for low testosterone if you have erectile dysfunction (ED), a very low sex drive, low sperm count, loss of body hair, decrease of muscle mass, and osteoporosis. Conditions other than low testosterone could be the underlying cause of one’s symptoms. A doctor will want to rule out other conditions before diagnosing and treating low testosterone.

Tests for testosterone levels are done by sampling the blood early in the morning when levels of testosterone are highest. Your doctor may want to run a second test a few days later to check for consistency in testosterone levels measured. Normal testosterone levels range from about 300 to 1000 nanograms per deciliter (ng/dL), although some labs consider 200 ng/dL the cutoff for low testosterone. Your doctor will help interpret the tests for you.

If you are diagnosed with low testosterone, your primary care doctor may suggest you see a specialist such as an urologist or an endocrinologist. Not everyone with low testosterone will need or qualify for treatment. These specialists will help guide your treatment and design an approach to your low testosterone problem that is best for you.

Low testosterone treatment is designed to boost testosterone levels. Studies suggest this increase in testosterone can strengthen muscles, protect bones, and improve sex drive. Testosterone replacement therapy is only recommended for men who have blood levels that show low testosterone. Such treatments can have different effects from one man to another so it is difficult to predict the treatment outcomes for any one individual.

Testosterone injections are the least expensive form of testosterone treatment, but they can be painful. The shots are given about every 7 to 22 days and the body slowly absorbs the testosterone into the bloodstream. Injections can be given into the muscles or implanted as pellets. Testosterone levels can increase and then fall between shots.

Gel or patch treatments for low testosterone are placed directly on the skin. The hormone seeps out of the patch or gel and goes through the skin, and is slowly absorbed into the blood. Gels and patches are applied every day, and as a result, the level of testosterone remains fairly steady. A drawback to these treatments is they sometimes can cause itching, skin irritation, and blisters. In addition, women or children should not come in contact with skin that has been treated with a gel for 2 hours to avoid absorbing any testosterone.

Buccal patches are placed on the gums above the incisors (teeth) about every 12 hours and slowly release testosterone. They are not effective if swallowed. Buccal patches may cause a bitter taste, irritation to mouth tissues and gums, and may cause headaches. Fortunately, these side effects lessen over time. The patient can eat, drink, and kiss others while using buccal patches because they are not directly exposed to testosterone.

Although testosterone therapy has been tried in many individuals, the risks and benefits of this treatment over many years is still not known because such studies are still underway. Testosterone should not be given to men with untreated prostate cancer, untreated sleep apnea, or untreated breast cancer. In some men, testosterone therapy may need to be stopped if the risks outweigh the benefits.



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