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15

Apr

2019

What is Testosterone Deficiency?

Khris Ramdeen

     Testosterone can be low for a few different reasons but for the purposes of this talk we'll talk about primary hypogonadism in men, which is a scenario in which is the problem with the testes resulting in a low serum or blood total testosterone level in association with or without a low sperm count. Symptoms of testosterone deficiency can include low energy, low libido, a depressed mood, decreased muscle mass and even gynecomastia, which is breast enlargement. 

     A diagnosis of low T is made not only in the presence of signs and symptoms of low testosterone but through lab testing and finding that your serum or blood total testosterone level is low. On two separate occasions between the hours of 8:00 and 10:00 a.m. the normal range of testosterone is about 300 to 800 nanograms per deciliter for total testosterone, but that range can vary depending upon the lab that's testing your specimen. According to a study that was published by vermeulen at all in 1996 this chart shows you the average total testosterone by age group. So what if your testosterone is low? How do you replace it? 

     There's a few different ways. There's various AM or intramuscular injections that you can do you can do transdermal or topical replacement by pumps patches solutions or gels. You can also do pellet insertion which is just under the skin or you can do oral or the buccal route which is by mouth or under the cheek. Respectively if you're gonna be on testosterone replacement therapy I want you to know the risks involved in doing this. One is sleep apnea. Second you can have a stimulation of erythropoiesis, which will elevate the amount of red blood cells in your bloodstream thereby thickening it and predisposing you to blood clots. The other one is in the large men of the prostate or BPH known as benign prostatic hyperplasia. 

     This can obstruct the urine outflow so you can have a stop go stop go type of urine stream. There's prostate cancer as a risk factor and there has been some concern about cardiovascular disease as a result of taking sauce room, but the research here is conflicting and therefore not clear we can't say definitively whether cardiovascular disease is a risk factor for testosterone replacement.