Testosterone Deficiency Background
Testosterone
deficiency affects up to 8 million men in the United States – just what is
testosterone deficiency you ask. Also known as hypogonadism, this condition can
occur at birth or as a result of a disease or an injury to the hypothalamus,
pituitary gland or to the testicles. Depending on the age of a male, low
testosterone production can lead to underdeveloped muscle and bone, that
affects a man's sexual drive and his genitalia actions. Testosterone is
androgenic hormone, whose primary function is to provide a normal growth and
development of a man's sex and reproductive organs, which includes the
testicles, penis, prostate, scrotum, and seminal vesicles. The testosterone
hormone also helps in the development of some characteristics of male growth, such
as:
•
musculature
• bone mass
• fat
distribution
• hair
patterns
• laryngeal
enlargement and
• vocal
chord thickening
Testosterone Interaction Chain
The male
testes produces testosterone hormone levels that are programmed by signals that
begin in the brain cells. This interaction is called the chain of
hypothalamic/pituitary/gonadal axis. Testosterone is produced from the testes
and it circulates through the blood cell system and it also has an effect in
producing protein. Testosterone hormone cells are an anabolic production, which
builds up in men and it is very central to the human body. Testosterone
deficiency is classified by the location of its hypothalamic-pituitary-gonadal
axis cause:
• Primary,
disruption in the testicles
• Secondary,
disruption in the pituitary
• Tertiary,
disruption in the hypothalamus
Symptoms
The
complications from not producing enough testosterone, depends on the stage of
life that men are in. Puberty age, with lack of testosterone, has a lasting
impact on their physical growth, lack of body hair, including penis and
testicle dysfunctions. After puberty, complications can include low libido
drive, infertility, weakness due to reduce muscle mass, osteoporosis, enlarged
male breasts, less hair growth on the entire body, and mood changes. Men over
50 have further reduction of the much needed testosterone hormone. Other
symptoms of testosterone deficiency can include depression, lack of energy,
fatigue, muscle aches, hot flushes, inability to concentrate on tasks, lack of
morning erections, failed erections, high blood pressure, HIV, certain
medications, and a decreased volume of ejaculation.
Treatments
Many
testosterone deficiency problems are temporary and can be improved with
testosterone replacement therapy. Topical gels or patches can be used once a
day, as well as injections, that can be used one or twice a month. Another
alternative for testosterone deficiency are pellets, which are implanted under
the skin, into the soft tissue and delivers testosterone hormones to the body.
The pellets are effective for up to three to four months. Pills are not
prescribed as part of the testosterone therapy treatment because many medical
experts believe that oral use can have negative effects on the liver.
Diagnosing Testosterone Deficiency
The specific
medical range in the body consists of a normal range for testosterone, which is
between 10-30nmol/L. If a man, is 10nmol/L and lower, they are going to be
outside the normal range; that will be a low number, unfortunately, the lower
it gets, the worse the symptoms are. Testosterone therapy may be associated
with increased risk of serious adverse effects in men with some disorders.
Therefore, testosterone deficiency is more accurately diagnosed through a blood
test. Doctors will also check a prostate-specific antigen (“PSA”), which is a
screening test for prostate cancer. They also use a hematrocrit, which is a red
blood cell measurement method. A PSA is checked to make sure that the patient
doesn't have prostate cancer and a hematocrit is checked because men receiving
testosterone hormone treatments can experience an increase in their bed blood
cells.
Conclusion
There are
many myths, misconceptions, fears, and a common lack of knowledge about
testosterone deficiency. This is not good for men because this conditions is
easily treated. Research shows that testosterone deficiency affects 20% of men
over the age of 50, as well as a lower percentage of younger males. For an
adult male, the normal range for testosterone is between 300 and 1,000
nanograms per deciliter (ng/dl). Male testosterone levels will vary depending
on the time of day you have your blood drawn. Testosterone levels are highest
in the morning with other factors involving illness or if you've not been
eating properly. Testosterone treatment is effective and can reverse many of
the symptoms of low testosterone. Men should see their physicians for treatment
and not take over the counter or alternative testosterone treatments to
increase their strength, prevent aging, or improve their sexual performance.


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