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What is the best treatment for low testosterone?
Aug 28, 2020 · Normal testosterone levels range from 300 to 1,000 nanograms per deciliter, according to MedlinePlus. Because testosterone levels decrease naturally with age, how low your testosterone has to be for treatment may vary. Each man with low testosterone should discuss their testosterone levels, treatment options, and prognosis with their wellness practice provider.
What medications can lower testosterone levels?
Dec 08, 2016 · Lack of testosterone, often nicknamed, low-t, can cause unwanted symptoms. Testosterone levels peak by early adulthood and drop as you age—about 1% to 2% a year beginning in the 40s. As men reach their 50s and beyond, this may lead to signs and symptoms, such as impotence or changes in sexual desire, depression or anxiety, reduced muscle mass, …
What are the risks of low testosterone treatment?
Oct 28, 2013 · The normal range is anywhere from 300 to 800 nanograms per deciliter (ng/dL). You would not be considered to have low T unless you had a number below 300. Dangerously low testosterone levels may...
What is a dangerously low testosterone level?
The American Urology Association (AUA) identifies low blood testosterone (Low-T) as less than 300 nanograms per deciliter (ng/dL). These symptoms or conditions may accompany Low-T: Low sex drive Fatigue Reduced lean muscle mass Irritability Erectile dysfunction Depression

How low does testosterone have to be for TRT?
You need to have both low levels of testosterone—less than 300 nanograms per deciliter (ng/dL)—and several symptoms (see page 7) to get a prescription for TRT.May 10, 2016
What level of testosterone is dangerously low?
Generally, most experts would agree that a total testosterone level less than 250 ng/dL is considered low, whereas some experts endorse a higher level of around 350 ng/dL as the lower limit of normal.Oct 18, 2018
Does low testosterone need to be treated?
In most cases, men need to have both low levels of testosterone in their blood and several symptoms of low testosterone to go on therapy. It is possible to have low levels and not experience symptoms.
When do men need testosterone treatment?
There's no magic number for the age at which men should start thinking about hormone therapy. Since everyone's body operates a little differently, TRT could be something you consider anywhere from your mid-20s to your late 40s or so. Ultimately, the best age for TRT is whatever age that you personally need it.Mar 10, 2021
What happens if low T is not treated?
Many men notice that this correlates with a loss of sexual desire, which is totally normal. Sometimes, however, testosterone levels drop too low. This can reduce your bones' strength and muscle mass, exacerbate sexual issues, and lead to a host of health issues. Low testosterone can be dangerous if not treated.
Can a man live with low testosterone?
The mortality risk for men with low testosterone dropped to 68 percent after the researchers reanalyzed the data to eliminate men who had died within the first year of follow-up. This was done to control for dips in testosterone levels that can occur shortly after surgery, trauma or critical illness.Aug 14, 2006
Is low testosterone reversible?
Men wonder whether low testosterone can explain symptoms such as low sex drive and fatigue. The reality is few men have low testosterone explaining these bothersome symptoms. And, the good news is the condition is sometimes reversible through losing weight and treatment of sleep apnea.Jun 30, 2016
What happens if your testosterone is too low?
In addition to causing physical changes, having low levels of testosterone can affect you on an emotional level. The condition can lead to feelings of sadness or depression. Some people have trouble with memory and concentration and experience lowered motivation and self-confidence.
Can low testosterone be reversed?
Testosterone declines one percent per year after age thirty. Correcting testosterone deficiency with Testosterone Replacement Therapy (TRT) often can reverse Low T symptoms, improves blood sugar (insulin), cortisol (stress response), and thyroid function.Nov 2, 2017
What is considered low testosterone by age?
By the time he's 10 to 11 years old, that should change to 7-130 ng/dL. Early Teens: Between 12 to 13 years old, a person should have 7-800 ng/dL. But by 15 to 16 years old, the ng/dL should be 100-1,200. Late Teens: Anyone between 17 to 18 years old should have testosterone levels between 300 and 1,200 ng/dL.Oct 4, 2021
What are the benefits of testosterone injections?
The purpose of testosterone injections is to help regulate male hormone levels to help address problems related to low T....For men with low T, the benefits of these injections can include:an increased sex drive.improved symptoms of ED.more energy.improved mood.an increased sperm count.
How long do testosterone injections take to work?
Most individuals will start to notice significant changes within 4 to 6 weeks of beginning treatment with testosterone injections, but some changes may actually be felt and seen much earlier.
How to measure testosterone?
A morning blood test is the best way to measure testosterone. “There is a very wide range of normal, and testosterone levels change during the day,” says Dr. Shoskes. The normal range is anywhere from 300 to 800 nanograms per deciliter (ng/dL). You would not be considered to have low T unless you had a number below 300.
Why is testosterone important?
As if erectile dysfunction weren't enough to worry about, low testosterone weighs on the minds of many men. Throughout your life, testosterone plays an important role in regulating sexual, mental, and physical health.
What is the treatment for prostate cancer?
This is called androgen deprivation therapy (ADT). One example of ADT is surgical removal of the testicles. This will drop testosterone levels by more than 90 percent in 24 hours.
What are the symptoms of low T?
A review article in the BC Medical Journal suggests that your doctor might consider a blood test to diagnose low T if you have persistent symptoms that include: Mood changes such as irritability or sadness. Loss of interest in sex. Loss of morning erections or other erection problems. Low energy and easy fatigue.
Can low testosterone cause low energy?
That's why low testosterone, or low T as it's called, can cause common symptoms like erectile dysfunction (ED), low libido, depression, and low energy. The good news in all of this is that very low testosterone is very unlikely, and certain signs will let you know when testing and possible treatment are needed.
What is low testosterone?
This is called Testosterone Deficiency Syndrome (TD) or Low Testosterone (Low-T). Deficiency means that the body does not have enough of a needed substance. Syndrome is a group of symptoms that, together, suggest a disease or health condition. The American Urology Association (AUA) identifies low blood testosterone ...
How often should I take testosterone?
It is usually taken three times daily. Pellets. Your doctor will place the testosterone pellets under the skin of your upper hip or buttocks. Your doctor will give a shot of local anesthesia to numb your skin, then make a small cut and place the pellets inside the fatty tissues underneath your skin.
Why do I have low T?
These symptoms or conditions may accompany Low-T: There are many other possible reasons for these symptoms, such as: opioid use, some congenital conditions (medical conditions you are born with), loss of or harm to the testicles, diabetes, and obesity (being overweight).
What is the function of testosterone in the body?
During puberty (in the teen years), testosterone helps boys develop male features like body and facial hair, deeper voice, and muscle strength. Men need testosterone to make sperm.
How long does it take for testosterone to return to normal?
Your doctor will watch you for signs and symptoms of improvement. Any changes will likely appear within three to six months of treatment. If your total testosterone blood level returns to normal and you still have symptoms, it is likely that there are other reasons for your symptoms.
Why does testosterone fall?
Autoimmune disease (when the body makes antibodies that attack its own cells) Basically, if your testicles keep making less testosterone than normal, your blood levels of testosterone will fall. Many men who develop TD have Low-T levels linked to: Aging.
Is low testosterone linked to low T?
Some are more closely related to Low-T levels (specific signs and symptoms). Others may not necessarily be linked ( non-specific sign s and symptoms). Your doctor will help you make sense of your own situation.
How much does testosterone drop as you age?
As men age, the ability to produce testosterone begins to decline such that testosterone levels begin to drop about 1 to 3 percent a year beginning around age 40 years. This natural decline, however, does not imply that a man is testosterone deficient or a candidate for testosterone therapy.1,2 A deficiency in this hormone only occurs in cases ...
What causes testosterone deficiency?
Outside of age, there are “myriad causes for testosterone deficiency,” Dr. Mulhall adds. “They include testicular dysfunction, chemotherapy or radiation to testes, or loss of the testes,” he said. Then there are secondary testosterone deficiencies, genetic disorders, Kleinfelter syndrome, pituitary disorders, steroid use, opioid use, diabetes, and obesity.
Why is it important to monitor T levels during treatment?
Both sets of guidelines stress the importance of monitoring T levels during treatment to make sure the hormone falls within a desired range and to check the status of other health conditions such as sex, heart and bone health.
Is low testosterone a risk factor for cardiovascular disease?
For example, low testosterone is a risk factor for cardiovascular events, but “giving a patient [supplemental] testosterone cannot be said to definitively raise or lower the risk for cardiovascular issues,” Dr. Mulhall says.
How many men are diagnosed with hypogonadism?
Hypogonadism affects approximately 40% of men aged 45 or older, [ 1] although less than 5% of these men are actually diagnosed and treated for the condition. Despite some controversy, testosterone therapy has been established as a safe and effective principal treatment for hypogonadism for nearly 70 years.
How do you know if you have hypogonadism?
Symptoms of hypogonadism can include mood changes, reduced libido, low energy, decreased muscle bulk and strength, hot flushes, decreased ability to concentrate, lack of morning erections, decreased volume of ejaculate, and infertility. To confirm a diagnosis of hypogonadism physicians should look for:
What are the symptoms of hypogonadism?
Symptoms of hypogonadism can include mood changes such as irritability or increased sadness, reduced libido, low energy, fatigue, decreased muscle bulk, decreased muscle strength, muscle aches, hot flushes, decreased ability to concentrate on tasks, lack of morning erections or less rigid erections, decreased volume of ejaculate, and infertility.
What is the ICMJE?
The ICMJE created the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals to help authors and editors create and distribute accurate, clear, easily accessible reports of biomedical studies.
Does testosterone affect mood?
Generally, this symptom complex is more often associated with hypogonadism, and mood in fact improves with restoration of the eugonadal state. [ 9 ]
What is low testosterone?
Low testosterone (male hypogonadism) is a condition in which the testes (testicles, the male reproductive glands) do not produce enough testosterone (a male sex hormone). In men, testosterone helps maintain and develop: Sexual features. Muscle mass. Adequate levels of red blood cells.
How many men have low testosterone?
Low testosterone affects almost 40% of men aged 45 and older. It is difficult to define normal testosterone levels, because levels vary throughout the day and are affected by body mass index (BMI), nutrition, alcohol consumption, certain medications, age and illness.
Why do I have difficulty peeing?
Stimulation of the prostate, which can cause urination symptoms such as difficulty urinating. Breast enlargement or tenderness. Worsening of sleep apnea (a sleep disorder that results in frequent nighttime awakenings and daytime sleepiness) Smaller testicles.
When to measure testosterone levels?
The highest levels of testosterone are generally in the morning, near 8 a.m. This is why doctors prefer to measure testosterone levels in the early morning.
What causes low testosterone levels?
There are many other potential causes of low testosterone, including the following: Injury (trauma, interrupted blood supply to the testes) or infection of the testes (orchitis) Chemotherapy for cancer. Metabolic disorders such as hemochromatosis (too much iron in the body) Dysfunction or tumors of the pituitary gland.
How often do you get testosterone injections?
Intramuscular injections (into a muscle), usually every 10 to 14 days; Testosterone patches, which are used every day and are applied to different parts of the body, including the buttocks, arms, back, and abdomen.
When should I get a prostate scan?
A digital rectal examination of the prostate should be done at 3-6 months and 1 year after beginning therapy , and then every year after that. This is recommended even for men who are not on testosterone replacement therapy, as an age-related prostate cancer screening. This usually begins at age 50.
How much testosterone is normal?
Levels peak by early adulthood and drop as you age—up to 2% per year beginning around age 40. Normal levels are between 300 and 1,000 ng/dL. Low testosterone produces several symptoms, such as: impotence or changes in sexual desire. depression or anxiety.
What is a testosterone test?
A simple blood test measures testosterone levels. Several tests are required, as levels can fluctuate daily and be influenced by medication and diet. "In 30% of cases where the first testosterone test is low, levels are normal when the test is repeated," says Dr. Hayes.
What hormones are produced by the testicles?
Testosterone is the hormone that gives men their manliness. Produced by the testicles, it is responsible for male characteristics like a deep voice, muscular build, and facial hair. Testosterone also fosters the production of red blood cells, and increases bone density. Levels peak by early adulthood and drop as you age—up to 2% per year beginning around age 40. Normal levels are between 300 and 1,000 ng/dL. Low testosterone produces several symptoms, such as: 1 impotence or changes in sexual desire 2 depression or anxiety 3 less energy 4 reduced muscle mass 5 weight gain 6 anemia 7 hot flashes.
Why is TRT controversial?
Millions of older men have turned to TRT to restore hormone levels in hopes of refueling energy and reigniting their sex drive. Yet TRT remains controversial because of its uncertain benefits and potential health risks.
How often do you give TRT?
Injections are typically given into the buttocks once every two weeks.
What are the benefits of TRT?
For example, two often-touted benefits of TRT are sexual health and vitality. A double-blind study in the Feb. 18, 2016 issue of The New England Journal of Medicine reviewed the effects of TRT on 790 men ages 65 and older.
Does TRT cause prostate cancer?
TRT's relationship with other health issues is also mixed. For instance, TRT has previously been tied to a higher incidence of prostate cancer, but a study published in the December 2015 Journal of Urology found that exposure to TRT over a five-year period was not linked to a greater risk of aggressive prostate cancer.
What does low testosterone mean?
Low testosterone levels in the body are usually a result of a medical condition or a decline in age. Also known as low-T, a decline in testosterone in the body has different symptoms including depression, low energy levels, irritability, poor muscle mass and bone health, and bad cardiac health. Testosterone replacement therapy, also abbreviated as ...
What is testosterone replacement therapy?
Testosterone replacement therapy, also abbreviated as TRT is a type of hormone therapy used to treat low-T. The testosterone preparation methods have advanced over time with the present-day ones including IM injections, oral, subcutaneous, transdermal, and buccal. They all have different dosage, formulations, safety profiles, ...
Why do people get TRT?
TRT started mainly as a treatment for low testosterone as a result of a medical condition and other various gains for patients. Here are some of the benefits of getting TRT.
How long does it take for TRT to work?
Often you can start therapy within one to two weeks time depending on how quickly you can get through the requirements. On the other hand, the onset and the period of the effects of TRT will differ depending on the dose and type of medication you use.
How often is TRT administered?
The procedure requires an incision, and the testosterone-infused pellets have to be implanted every three to six months. They are usually buried inside the soft tissues where the testosterone is slowly released into the bloodstreams.
Can you get TRT from anywhere?
You also don’t want to be limited because of your location, so you want to be able to access TRT services from anywhere . A lot of patients end up missing out on the treatment because a lot of clinics don’t have nationwide reach. The best way you could avoid this limitation is to find a clinic with telemedicine services. This way, you can receive treatment remotely regardless of where you are in the country.
What is an anti aging clinic?
An anti-aging clinic is a clinic that specializes in providing anti-aging treatments that are usually surgical or non-surgical. As opposed to getting TRT from a general practitioner, an anti-aging clinic specifically work with patients who need hormone therapy and have doctors who are experts in it working with them and with you. Since their services are narrowed down to hormone therapy and different anti-aging solutions, you can be sure of getting top-notch treatment.
