Male hypogonadism, sometimes known as low testosterone (low T), is a prevalent issue affecting men. It occurs when there is insufficient testosterone produced by the body.

The main male sex hormone that aids in sperm production is testosterone.

During puberty, it is also in charge of the development of masculine traits including facial hair, muscular strength, and a deeper voice.

Low T can be stressful since it can interfere with your sexual, mental, and physical well-being.

Depression, insomnia, low sex desire, erectile dysfunction, and other conditions can all be brought on by low T.

Everything you need to know about male hypogonadism, also known as low T, including its symptoms, causes, and treatments, will be covered in this article.

What is Male Hypogonadism or Low Testosterone?

The main hormone in men that is responsible for the development of male sex traits is testosterone.

It is essential for the development of primary sexual organs such as the testes and penis, testicular descent, sperm production, and desire stimulation.

Low T can be upsetting since it can interfere with your ability to sleep, feel happy, have sex, grow big testicles, and more.

Low T is defined as fewer than 300 nanograms of the hormone per deciliter (ng/dL) by the American Urological Association.

Although the male body needs testosterone to function properly, testosterone levels begin to drop annually after the age of thirty.

Because of this, the prevalence is higher in older guys, ranging from 19 to 39%.

Get an accurate diagnosis from a healthcare professional if you think you may have low T.

Blood tests for prolactin, luteinizing hormone (LH), and total testosterone are frequently used to identify low T.

Reasons for Low Testosterone

Male hypogonadism comes in two flavors: primary and secondary. The cause of primary hypogonadism is the testicles’ underactivity.

Damage to the brain’s pituitary gland or hypothalamus can result in secondary hypogonadism.

For each type of primary and secondary hypogonadism, there are distinct causes of low T or male hypogonadism.

In primary male hypogonadism, there is insufficient testosterone production in the testicles. Among its possible causes are:

An excess of iron accumulates in the body in those with hemochromatosis.

Testicles not present at birth (anorchia) or testicles that have not descended

Because Klinefelter’s syndrome prevents testicular growth, it can reduce testicle size.

Radiation or chemotherapy for your testicles

Testicles can sustain damage from an injury or infection caused by the mumps.

The following acquired conditions or inherited illnesses can result in secondary male hypogonadism:

Low T can result from pituitary problems that impair the gland’s function, and testicular growth can be impacted by Kallmann syndrome.

TB, histiocytosis, and sarcoidosis are examples of inflammatory disorders that have a detrimental effect on the pituitary and hypothalamus.

People with AIDS or HIV typically have low T.

Prescription drugs you use

Hormonal equilibrium can also be impacted by extreme stress.

Signs of Insufficient Testosterone

Male hypogonadism, or low T, can cause the following symptoms:

reduction in sex desire

ED, or erectile dysfunction

reduced ejaculate volume, hair loss on the body and face, and decreased bone density

reduced lean body mass elevated body fat elevated tiredness Uncertainty

Sweating excessively

Depression Anemia

It is important to keep in mind that low T does not always need experiencing any or all of these symptoms.

It’s crucial to see a healthcare professional before beginning any treatment in order to get a correct diagnosis.

Therapy for Deficient Testosterone

When a person’s testosterone levels are less than 300 nanograms per deciliter, a medical practitioner will diagnose them with low testosterone.

A blood test for prolactin, luteinizing hormone (LH), or total testosterone levels is used to determine your levels of testosterone.

Low testosterone can be effectively treated with testosterone replacement therapy (TRT).

TRT comes in a number of forms, such as injections, oral pills, patches, skin gels, and nasal gels.

Physicians frequently suggest oral medications or skin gels like Cernos.

To see a discernible improvement in low T, it takes approximately 4 to 6 weeks.

However, utilizing TRT may have specific adverse effects, including as


Increased chance of cardiac problems

breathing problems during sleep Tenderness or edema in the breasts, or

an increase in ankle swelling

smaller testicles

Because TRT has more advantages than disadvantages for the majority of men, your doctor might recommend it.

In summary

Low testosterone, also known as male hypogonadism, is a prevalent health problem among men. Because testosterone levels normally decline with age, it becomes increasingly common.

Smaller testicles, stress, poor libido, sleep problems, and other problems can all be extremely detrimental effects of low testosterone.

A number of medical disorders that impair testicular growth or induce underactivity in the testicles can produce low T. Low T might also be caused by accidental damage to the testicles.

Damage to the hypothalamus or pituitary gland can also result in low T. The aforementioned brain regions regulate the synthesis of testosterone.

You can diagnose low T by looking for common symptoms such as decreased libido, ED, exhaustion, loss of body and facial hair, etc.

Getting a correct diagnosis for low T is crucial before beginning treatment. Testosterone Replacement Therapy is typically used as a kind of treatment (TRT).

To raise testosterone, TRT may entail taking oral medications or applying skin gels like Cernos.

Prior to starting TRT, discuss potential advantages and disadvantages with your healthcare professional.

Frequently Asked Questions

Does a low testosterone level impact ovulation?

Yes, decreased sperm production caused by levels can affect fertility. Seeing a physician can assist with low T as well as fertility issues.

Is low testosterone exclusively a problem for older males?

No, low testosterone affects males of all ages, even though levels naturally decline with age. This could be brought on by a number of illnesses or other factors.

Do lifestyle modifications by themselves suffice to treat low testosterone?

Certain lifestyle modifications, such as regular exercise and eating a balanced diet, can help increase testosterone levels. However, in the event of a very low T, medical intervention may be required.

Does the use of testosterone replacement therapy have any risks?

Risks associated with replacement therapy are possible. These dangers could include acne, smaller testicles, a higher chance of heart disease, etc.

It’s crucial to go over the advantages and disadvantages with a medical professional.

What is the recommended frequency of testing for testosterone?

Check-ups on a regular basis are crucial, particularly if you’re exhibiting symptoms of low T. The right frequency can be determined by your doctor based on your health.