Testosterone in recent years, Spyros Mezitis, MD, Ph.D., has found himself reprimand heaps additional male patients regarding low androgen, a designation he says is turning into more and more common.
“More men have gotten older, and men area unit additional open regarding talking regarding impotence,” Mezitis, associate degree medical specialist at Lenox Hill Hospital in NY town, tells WebMD.
On the one hand, the inflated designation of low androgen is driven by associate degree aging population, less stigma, and additional precise tests. however, there is another massive reason why men come back to Mezitis’ workplace for an androgen check.
“Men area unit bombarded by media, by advertising campaigns — ‘Don’t feel well? raise your doctor regarding low androgen,'” he says.
They come in oral communication they feel to a fault worn out, weaker, depressed, which they need to lose their drive — all common symptoms of a visit androgen
“As associate degree medical specialist, I am thinking hormones,” says Mezitis, United Nations agency estimates that a couple of quarter to a 3rd of the lads he tests for low androgen have levels below traditional. “Sometimes it’s androgen, typically it’s the thyroid, and typically it’s one thing unrelated to hormones.”
What Is androgen and Why will It Decline?
Testosterone could be an endocrine. It’s what puts hair on a man’s chest. it is the force behind his drive
During pubescence, androgen helps build a man’s muscles, deepens his voice, and boosts the dimensions of his member and testes. In adulthood, it keeps a man’s muscles and bones robust and maintains his interest in sex. In short, it’s what makes a person a person (at least physically).
After age thirty, most men begin to expertise a gradual decline in androgen. A decrease in drive typically accompanies the visit androgen, leading several men to erroneously believe that their loss of interest in sex is just thanks to obtaining older.
“Some say it’s simply a locality of aging, however that is a thought,” says Jason Hedges, MD, Ph.D., a medical specialist at Beaver State Health and Science University in Portland. A gradual decline in androgen cannot make a case for a near-total lack of interest in sex, for instance. And for Hedges’ patients United Nations agency area unit in their 20s, 30s, and early 40s and having erectile issues, different health issues could also be an even bigger issue than aging.
“A heap of the symptoms area unit reflected by different medical issues,” Hedges says. “And for a protracted time, we have a tendency to weren’t attributing them to low androgen, however to polygenic disease, depression, high vital sign, and arteria malady. however, awareness and appreciation of low androgen have up. we have a tendency to acknowledge currently that low androgen could also be at the foundation of issues.”
Doctors can need to rule out any such doable explanations for symptoms before blaming them on low androgen. they’re going to additionally need to order a selected biopsy to work out a man’s androgen level.
“The biopsy is actually the issue,” Mezitis says.
Low Testosterone: however Low is simply too low?
The bottom of a man’s traditional total androgen vary is regarding three hundred nanograms per metric capacity unit (ng/dL). The higher limit is regarding 800ng/dL betting on the science lab. A lower-than-normal score on a biopsy is caused by a variety of conditions, including:
Injury to the testicles
* Testicular cancer or treatment for carcinoma
* Hormonal disorders
* Chronic liver or nephropathy
* Type two diabetes
Some medicines and genetic conditions may lower a man’s androgen score. Aging will contribute to low scores. In some cases, the cause is unknown.
A low score doesn’t perpetually translate to symptoms, Mezitis says, “but we regularly notice one thing that is off after we see innumerable two hundred or a hundred ng/dL.”
Hedges agrees and warns that even though a person doesn’t have symptoms, he could also be well suggested to hunt treatment. Low androgen scores typically result in drops in bone density, that means that bones become additional fragile and more and more at risk of breaks.
“That’s one thing I’d need to own a language regarding,” Hedges says. “Bone density problems aren’t perpetually apparent.”