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There appears to be an epidemic of very low testosterone. I have been seeing more and more male patients with reduced testosterone levels, a condition called male hypogonadism. When testosterone levels are low, males are able to have indicators such as erectile dysfunction, fatigue, decreased libido, depression as well as hot flashes. Many men, however, have very no symptoms or subtle symptoms at all. A lot of males with lower testosterone feel tired and depressed but do not have erectile dysfunction, for this reason they're never checked for very low testosterone.

Even if you have standard erectile function, you can still have hypogonadism. In truth, I've seen that many of the patients of mine don't complain of erectile dysfunction, but have deep fatigue or perhaps depression which is attributable to lower testosterone. If they take testosterone replacement, the signs often get better.

There's a lot of reasons for hypogonadism, and locating the cause is as important as getting treated. The hypothalamus (part of the mind) and the pituitary gland management testosterone production from by the testicles, so problems with pituitary gland or the brain is often the primary source [simply click Newsdirect] of problems.

In order to get a precise diagnosis, doctors commonly perform 2 rounds of testing. The initial test will be measuring the testosterone level of yours, that ought to be performed in the early morning. Testosterone levels of course fall in the evening, hence a level which is reported as "low" may in reality be normal in case it was taken in the afternoon. Pituitary hormones, LH and FSH are measured in the second round of testing to decide if the trigger is central (meaning main nervous system, pituitary gland) or hypothalamus and major (meaning testicular failure). A second morning testosterone level must in addition be taken away to confirm the diagnosis. Some other tests are also done such as the hormone prolactin as well as ferritin, a test for excess iron. Iron overload, an ailment known as hemochromatosis happens in one in 500 men and is a standard explanation for lower testosterone.

Excess fat and obesity is a root cause of low testosterone and is one of the major reasons why there is a growing epidemic. Unwanted weight produces hormones as leptin as well as inflammation chemicals, referred to as cytokines, which try to lower testosterone levels. Having diabetes is as well a risk for having decreased testosterone, but careful studies have shown that the link is through fat, not via elevated blood glucose. Inflammation chemical substances enjoy a suppressive consequence on the hypothalamus and pituitary gland, muting the hormones they produce, subsequently lowering testosterone levels. Numerous males with declining testosterone that are overweight complain of swelling of the breasts, called gynecomastia. The issue is that testosterone treatment is able to in addition cause breast swelling, so it will often be a no win scenario. Nevertheless, not everyone with hypogonadism from extra weight needs to take testosterone. In fact, being healthier and reducing your weight can assist naturally increase testosterone without the need for hormone replacement therapy.

There are lots of other triggers of declining testosterone, including testicular disaster or some other testicular issues as well as contact with toxic substances. Alcohol is a well-known toxin on the testicle. BPA, a substance present in plastic can result in low testosterone since it is an endocrine disruptor that imitates the female hormone estrogen.

In case you have symptoms of hypogonadism, see your health care provider right away to get tested.