Low testosterone, also called hypogonadism, is a condition where a man has a low level of the male sex hormone testosterone. This can lead to a variety of physical and emotional symptoms, such as reduced muscle mass and strength, decreased libido and fertility, fatigue, depression, and difficulty concentrating.
Low testosterone is a common problem among men, especially as they age. The causes of low testosterone are diverse and can range from medical conditions, such as diabetes and thyroid problems, prior use of anabolic steroids, and lifestyle factors like excessive stress and alcohol consumption. Fortunately, there are a number of treatments available for low testosterone. These can include lifestyle changes, such as reducing stress and increasing physical activity, supplements, medications, and hormone replacement therapy. Depending on the underlying cause, the treatments can be very effective in restoring testosterone levels and alleviating symptoms.
It’s important to see a doctor if you have any of the symptoms of low testosterone. At P.O.W. Dr. Prisk and Dr. Sherman have extensive experience in the management of low testosterone with and without medications. Our doctors can diagnose the underlying cause and recommend the best treatment option for you. With the right treatment, many men can find relief from their symptoms and return to a normal, healthy life.
How is low testosterone diagnosed?
Low testosterone can be diagnosed with a thorough history and simple blood tests. Your doctor will measure the amount of testosterone in your blood and compare it to normal levels for your age. Depending on your history, this may need to be repeated at different times to confirm. If your testosterone levels are low or relatively low, your doctor may order additional tests to check for any underlying medical conditions. Sometimes, pituitary exams (MRI of the brain), thyroid ultrasounds, or testicular and prostate imaging may be needed. (At P.O.W. we recommend that all men consider seeing a Urologist for a thorough exam of the reproductive organs and urinary tract).
How is low testosterone treated?
The treatment for low testosterone depends on the underlying cause. If lifestyle factors are the cause, your doctor may recommend lifestyle changes, such as reducing stress, increasing physical activity, and reducing alcohol intake. If medications are causing the problem, your doctor may adjust your medications or switch you to a different medication.
In some cases, a doctor may recommend hormone replacement therapy. Hormone replacement therapy is a treatment that uses testosterone-replacement drugs to raise the levels of testosterone in the body. This can help alleviate the symptoms of low testosterone and restore normal testosterone levels. This can include medications to boost your natural production like clomiphene citrate or human chorionic gonadotropin, and other anti-estrogenic drugs. All drug treatments have risks, please ask your doctor questions about those risks.
It’s also important to talk to your doctor to find the best treatment option for you. Low testosterone can be a difficult condition to live with, but with the right treatment, many men can find relief from their symptoms and return to a normal, healthy life. Talk to your doctor to find out the best treatment option for you.
Dr. Prisk is well-read and well-written in the field of hormone replacement. He has been providing men’s hormone management advice for over 10 years in his clinical practice. He has been a member of the American Academy of Anti-Aging Medicine and a consultant to fitness athletes for many years. Dr. Prisk oversees the work of Dr. Bernadette Sherman on all consults. Please call 412-525-7692 to arrange an appointment at P.O.W.
