Low Testosterone

Low serum testosterone, also known as hypogonadism or Andropause, affects roughly 39% of men over the age of 45. The prevalence of low testosterone increases with age. Researcher have found that the incidence of low testosterone increases with age. Approximately 20% of men over 60, 30% of men over 70 and 50% of men over 80 years of age have low testosterone.

What are the signs of low testosterone in men? 

There are both sexual and non-sexual signs and symptoms associated with low testosterone. Sexual symptoms include poor erectile function, low libido (desire for sex), weaker and fewer erections, and reduced sexual activity. Nonsexual symptoms include increased body fat, decreased energy and fatigue, reduced muscle mass, and depression.

Roughly 40% of men with high blood pressure and 40% of men with high cholesterol levels will have low testosterone levels. Additionally, approximately 50% of men with diabetes and 50% of obese men will have low testosterone. Almost 75% of men with a history of chronic opioid use will have low testosterone levels.

What are the treatment options for men with hypogonadism?

There are many treatment options for symptomatic low testosterone. Testosterone replacement therapy may be in the form of skin gel, injections, patches or oral inserts. In some men, the condition may be caused by a pituitary tumor, which can be ruled out by a simple blood test.  Others may have increased conversion of testosterone to estradiol in the body fat which responds to blocking this conversion with something called an aromatase inhibitor.  Your doctor will do a complete work up to decided the cause and the best treatment to correct the problem.