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When to treat low testosterone? Ohio State Health & Discovery

Hypogonadism in Men
Low testosterone levels could lead to anemia, a blood disorder that may occur due to the decrease of RBCs. Doctors can use a blood test to test a woman’s testosterone levels. The numbers that determine if a woman’s testosterone levels are high or low can vary by the laboratory performing the test. According to the Boston University School of Medicine in 2002, if a woman’s plasma total testosterone level is less than 25 ng/dL in women under 50 years old, this is low. Testosterone levels lower than 20 ng/dL in women aged 50 and older are considered low. Certain health conditions, medicines, or injury can lead to low testosterone (low-T). Low testosterone can affect sex drive, mood, and changes in muscle and fat.
According to the American Urological Society, testosterone replacement therapy (TRT) may result in improvements in low sex drive, anemia, bone mineral density, lean body mass, and/or depressive symptoms. The evidence is inconclusive whether TRT improves cognitive function, measures of diabetes, energy, fatigue, lipid profiles, and quality of life measures. Diagnosing low testosterone can be challenging because many symptoms can also be caused by other health conditions. It’s important to speak with a healthcare provider with significant experience and training in treating low testosterone and related conditions. In order to diagnose low testosterone, a provider will take a health history, do blood tests, and conduct a physical exam. However, by age 70, 30% of males will meet the definition of low testosterone, and by age 80, this increases to 50%.
However, the Testosterone Trials were designed to assess only effectiveness and not the risks of testosterone therapy, including prostate cancer or cardiovascular disease. TRT can significantly improve quality of life by alleviating symptoms of low testosterone. benefits of halotestin often include increased energy levels, improved mood, heightened libido, better erectile function, increased muscle mass, and decreased body fat. It’s important to consult with a healthcare professional to discuss the potential benefits and risks based on your specific health condition.
If a man has one or both testicles surgically removed, his body will produce less testosterone. Chemotherapy and radiation can affect testosterone production, too. Children with intersex conditions (development of both male and female reproductive organs) may also have trouble with testosterone production. On example is Klinefelter syndrome, when a genetically male child is born with an extra X chromosome.
Low testosterone is also called testosterone deficiency or hypogonadism. Regular exercise reduces your risk of an abundance of health conditions and diseases. It could even help control sexual health issues such as erectile dysfunction and premature ejaculation. It plays a significant role in the male body, and if levels drop below average, men can experience a wide variety of symptoms. Our urology team offers safe and effective treatments to help men with low testosterone levels. Our urologists can prescribe Testosterone Replacement Therapy (TRT) through pills, shots, creams, or patches to increase the levels of testosterone in your body. Because testosterone levels fluctuate throughout the day, you may need several tests to get an accurate diagnosis.
Read about our history and how we continue to serve the endocrine community. The AUA recommends that men who have had a cardiovascular event wait 3 to 6 months before starting TRT. Men should always have TRT under the care of a qualified medical professional. If necessary, estradiol and PSA levels will also be assessed periodically. Administered by a doctor, pellets are placed under the skin and gradually dissolve. Testosterone circulates in the bloodstream, and it is classified in two different ways. Free testosterone circulates on its own, not attached to another substance.
Studies have shown that up to 75 percent of men on long-term narcotics have low testosterone levels. Prolonged use of methadone carries an especially elevated risk of hypogonadism. Cessation or significant reductions in narcotic use can help to improve testosterone levels. Analysing 43 blood markers, this comprehensive test offers a detailed assessment of your hormone levels and overall health to help pinpoint the most suitable treatment path. The test also includes a blood pressure reading and a follow-up doctor consultation.
LH then travels to your gonads (testicles or ovaries) and stimulates the production and release of testosterone. Your pituitary also releases follicle-stimulating hormone (FSH) to cause sperm production. If you’re experiencing any symptoms of low testosterone, ask your doctor to test your levels. A diagnosis can be made with a simple blood test, and there are a variety of treatment options to reduce unwanted side effects of low T. In addition to causing physical changes, having low levels of testosterone can affect you on an emotional level. Some people have trouble with memory and concentration and experience lowered motivation and self-confidence.
Testosterone is available as a pill but some experts believe long-term oral delivery of testosterone can have negative effects on the liver. These other delivery methods bypass the liver (as they don’t involve a pill being absorbed through the stomach/intestine) and go directly into the bloodstream. Most of the symptoms are very apparent (see previously), but some need to be further investigated (such as low bone density). It should also be noted that low testosterone itself can be a risk factor for cardiovascular disease.