06 Nov Younger Than 50? Yes, You Can Get Low Testosterone
Find out why low testosterone symptoms such as fatigue and low libido may occur in younger men.
There is a good reason guys go girl-crazy in their teens and twenties: Their testosterone levels are at their peak. From there, though, testosterone levels slowly decrease.
“After age 30, many men begin to experience a gradual decline in testosterone,” says David Samadi, MD, chairman of the urology department at Lenox Hill Hospital in New York City.
Although testosterone levels never reach zero (as estrogen levels do in women through menopause), low testosterone levels guys to experience symptoms like tiredness, low libido, and reduction of muscle mass.
While low testosterone is more prevalent in older men, it can occur in younger men too. Luckily, all the causes of low testosterone in youthful guys are treatable, so if you experience such symptoms at any given age, there is no reason to ignore it.
Causes of Low Testosterone in Younger Men
For younger guys, a drop in testosterone levels can be brought on by some ailments, such as type 2 diabetes, chronic kidney or liver disease, COPD or other lung disorders, or pituitary gland issues, based on Dr. Samadi.
Genetic causes of reduced testosterone in men contain the ailments Klinefelter syndrome, Kallmann syndrome, Prader-Willi syndrome, and Myotonic dystrophy. Another disease that can result in low testosterone is hemochromatosis, which makes the body store too much iron.
“Low testosterone may also result when something happens, like trauma or steroid use, that prevents the testes from making the hormone,” says Bruce Gilbert, MD, Ph.D., an adjunct clinical professor of urology and reproductive medicine at Weill Cornell Medical College and director of reproductive and reproductive medicine in the Smith Institute for Urology of the North Shore-LIJ Health System.
Other causes of reduced testosterone in males younger than 50 include pituitary gland tumors, HIV disease, and radiation treatment or chemotherapy for cancer.
Doctors categorize the causes of low testosterone as secondary or primary.
“Main hypogonadism stems from an issue from the testicles,” Samadi says. “This could be out of a developmental issue, injury to the testicles, or chemotherapy or radiation treatment. In secondary hypogonadism, the testicles are ordinary but function improperly due to an issue with the hypothalamus or pituitary gland.”
Is It Low Testosterone?
Irrespective of the cause, low testosterone symptoms are precisely the same.
“Symptoms include low libido, erectile dysfunction, tiredness, decreased mental acuity, and moodiness,” Dr. Gilbert says.
“Younger men with low testosterone generally come to me and say,’ I can not work out like I used to, and I have lost interest in sex.’ ”
If you guess low testosterone, the initial step is to see that your primary care physician. Your physician can diagnose low testosterone using a blood evaluation.
If your blood test reveals low testosterone (generally defined as a degree lower than 300 ng/dL), the physician can treat you or refer you to a professional, like a urologist or endocrinologist.
Treatments for Low Testosterone in Younger Men
Not everybody with low testosterone needs therapy. “When it comes to treating low testosterone in older men, we generally reserve treatment for those who have symptoms, such as tiredness and low libido,” Gilbert says.
In men who do not create the hormone in their testes due to a condition such as Klinefelter syndrome, or those who have lost their testes because of cancer, the only choice is testosterone replacement treatment. Such testosterone supplements are present in the form of a gel, stains, stains, long-acting pellets, or oral inserts.
In these circumstances,”treatments are often used just in the brief term, and when a physician has close observation and understanding of the patient,” Gilbert says.
A significant consideration for younger guys before getting therapy is fertility. “You do not wish to give supplemental testosterone to men who want to be fertile because it can turn off sperm production,” Gilbert says.
After a young guy goes off testosterone supplementation, there is a chance his sperm count will never return to what it had been before he began. “Hence, men of reproductive age should consider alternatives which may improve their testosterone as well as preserve their sperm production,” he says. 1 such choice is a class of drugs known as selective estrogen receptor modulators (SERMs).
Other treatments for low testosterone include weight loss and other lifestyle changes, such as eating healthy and raising exercise.
The main point, however, is that if you have low testosterone symptoms, it’s very important to see your doctor. Then, your doctor can rule out more significant causes of your symptoms, such as high blood pressure or a thyroid problem, and give therapy that can improve your energy and high quality of life.