Low Testosterone

Recently Answered

  • 1 Answer
    A
    AEva Cwynar, MD, Endocrinology, Diabetes & Metabolism, answered
    Common symptoms that often indicate low testosterone in women include general low energy, depression, weight gain, and feeling tired all the time and/or easily overwhelmed. Other possible indicators are brain fog, difficulty concentrating, feeling too stressed or too time-crunched to have sex, premenstrual syndrome problems (bloating, headaches, fatigue, moodiness, skin changes, heart palpitations, and shortness of breath) and difficult perimenopause or postmenopausal symptoms (weight gain -- especially in the mid-abdominal section -- mood changes, and insomnia).
  • 1 Answer
    A
    ANatan Bar-Chama, MD, Urology, answered on behalf of The Mount Sinai Health System
    Such conditions include:
    • diabetes (insulin resistance);
    • chronic renal failure;
    • obesity;
    • coronary atherosclerosis (link with abdominal visceral fat);
    • chronic liver disease;
    • HIV/AIDS;
    • Alzheimer's disease.
  • 1 Answer
    A
    ARealAge answered

    Sure, testosterone gives guys the drive to compete for women and defend their territory, but it also helps them maintain a general sense of well-being, says Robert Brannigan, a urologist at Northwestern Memorial Hospital and associate professor of urology at Northwestern University Feinberg School of Medicine. Without it, your mood and motivation sink, and depression can set in. Even though women are more likely than men to be depressed, at age 65, those differences disappear. Some researchers believe that lower testosterone is the reason. Men with low testosterone who don't benefit from antidepressants might find relief with hormone therapy.

    Take the RealAge Test!

  • 1 Answer
    A
    ARealAge answered

    Men with low testosterone often report poor concentration, says Steven Kaplan, MD, professor of urology at New York-Presbyterian Hospital/Weill Cornell Medical Center and director of the Iris Cantor Men's Health Center. Some studies have found a connection between cognitive function, memory, and testosterone (even a link between low testosterone and Alzheimer's disease), but that doesn't mean you'll become a crossword whiz or never lose your keys if you've got ample amounts of testosterone. Memory and testosterone both decrease with age. Scientists are still trying to figure out exactly how one influences the other.

    Take the RealAge Test!

  • 1 Answer
    A
    AHarry Fisch, MD, Urology, answered
    Hypogonadism (low testosterone) puts men at higher risk for frailty, osteoporosis, heart disease and, perhaps, Alzheimer's disease.
  • 1 Answer
    A
    AMichael Roizen, MD, Internal Medicine, answered
    Recently, lower doses of testosterone have been given to men who have low levels of testosterone. Two randomized controlled trials studied the effects of these lower doses. (And it's tough to do a "blind" controlled trial on testosterone, because its side effects-for example, acne and increase beard and hair growth-make it obvious who's taking testosterone.) Arterial aging events--stroke and heart disease--did decrease, and substantially. Disability and overall mortality also decreased, and quality of life increased.

    However, these were small investigations that studied only men who showed clinical signs of testosterone deficiency (for example, they did not need to shave) and a low level of free testosterone (the amount not attached to protein in the blood and therefore able to travel into the tissues). In addition, one controlled trial indicated a benefit in quality of life and mortality rates for combining low doses of human growth hormone (HGH) with low doses of testosterone in men deficient in testosterone. These studies do not yet convey a RealAge effect for those with normal testosterone levels, especially since several of the studies show that even a small dose of testosterone can result in rage and aggressiveness problems in some patients. (I also worry that testosterone will increase the growth of dormant prostate cancers.) Nevertheless, the data look good that testosterone, when given in proper doses, may end up producing a RealAge benefit. We may also be able to use testosterone for both men and women. Even though testosterone is a male hormone and causes some undesirable body characteristics in women, it also seems to have some beneficial effect in increasing female libido and enjoyment of sex.

    By the way, under no conditions should you take anabolic steroids unless they are specifically prescribed by a doctor. These powerful synthetic drugs mimic testosterone and are therefore used to build body tissue and muscle mass. They are extremely dangerous in some people, causing everything from cancer to extreme psychosis. If you take Age Reduction seriously, you should be especially careful to stay away from steroids, because they can add years-many years-to your RealAge.
  • 3 Answers
    A
    AJack Merendino, MD, Endocrinology, Diabetes & Metabolism, answered on behalf of The Best Life
    If a careful evaluation by your doctor suggests that low testosterone is a problem, it can be treated by giving testosterone either topically, in the form of a gel that you rub into the skin or a patch, or by injection once weekly or once every couple of weeks. Men on testosterone treatment have to have regular follow-ups to make sure there are no problems with prostate enlargement or an increase in the red blood cell count.
    View All 3 Answers
  • 3 Answers
    A
    AHarris McIlwain, Pain Medicine, answered

    The symptoms of decreased testosterone are: 

    • anxiety
    • irritability
    • decrease in energy
    • infertility
    • decreased muscle mass
    • erectile dysfunction
    • loss of interest in sex
    • weight gain
    • small testes
    • sleeplessness
    • delayed healing

    Find out more about this book:

    Unofficial Guide to Impotence
    Buy book
    View All 3 Answers
  • 2 Answers
    A
    AMehmet Oz, MD, Cardiology, answered

    Testosterone does drop with age but certain things, such as a lot of belly fat, can cause it to plummet. With it can go your sex drive and even your erectile function.

    Low levels can be corrected by losing belly fat (follow a good diet and get lots of exercise). If your doctor is seriously concerned, there are prescription anti-estrogen pills, gels, and injections that will block the effect of belly fat until it’s lost naturally. Dr. Mehmet Oz (Vice-Chair and Professor of Surgery at Columbia University) has plenty of health challenges that provide diet and exercise tips -- even one that lets men keep the beer.

    View All 2 Answers
  • 2 Answers
    A
    AHarry Fisch, MD, Urology, answered
    Low testosterone (hypogonadism) can be caused by many factors, all of which play out against the normal steady decline in testosterone levels with age. Tumors on the pituitary gland (which controls testosterone production in the testicles), problems with the testicles themselves, injury, infections, and being overweight can all cause testosterone levels to drop below normal. Excess body fat does this because testosterone is normally broken down in the body's fat cells; hence if you have a lot of fat, your body breaks down testosterone extra-quickly, leading to a deficiency. And abdominal or "belly" fat has a greater capacity to convert testosterone to estrogen than other types of fat.

    Another risk factor for hypogonadism that has only recently come to light is diabetes. A strong relationship has been discovered between impaired glucose tolerance, which is a cardinal feature of diabetes, and low testosterone levels. It appears that the high blood sugar levels and/or low insulin levels characteristic of diabetes harm the cells in the testicles that are responsible for making testosterone. A study of 221 middle-aged men confirmed this finding: The men most likely to be diabetic also had the lowest testosterone levels.
    View All 2 Answers