There appears to be an epidemic of very low testosterone.
I have been seeing a lot more and more male individuals with decreased testosterone levels, a condition referred to as male hypogonadism. When testosterone levels are low, males are able to have indicators like erectile dysfunction, fatigue, decreased libido, hot flashes as well as depression. Many men, however, have very subtle symptoms or no symptoms at all. Many men with lower testosterone feel exhausted and depressed but don't have erectile dysfunction, thus they're never checked for low testosterone.
Even in case you have standard erectile function, you can really have hypogonadism. In fact, I have noticed that many of my patients don't complain of erectile dysfunction, but have deep fatigue or depression which is attributable to lower testosterone. If they take testosterone replacement, the symptoms have a tendency to get better.
There are plenty of reasons for hypogonadism, and discovering the cause is as essential as getting treated. The hypothalamus (part of the mind) and the pituitary gland
control testosterone production from by the testicles, thus complications with the brain or pituitary gland is usually the principle source (
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To be able to get a precise diagnosis, doctors usually perform 2 rounds of testing. The very first test is going to be measuring your testosterone level, that ought to be accomplished in the early morning. Testosterone levels of course fall in the evening, for this reason a level which is reported as "low" might actually be regular if it had been taken in the evening. Pituitary stress hormones, LH and FSH are assessed in the second round of testing to figure out if the trigger is central (meaning main nervous system, hypothalamus or pituitary gland) and primary (meaning testicular failure). A next morning testosterone level must in addition be brought to confirm the diagnosis. Other tests can also be done like the hormone prolactin and ferritin, an exam for excess iron. Iron overload, a condition known as hemochromatosis occurs in just one in 500 males and is a common explanation for lower testosterone.
Excess fat and obesity is a root cause of low testosterone and is one of the major reasons why there's a growing epidemic. Extra fat produces hormones as leptin as well as inflammation chemicals, referred to as cytokines, which work to lower testosterone levels. Having diabetes is also a risk for having decreased testosterone, but careful studies have indicated the link is by fat, not via elevated glucose levels. Inflammation chemical substances enjoy a suppressive consequence on the hypothalamus as well as pituitary gland, muting the hormones they create, consequently lowering testosterone levels. Many males with declining testosterone that are overweight complain of swelling of the breasts, referred to as gynecomastia. The problem is the fact that testosterone therapy is able to also cause breast swelling, therefore it will often be a no win situation. Nevertheless, not everybody with hypogonadism from excess fat should take testosterone. The truth is, being healthier and losing weight is able to help naturally increase testosterone without the demand for hormone replacement therapy.
You'll find lots of other causes of declining testosterone, including testicular failure or other testicular troubles and exposure to toxic substances. Alcohol is a recognized toxin to the testicle. BPA, a substance found in plastic can cause reduced testosterone as it is an endocrine disruptor that mimics the female hormone estrogen.
In case you've symptoms of hypogonadism, see the doctor of yours right away to get tested.