-Androgen Deficiency (AD) syndromes caused by low testosterone levels in the bloodstream are common in adult men.
-Signs and symptoms of AD include:
• Drop in sex drive (libido)
• Erectile dysfunction (ED—inability to get or keep an erection)
• Lowered sperm count and infertility (inability to have children)
• Breast enlargement or tenderness
• Reduced energy
• Increased irritability, inability to concentrate, and low mood
• Hot flashes (when testosterone levels are very low)
-When a decrease in testosterone is prolonged and severe, men may have loss of body hair, reduced muscle size and strength, brittle bones (osteoporosis), and smaller testicles.
-Morning measurement (when levels are highest) is recommended.
-Illness, malnutrition, and certain medications can reduce testosterone temporarily, so blood tests may need to wait until after you recover or stop taking such a medication.
-Levels should be measured more than once to make sure they really are low.
-Depending on the reason for treatment, the goals may be different from case to case but may include improving and/or maintaining the signs of masculinity (e.g., deep voice, growth of beard, pubic hair), sex drive (libido), erections, muscle strength, and the amount of bone.
a. injections (usually every 2 weeks)
b. patches (put on skin every day)
c. gels (put on skin every day)
d. buccal tablets (applied to the gums two times a day)
-A blood test for testosterone levels at various times during treatment is also recommended to see if levels are
in the normal range.
-During treatment, you should see your doctor about three to six months after you start treatment to evaluate whether you are improving and if you are having any problems or side effects.
-Signs and symptoms of AD include:
• Drop in sex drive (libido)
• Erectile dysfunction (ED—inability to get or keep an erection)
• Lowered sperm count and infertility (inability to have children)
• Breast enlargement or tenderness
• Reduced energy
• Increased irritability, inability to concentrate, and low mood
• Hot flashes (when testosterone levels are very low)
-When a decrease in testosterone is prolonged and severe, men may have loss of body hair, reduced muscle size and strength, brittle bones (osteoporosis), and smaller testicles.
How is low testosterone diagnosed?
-Generally, blood levels of testosterone of 300–1,000 ng/dL are considered normal, but these levels may be different in different laboratories.-Morning measurement (when levels are highest) is recommended.
-Illness, malnutrition, and certain medications can reduce testosterone temporarily, so blood tests may need to wait until after you recover or stop taking such a medication.
-Levels should be measured more than once to make sure they really are low.
How to treat androgen deficiency?
-Experts recommend that testosterone treatment be given to men with low testosterone levels and symptoms or signs of AD.-Depending on the reason for treatment, the goals may be different from case to case but may include improving and/or maintaining the signs of masculinity (e.g., deep voice, growth of beard, pubic hair), sex drive (libido), erections, muscle strength, and the amount of bone.
How will your doctor help you get to your testosterone therapy goals?
-Your doctor can prescribe testosterone in one of several forms:a. injections (usually every 2 weeks)
b. patches (put on skin every day)
c. gels (put on skin every day)
d. buccal tablets (applied to the gums two times a day)
-A blood test for testosterone levels at various times during treatment is also recommended to see if levels are
in the normal range.
-During treatment, you should see your doctor about three to six months after you start treatment to evaluate whether you are improving and if you are having any problems or side effects.
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