The most important male sex hormone is testosterone. It is responsible for sexuality but also influences many other important body functions. The hormone is less abundant in older men. How do you know if you have a testosterone problem?

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How can you diagnose Testosterone Deficiency?

A doctor must perform a test to determine if you have a testosterone deficiency. Because almost every sign of a hormone deficiency could also be caused by other factors, The natural aging process of men is also responsible for a decrease in testosterone production in their testicles. Experts recommend that testosterone deficiencies are treated only if they cause a decline in quality of life. Or, the deficiency can lead to serious health problems.

The testosterone level fluctuates throughout the day so it is best to have it measured in the morning when it is at its highest. It can be expressed in nanomoles/liter (nmol/l), or nanograms/milliliter (ng/ml). The green zone is a broad range. Values between 10 and 40 nmol/l, or 3.5 to 11.5.ng/ml, are within the normal range. Those who fall below the upper limit may be already experiencing symptoms.

There are many reasons for testosterone deficiency:

• Natural aging
• Stress at work and in your private life
• Unhealthy diet
• Sleep disorders
• Diabetes, cancer, and renal insufficiency are all examples of diseases.
• Use of anabolic steroids
• Heavy drug use includes nicotine and alcohol.
• Certain medications

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These Symptoms could indicate a Testosterone Deficiency

A combination of multiple symptoms can indicate a testosterone deficit. It is best to see a doctor if these symptoms continue for longer than two weeks. It is possible that the cause is not a testosterone deficiency, but a condition that must be treated.

Loss of Libido – no desire for Sex

No matter if you’re in a relationship or a single, if your desire to sex decreases over time or if you experience erection issues, it could be a sign of testosterone deficiency. This can be caused by stress, relationship problems, or other factors.

Insufficient drive and less Energy

Many men with testosterone deficiencies complain of a lack of drive. It’s not surprising, since testosterone is the male sex hormone that makes us strong and full of energy. Professional and amateur athletes use testosterone to dope to increase their performance. Low testosterone levels could cause a drop in performance and a decrease in energy in daily life.

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Weak shoulders, more fat tissue in the Abdomen

This is the optical male ideal: wide shoulders and a narrow waist. You could have a testosterone problem if you see your reflection and notice a narrow waist and narrow shoulders. This can indicate a testosterone deficiency, especially if your appearance has changed from being fit to becoming chubby over time.

Depression

Depressive moods can be caused by a lack of testosterone or the symptoms that it triggers, like a loss of libido and a lack of drive. A person is unhappy with their lives and in a negative mood. Depression can be a serious condition. It is important to seek medical attention if you are unable to see the meaning of life. It can also be caused by a deficiency of testosterone.

A reduced amount of Body Hair

The body hair of men who lack testosterone also changes. It becomes thinner under the armpits, and in the pubic area.

Modified Metabolism

Type 2 diabetes and overweight men are more likely to suffer from testosterone deficiency. Metabolic syndrome occurs when high blood sugar, obesity, elevated cholesterol, and high blood pressure all combine. Studies show that around 20-40 percent of the affected have a testosterone deficit.

Men have a stronger Breast Formation

Gynecomastia is a condition where the mammary glands of men enlarge. This is a common sign of breast growth, particularly in older men. This could be a sign of hormonal changes. A common sign of a testosterone deficit is an estrogen surplus.

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Hypogonadism is when the testosterone levels in a person’s blood drop and they experience clinical symptoms. There are many symptoms and causes of a testosterone deficit. Below is the most important information about this clinical picture.

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Testosterone – The Male Hormone

The most important male sex hormone is testosterone. It is produced 95% in men’s testicles, and 5% by the adrenal cortex in men. The male appearance of each phase of life is influenced by testosterone. It influences the development and appearance of male sex in the unborn child.

Complex regulatory circuits between the hypothalamus, pituitary and testes control testosterone levels. This regulatory circuit balance can be affected by many factors including light, smell, emotions, stress levels, lifestyle and disease.

There are many reasons men may experience a decrease in their masculinity, whether it is physical, psychological, or sexual. A testosterone deficiency is one possibility.

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Testosterone Deficiency: Causes

It can either be congenital, or can develop over time. This can be caused by certain diseases, medications, or drug use. A testosterone deficiency can also be caused by concomitant conditions such as diabetes mellitus, unhealthy lifestyles, or other diseases. Men in their second half of life are most likely to be affected.

A testosterone deficiency could be caused by a problem in the testes, which is the place where this sex hormone is formed in men. Primary hypogonadism is the name for this condition. Secondary hypogonadism is a condition where testosterone deficiency is caused by the fact that testicular function is controlled by certain brain areas. The third type of hypogonadism is caused by age-related testosterone deficiencies. This happens when the release of controlling hormones from higher-level brain centers decreases and the testicular function declines.

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Testosterone Deficiency Symptoms

There are many symptoms that can be caused by testosterone deficiency. They can have a negative impact on your physical, emotional, and sexual well-being. These symptoms can vary depending on the age at which testosterone deficiency occurs, as well as the duration and severity of the deficiency.

Some symptoms could include:

• Delayed puberty
• Testicle of small size
• Male infertility (inability of conceive)
• Reduced body hair
• Gynecomastia is an enlargement of the male mammary duct.
• Reduced muscle mass and lean body weight
• Visceral obesity (increased abdominal fat)
• A decrease in bone mineral density (osteoporosis), with minor trauma-related fractures
• Declined sexual desire and activity
• Erectile dysfunction
• Diminution in nocturnal sexual erections
• Hot flashes
• Feelings of mood swings, fatigue, and aggression
• Sleep disturbances
• Metabolic syndrome
• Insulin resistance and type II diabetes mellitus
• Cognitive Function Declines

Some symptoms, however, are not specific and should not be interpreted as a sign of a testosterone deficiency. They can instead be attributed to other conditions or private stressors. Not all symptoms are the same in everyone. Symptoms usually develop slowly. These symptoms may persist for a longer time period or become more severe over time. Trusted doctors can give you a precise diagnosis.

Treatment for Testosterone Deficiency: Testosterone substitution Therapy

After a clinical and laboratory diagnosis of a testosterone deficiency and two independent tests of testosterone levels in the blood have been made, your doctor will discuss the options with you and help you decide on the best course of action.

You can treat the actual testosterone deficiency by giving the hormone as a medication. Treatment for testosterone deficiency is intended to treat the symptoms and prevent secondary diseases. To do this, testosterone levels in the blood must be increased to the normal range. The testosterone treatment will be adjusted by your doctor according to your individual findings.

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The relationship between testosterone deficiency and erectile dysfunction is receiving more attention. Effective testosterone therapy is often recommended for age-related hypogonadism.

Hypogonadism is a condition in which there is a testosterone deficiency and corresponding symptoms. Many medical societies refer to the lower testosterone normal value of 12.1nmol/l. However, in the case where borderline laboratory findings are present, it is important to interpret the symptoms. These disorders can be caused by the testis, which is the main site of testosterone production. However, they may also originate from other higher-level centers like the pituitary and/or hypothalamus. Other than the usual symptoms like a decreased sexual desire, erectile dysfunction and listlessness, there may be other complications such as osteoporosis, weight gain, and anemia.

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Hypogonadism Primary

A disorder in the testes is what causes primary hypogonadism. A disorder of the testes can cause a deficiency in testosterone and sperm production (spermatogenesis), which can lead to fertility problems. Klinefelter syndrome (numerical-chromosomal disorder), testicular cancers, or previous testicular inflammation can all be causes. The levels of the controlling hormones LH and FSH are often elevated.

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Hypogonadism Secondary

Secondary hypogonadism is defined by a disturbance of the higher-level centers (pituitary/hypothalamus). Smooth communication between the testes, the brain’s higher-level centers and the testes is a prerequisite for functioning hormones and sperm. Hyperprolactinemia, which is an increase in prolactin levels in the blood, is a clinically important condition. It can be caused by pituitary tumors (prolactinomas), or by certain drugs (e.g. opiates). This results in a lack of gonadotropins (low LH, FSH), and therefore insufficient stimulation for testosterone and sperm formation.

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Hypogonadism Functional

Functional hypogonadism can be described as a combination between primary and secondary hypogonadism. This is classicy reflected in normal levels of gonadotropin (LH, FSH). This form of testosterone deficiency is caused by diseases that affect the complex regulatory mechanisms (so-called feedback) at different levels of control (testis/pituitary/hypothalamus).

Hypogonadism in the Elderly

Old-age hypogonadism, also known as late-onset hypogonadism, is a significant clinical picture. It usually occurs after 45 years of age and is most likely to fall under the category functional hypogonadism. The simultaneous problems in the brain, testicles and brain are partially to be considered as a result of the aging process. The previously mentioned metabolic syndrome often plays a crucial role.

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Maybe you have also associated “hormone deficiency”, with women. More men are suffering from testosterone deficiency, which is the most important masculinity hormone. There are many symptoms and causes for testosterone deficiency.

One of the most vital hormones in the male anatomy is testosterone. This is especially true if testosterone is low: symptoms that affect the quality of your life are caused by a lack of testosterone.

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What are the Signs of a Testosterone deficit?

These are some of the most common Symptoms:

• Generalized loss of vitality, fatigue and/or tiredness.
• There is little or no desire to sex.
• Potency problems (erectile dysfunction)
• Performance problems, decreased strength
• Increase in fat tissue, decrease in muscle mass
• Memory and concentration problems
• Depression, mood depressing
• Sleep disturbances
• Increased sweating, hot flashes
• A reduced amount of body hair

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Many Men don’t take the first Sign seriously

People who lack testosterone usually don’t feel ill until they get better. The symptoms can be diffused and often dismissed at first as normal. Are you constantly tired? It’s the weather. No more desire for sex? The stress of work can sometimes cause a decrease in libido. Insomnia?

They happen to almost everyone from time-to-time. The symptoms of testosterone deficiency are not always present at once. This disease is often subtle and slowly develops over time. A low testosterone level is preferred for certain phases of life, some habits, and some diseases.

However, in certain situations, it’s important to consider a testosterone deficiency when you first notice any of the above-mentioned symptoms. A deficiency in the male hormone can be dangerous during certain stages of life.

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Testosterone Deficiency: Causes

Unhealthy lifestyle, Overweight

Men are becoming more susceptible to testosterone deficiency at an earlier age. This is often associated with unhealthy lifestyles and obesity in many patients. For example, excessive alcohol intake, unbalanced diet, and abuse of drugs or steroids can all hinder testosterone production. A lack of testosterone can be caused by hormonal changes in the body, especially if you are overweight and belly-full. In addition to lowering testosterone levels, too little exercise can also cause it.

Diseases

Other diseases that are associated with a testosterone deficit include obesity and hypertension. Type 2 diabetes, metabolic syndrome, high blood pressure and elevated blood fat (“cholesterol”) are all examples.

Stress and Psychological Problems

Permanent stress can result from family problems, work or mental illness. Depression, burnout syndrome, and other stressors can all have a negative impact on testosterone production.

Subunderlying diseases/Family history/Medication

A number of men may have testosterone deficiency due to other conditions. A doctor should be consulted to clarify this. There may also be genetic causes for testosterone deficiency. Klinefelter syndrome, which is caused by a misdistribution or abnormality in genetic material, is also associated with a testosterone deficit. Also, hormone imbalances can cause testosterone levels to drop. Opioids, which are commonly used to treat chronic pain, are one example.

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