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SYMPTOMS OF LOW TESTOSTERONE
WEIGHT GAIN
Lower testosterone levels can lead to a reduction in muscle mass, decreasing the body's resting metabolic rate. A lower resting metabolic rate makes it easier to gain weight. Low testosterone is also associate with increased visceral fat (fat stored around the internal organs), increasing the risk of obesity-related health conditions.
FATIGUE AND DECREASED ENERGY
Men with low testosterone often report feeling unusually tired or lacking energy. Testosterone is vital in regulating energy metabolism and sleep quality, and deficiencies in testosterone can result in disrupted sleep and insomnia causing daytime fatigue. Low testosterone can also affect mood regulation, leading to symptoms of depression, irritability, and anxiety. These mood changes can sap energy levels and motivation.
DECREASED SEX DRIVE
One of the most noticeable symptoms of low testosterone is reduced interest in sexual activity. Testosterone is a key hormone that regulates sexual desire and nerve function in the genitals. Low levels lead to decreased arousal and sexual pleasure, contributing to lower sex drive.
ERECTILE DYSFUNCTION
Testosterone plays a role in achieving and maintaining erections. Men with low testosterone may experience difficulties with erectile function, although this can also be influenced by other health conditions.
HAIR LOSS
Although several factors can contribute to male patterned baldness, hormonal imbalances such as low testosterone have been shown to affect hair loss. Testosterone is responsible for facial and body hair growth, when these levels decline hair thinning and male patterned baldness can occur.
DIAGNOSING LOW TESTOSTERONE
Medical History
We will inquire about the symptoms listed above and any underlying health conditions. Some medications can cause erectile dysfunction and decreased sex drive, so a list of current medications will also be requested at your first visit.
Laboratory testing
Testosterone levels can fluctuate throughout the day, typically peaking in the morning. For this reason, blood samples should be taken between 7am-10am for most accurate results, this will be performed in office. Testosterone levels and additional hormone tests will be performed. If you have not had routine blood work to check for blood disorders, liver function in the last year, this will also be performed.
TREATING LOW TESTOSTERONE
Testosterone Injections
Testosterone cypionate is a synthetic form of the naturally occurring male sex hormone testosterone and is commonly used to treat low testosterone levels. Benefits include improved libido, improved sexual performance, improved mood and energy, improved bone density, increased muscle mass. Testosterone can affect sperm count, for this reason if you are attempting to conceive with your partner, this medication should be avoided.
Gonadorelin
Gonadorelin is a gonadotropin-releasing hormone agonist (GnRH) which stimulates the release of luteinizing hormone (LH) and follicle stimulating hormone (FSH) which through a cascade of events, increase the body's testosterone production. Gonadorelin can be used in conjunction with testosterone to reduce risk of testicular shrinkage, and can be used for younger men who want to maintain their fertility. Besides reducing testicular shrinkage and aiding in fertility, gonadorelin has also been shown to improve libido and increase muscle mass.
Clomid
Clomid can be an effective alternative to testosterone injection therapy, it is a selective estrogen receptor modulators (SERMs) which boosts FSH and LH hence increasing testosterone levels. It is used off-label for men to treat infertility and low testosterone. Clomid is a great option for young men who are planning to start a family as it increases sperm production.