Aug 09, · Testosterone therapy for low levels Skin patch. A patch is applied once every 24 hours, in the evening, and releases small amounts of the hormone into the Gels. Topical gels are spread daily onto the skin over both upper arms, shoulders, or thighs. It is important to wash Oral therapy. You may need testosterone therapy (TT) if you have Low-T. Both the FDA and the AUA suggest that TT be used to treat conditions you are born with, such as Klinefelter syndrome. You also may need TT if you harm or lose your testicles. If your testicles are removed because of a .
Testosterone is the male sex hormone that is made in the testicles. Testosterone hormone levels are important to normal male sexual development and functions. During puberty in the teen yearstestosterone helps boys develop male features like body and facial hair, deeper voice, and muscle strength. Men need testosterone to make sperm. Testosterone levels generally decrease with age, so older men tend to have low blood testosterone levels.
Some men have low testosterone levels. 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. These symptoms or conditions may accompany Low-T:. You may need testosterone therapy TT if you have Low-T.
You also may need TT if you harm or lose your testicles. If your testicles are removed because of a sickness such as cancer, you may need TT. Most men with Low-T no matter what the cause will be treated if they have both symptoms of Low-T and blood tests showing Low-T levels. Talk with your doctor if you feel that you may need TT.
TT may help you but it may have adverse harmful results. See discussion of these side effects below. The Federal Drug What is the welsh language FDA has said that testosterone drug labels should state that there is a risk for heart disease and stroke for some men using testosterone products.
All men should be checked for heart disease and stroke before, and periodically while on, TT. The AUA however, on careful review of evidence-based peer review literature, has stated that there is no strong evidence that TT either increases or decreases the risk of cardiovascular events. There is ongoing research to determine more about TT in aging men. Your doctor will talk with you about the benefits and risks of TT and carefully consider how to treat your symptoms. It is hard to know how many men among us have TD, although data suggest that overall about 2.
People who study the condition often use different cut-off points for the numbers, so you may hear different numbers being stated. TD is more common in men who have diabetes or who are overweight. The same study found diabetes to be a risk factor for TD. In another study, There are many signs and symptoms of Low Testosterone. Some are more closely related to Low-T levels specific signs and symptoms.
Others may not necessarily be linked non-specific signs and symptoms. Your doctor will help you make sense of your own situation. Having any one of the specific or non-specific symptoms may not mean that you have TD. But if you have a mix of symptoms, for instance, if you start to feel very tired and sad over a period of time and this is a change for you, you may want to check for TD. Low sexual desire alone may not mean that you have TD.
But if you have a combination of low sexual desire, reduced erectile function, and feelings of sadness and tiredness, you should talk to your doctor.
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:. Although many symptoms may be tied to Low Testosterone Low-Ttotal blood testosterone level is the most important measure of testosterone deficiency. To make a diagnosis, your doctor will use how to write project abstract specific signs and symptoms in addition to your testosterone blood level.
At your medical visit, your health history will be taken, and the doctor will do an exam and look for some of the signs and symptoms mentioned in this article. You may hear about free testosterone or bioavailable tests for testosterone. These are not the same as total testosterone level tests. Ask your doctor about the differences and if you need these tests. In recent years, the media has reported more about Testosterone Therpy TTand more men between the ages of 40 and 64 have been tested and given TT.
Some men with certain symptoms may even want TT without being tested. This action may not be safe or helpful for them. Total testosterone level should always be tested before any TT. Here are some of the things you will need to know about TT:. There are generally five different ways to take testosterone. No method is better than another. While you are taking TT, your doctor will test your blood to determine testosterone levels.
A topical patch is like a band-aid with medicine on it. You put it on and leave it until the next dose is due. The medicine on the patch is less likely than liquids, gels and creams to transfer to others. You may want to choose how you take your testosterone based on what is best or most useful for you. In some cases, your insurance provider may decide the order in which testosterone therapies are provided.
Talk about the choices with your doctor. There are some side effects of TT. Some side effects are mild while others are more serious. You should ask your doctor or pharmacist about these side effects and watch for them while you are taking TT. Some of the side effects are as follows:. Remember that each person is unique, and each body responds differently to treatment. However, what is the friday the 13th is no strong evidence that TT will help memory recall, measures of diabetes, energy, tiredness, how to properly write a script profiles, or quality of life.
You will need routine checkups to see that your testosterone level stays normal. In patients who are stable on TT, total testosterone and certain other lab tests should be checked every what microbe causes the flu. If you are overweight, try to work on keeping your weight within recommended ranges. Increasing physical activity may help you lose weight and also may help increase testosterone levels.
When you go to see your doctor, you may be a bit nervous. It will help if you make a list of the most important things on your mind. Here are some ideas:. Read the latest issue of Urology Health extra, the Urology Care Foundations patient-focused magazine.
See your doctor if you have any of these symptoms. Why Testosterone Therapy TT? How Common is Low Testosterone in Men? Some persons are born with conditions that cause Testosterone Deficiency TD such as: Klinefelter syndrome Noonan syndrome Ambiguous genitalia when the sex organs develop in ways that are not typical looking Some men may develop Low-T because of conditions like these: Damage to testicles by accident Removal of testicles because of cancer Chemotherapy or radiation Pituitary gland disease leading to hormone deficiency Infection 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 Obesity Metabolic syndrome high blood pressure, high blood sugar, unhealthy cholesterol levels, and belly fat Use of medications such as antidepressants and narcotic pain medications Men with certain health problems also tend to have low testosterone.
These are symptoms seen together of increased blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol or triglyceride levels Hair pattern, amount, and location Gynecomastia enlarged breasts Whether testicles are present and their size Prostate size and any abnormalities Testing Your doctor may order these blood tests: Total testosterone level. This test should be done at two different times on samples taken before noon. Testosterone levels are lower later in the day.
If you are ill, the doctor will wait until you are not sick because your illness may cause a false result. Luteinizing hormone LH. This test is done to help find the cause of a Low-T level. This hormone controls how you make testosterone. Abnormal levels may mean a pituitary gland problem. Blood prolactin level. If your prolactin level is high, your doctor may repeat the blood test to make sure there is no error.
High prolactin levels also may be a sign of pituitary problems or tumors. Blood hemoglobin or Hgb. Before doing this test, your doctor will look for other reasons for low Hgb such as climate level like climate altitudesleep apnea, or tobacco smoking.
The following also may be done to help with further diagnosis: Follicle stimulating hormone FSH. This test is to check for sperm-making function if you want to have children.
You may also need to have semen tests. These tests will be done before any hormone therapy. Estradiol hormone test is done if there are breast symptoms.
What is Low Testosterone?
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, boosts mood, keeps bones strong, and aids thinking ability. Lack of testosterone, often nicknamed, low-t, can cause unwanted symptoms. 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, less energy, weight gain, anemia, and hot flashes.
While falling testosterone levels are a normal part of aging, certain conditions can hasten the decline. Low t risk factors include:. Millions of men use testosterone replacement therapy to restore low levels and feel more alert, energetic, mentally sharp, and sexually functional.
But it's not that simple. A man's general health also affects his testosterone levels. For instance, being overweight, having diabetes or thyroid problems, and taking certain medications, such as glucocorticoids and other steroids, can affect levels.
Therefore, simply having low-t levels does not always call for taking extra testosterone. Doctors diagnose low testosterone based on a physical exam, a review of symptoms, and the results of multiple blood tests since levels can fluctuate daily.
If your doctor diagnoses low testosterone, other tests may be considered before therapy. For example, low-t can speed bone loss, so your doctor may recommend a bone density test to see whether you also need treatment for osteoporosis. Prostate cancer is another concern, as testosterone can fuel its growth. As a result, the Endocrine Society recommends against testosterone supplementation for men in certain situations, including those who:.
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. But if you do not have any key symptoms, especially fatigue and sexual dysfunction, which are the most common, it is not recommended you go on the therapy given the uncertainty about long-term safety.
Even if your levels are low and you have symptoms, low-t therapy is not always the first course of action. If your doctor can identify the source for declining levels—for instance, weight gain or a particular medication—he or she may first address that problem. If you and your doctor think testosterone replacement therapy is right for you, there are a variety of delivery methods to consider, as found in the Harvard Special Health Report Men's Health: Fifty and Forward.
Most men feel improvement in symptoms within four to six weeks of taking testosterone replacement therapy, although changes like increases in muscle mass may take from three to six months.
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No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician. Treating low testosterone levels Men naturally lose testosterone as they age, but there are "low-t" treatments available. Updated: August 9, Published: December, And is it hard on the heart? Men's Health Men's Sexual Health. E-mail Address. First Name Optional.