Low Testosterone in Men: Causes, Symptoms and Treatment

Low Testosterone in Men: Causes, Symptoms and Treatment

Low Testosterone in Men :- When discussing masculinity and masculinity, the topic of testosterone levels almost always comes to the fore. 

Actually there is a lot of interest in the problem of low testosterone in men. Some men are curious about the subject while others are a little more concerned about their situations.  

Either way, this detailed post about low testosterone in men, its causes , symptoms , and treatment should not answer all your questions regarding low testosterone levels. Additionally, you can consult any of our Ayurvedic doctors online if you have specific queries.

What is low testosterone in men?

Testosterone is a hormone that the human body produces. Both men and women produce this hormone, but it is found in higher levels in men.

The testicles (in men) mainly produce testosterone along with the pituitary gland.

This hormone is important as it is responsible for a man’s sexual development and appearance. It also controls muscle mass, sexual characteristics, red blood cells, bone density, sperm production and sex drive.

Male hypogonadism (low testosterone) occurs when the testicles do not produce enough testosterone hormone [1].

According to the American Urological Association producing testosterone with 2% of men in their 70s and 80s experiencing low testosterone levels. Low testosterone is diagnosed when testosterone levels drop below 300 ng/dL.

Normal total testosterone levels are:

  • 249-836 ng/dL for men between 19 and 49
  • 740-50 ng/dL for men over 192

Low Testosterone Causes:

Low Testosterone in Men: Causes, Symptoms and Treatment

When thinking about what causes low testosterone, the primary reason is natural aging.

As men get older (after 30), there is a natural decline in testosterone production that continues throughout life. This drop in testosterone is found on average by 1% per year.

However, this natural process does not affect health and well-being as much as we would like to believe. Instead, it is the sudden or sharp drop in testosterone levels that is a cause for concern.

Causes of low testosterone in men:

  • High levels of prolactin (the milk-producing hormone)
  • anabolic steroid abuse
  • HIV / AIDS
  • excessive weight gain (obesity) or weight loss
  • pituitary gland dysfunction
  • Klinefelter syndrome
  • alcohol abuse
  • Chronic Renal Failure
  • prior brain surgery or radiation exposure
  • trauma (head injury)
  • Kallmann syndrome
  • delayed puberty
  • Certain medications (including opioids and steroids such as prednisone)
  • liver cirrhosis
  • Metabolic disorders (such as hemochromatosis)
  • severe primary hypothyroidism
  • Inflammatory conditions (such as sarcoidosis)
  • excessive estrogen levels
  • chemotherapy
  • obstructive sleep apnea
  • Acute (short-term) or chronic (long-term) diseases
  • Congenital defect (present at birth)
  • Testicular injury or infection (orchitis)
  • uncontrolled type 2 diabetes

12 symptoms of low testosterone in men:

Here are 12 signs that you may have low testosterone levels, also known as testosterone deficiency syndrome (TD):

Low Testosterone in Men Symptoms

1. Early Hair Loss (And Everywhere)

Baldness and hair loss (like male pattern baldness) is something we associate with aging. But in fact, a drop in testosterone is one of the factors that cause baldness in men

. That said, people with hypogonadism can lose not only their scalp hair but also their facial and body hair.

2. Losing Muscle Mass

As we get older, there is a decline in muscle mass which is noticeable due to the natural drop in testosterone levels.

 This is expected as testosterone is a major factor in muscle development. However, men with hypogonadism can quickly lose muscle mass. That said, studies have found that a natural drop in testosterone causes muscle loss, but does not necessarily affect muscle strength.

3. Experiencing Extreme Fatigue and Low Energy Levels

Are you feeling tired all the time, as if you have little energy even after a good night’s rest? If so, you may have low testosterone levels which could be the reason for your fatigue. It has been found that men with low testosterone levels have lower energy levels and experience fatigue [5]. That said, low testosterone in men may not be the only cause of low energy levels and extreme fatigue. Hence, it is best to talk to a doctor before jumping to any conclusions.

4. Decreased semen volume

Semen is the milky fluid that helps your sperm survive outside the body and helps carry the sperm to the egg during conception. If you find that your semen volume is lower than normal, it may be a sign that your testosterone levels are low [6]. You can talk to a urologist to get your semen and sperm tested, especially if you are having difficulty producing enough semen during ejaculation.

5. Experiencing low sex drive (libido)

A major factor in how strong or weak your sex drive is, is your testosterone hormone level. As men age, there is a slight decline in testosterone and with it sex drive. But some men may experience a sharp (and noticeable) drop in T-levels that can lead to a complete lack of sex drive and desire [7]. It can also lead to erectile dysfunction. It is these matters that can cause concern.

6. Feeling difficult to get an erection

In addition to increasing your sex drive, testosterone also helps you achieve (and maintain) your erection. Therefore, if you are finding it difficult to get or maintain an erection, your testosterone levels may have dropped [8]. The way testosterone works in erections is by activating receptors in the brain to promote nitric oxide production. An increase in nitric oxide levels helps to relax the penile muscles and fill the chambers with blood, resulting in an erect penis.

7. Having small testicles

The size of your testicles can be an indication of the level of testosterone your body produces. This is because your body uses testosterone to develop your reproductive organs (penis and testicles). So, men with low testosterone levels may have smaller than average testicles [9]. That said, low T-levels are not the only reason for a small set of testicles. The best way to find out if there is something wrong with your set is to consult a urologist.

8. Having weak bones

Studies have shown that men with low levels of testosterone may experience osteoporosis (bone loss), a condition more common in women [10]. This is because testosterone is one of the hormones responsible for the production (and maintenance) of bone.

9. Experience of increasing body fat

Testosterone is one of the hormones that can affect how much fat your body produces and stores. Men with low levels of testosterone may find themselves gaining body fat [11]. Disruption in the balance between testosterone and estrogen can also cause some men to develop gynecomastia (male breasts).

10. Having a low blood count (anemia)

Studies have shown that having low testosterone levels can increase the risk of anemia in men [12]. Researchers found an improvement in blood counts in men who were given testosterone gel to raise their T-levels.

11. Feeling of mood swings or changes

Most of the known effects of testosterone are on the physical body. But testosterone can also affect mental function and health. Low testosterone in men has been found to cause mood changes, lack of attention, irritability or depression [13].

12. memory loss

Firstly, Some doctors believe that low testosterone levels can negatively affect memory. Furthermore, one study found a potential association between taking testosterone supplements with improvements in memory in men with low testosterone levels [14].

Testing for low testosterone in men:

Low Testosterone in Men Symptoms

There are some symptoms or signs of having low testosterone that are more easily recognized than others. When it comes to testing for male hypogonadism, the primary criterion your doctor will evaluate is total blood testosterone levels.

Your doctor may also request additional blood tests that check luteinizing hormone (LH), blood prolactin levels, and/or blood hemoglobin (HGB) levels.

In addition to blood tests, your doctor will take your health history and do a physical exam. The doctor will look for the symptoms and causes of low testosterone mentioned earlier.

How to treat low testosterone in men?

When it comes to low testosterone treatment , there are many options including using ayurveda for low testosterone. However, it is testosterone replacement therapy that is most well-known for combating low T-levels.

1. Testosterone Replacement Therapy:

Low Testosterone in Men Symptoms

Testosterone replacement therapy (TRT) comes in five major forms [15]:

  • Gels: Clear Testosterone Gel can be applied topically and is absorbed directly through your skin.
  • Skin patches: Applying the patch to the skin can help testosterone to be absorbed by the skin.
  • Mouth patch: The tablets are glued to the upper gums of the mouth, allowing testosterone to be released into the bloodstream.
  • Injection: Injection of testosterone into the muscle is the most popular way to receive TRT.
  • Implants: Pellets can be implanted into your soft tissue which allows your body to slowly absorb the testosterone.

TRT is known to rapidly increase T-levels, but it also has several side effects and risks [16].

Side effects of testosterone replacement therapy include:

  • sleep apnea
  • acne
  • redness/itching around the application area
  • low sperm count
  • shrinkage of testicles
  • enlarged prostate
  • Topical testosterone (such as gels, liquids and creams) can be transferred to others, such as women or children, causing harm.
  • swelling, pain, bruising (for testosterone pill implants)
  • Increased risk of erythrocytosis (excessive increase in blood hemoglobin and hematocrit)
  • Enlargement of breast tissue (gynecomastia)
  • increased red blood cell count