Low Testosterone

There are many and varied causes of low testosterone. Primary hypogonadism is due to issues originating from the testicles themselves whilst secondary hypogonadism can result from pituitary disorders, inflammatory diseases, obesity, certain medications, stress, and aging. By age 70, many men experience a 30-50% decline in testosterone levels compared to their younger years.

Hypogonadism causes both physical and psychological symptoms. Physical symptoms include a reduction in muscle mass and strength, increased body fat (especially around the abdomen), decreased bone density, unexplained fatigue, reduced body hair, and sexual dysfunction including lower sex drive and erectile difficulties (see Erectile Dysfunction).

Psychological effects of low testosterone include depression, irritability, difficulty concentrating, reduced motivation, and low self-esteem.

The impact of low testosterone on a sufferers quality of life can be significant. Beyond the symptoms mentioned above, the condition can lead to strained relationships due to sexual difficulties and mood changes. Diagnosis of low testosterone can be delayed to symptoms overlapping with other conditions. Many men report feeling “less masculine” or experiencing a loss of identity as their bodies and minds change.

The main treatment for Hypogonadism is testosterone replacement therapy (TRT), given as injections, patches, gels, or pellets. Proper treatment can lead to improved energy levels, sexual function, mood, cognitive function, body composition, and overall quality of life.

Alternative approaches include lifestyle modifications – weight management, regular exercise, adequate sleep, stress reduction – and addressing underlying conditions when possible. Some men benefit from clomiphene citrate to stimulate natural testosterone production rather than providing exogenous hormones.