Low Testosterone

Low Testosterone Evaluation at Southland Urology

Low testosterone, often referred to as “Low T” or hypogonadism, is a condition where the body does not produce enough of the male hormone testosterone. This can lead to a variety of symptoms, including decreased libido, fatigue, mood changes, and a reduction in muscle mass. The condition is common in aging men, but can also be caused by other medical issues.

Understanding Low Testosterone

What Is Low Testosterone?

Low testosterone, medically known as hypogonadism, is a condition in which the body produces an insufficient amount of the male sex hormone, testosterone. While it is a natural part of aging for testosterone levels to gradually decline, a significant drop can lead to a wide range of symptoms that impact a man’s quality of life. Testosterone is crucial for developing male characteristics and maintaining muscle mass, bone density, libido, and energy levels.

Causes of Low Testosterone

The causes of low testosterone can be divided into two main categories: primary and secondary hypogonadism. Primary hypogonadism is an issue with the testicles themselves, which are responsible for producing testosterone. This can be caused by injury, infection (such as mumps), or genetic conditions. Secondary hypogonadism is an issue with the pituitary gland or hypothalamus in the brain, which control testosterone production. Causes can include pituitary tumors, obesity, or certain medications. Lifestyle factors such as chronic stress, poor nutrition, and excessive alcohol use can also contribute to lower testosterone levels.

Symptoms of Low Testosterone

The symptoms of low testosterone can vary greatly and are often subtle, which can make diagnosis difficult. Common physical symptoms include a decrease in libido, erectile dysfunction, fatigue, and a reduction in muscle mass and bone density. Men may also experience an increase in body fat, particularly around the abdomen. Psychological symptoms are also prevalent, such as mood swings, irritability, depression, and difficulty concentrating. Some men may also experience hair loss, hot flashes, or gynecomastia (enlarged breast tissue).

Diagnosis

Diagnosing low testosterone requires a simple blood test. A doctor will typically order a morning blood draw, as testosterone levels are highest at that time. If the initial test shows a low level, a second test is often performed to confirm the diagnosis. Your doctor will also conduct a physical exam and discuss your symptoms and medical history. In some cases, additional tests, such as a pituitary function test or a bone density scan, may be ordered to determine the underlying cause and assess the impact of the condition.

Treatment Options

The most common treatment for low testosterone is Testosterone Replacement Therapy (TRT). TRT can be administered through various methods, including injections, topical gels, patches, or pellets implanted under the skin. The goal of TRT is to restore testosterone levels to a normal range, which can help alleviate many of the associated symptoms. While TRT is highly effective for many men, it’s not a one-size-fits-all solution, and it comes with potential side effects and risks, such as an increase in red blood cell count and an increased risk of blood clots. It is crucial for patients to have an ongoing dialogue with their physician to monitor their hormone levels and overall health. Alternatives, can include medications such as clomiphene, HGH, anastrazole.