Low Testosterone: How to Talk to Your Doctor

It’s the hormone that enables turn boys into men. at some stage in puberty, it brings about facial hair, a deeper voice, and larger muscle mass. In grown men, it enables to control intercourse drive and make sperm.

while your testosterone ranges dip under what they have to be, you can have troubles along with your sex drive and capacity to have children. Many guys have this circumstance, that's called hypogonadism. nevertheless, you'll be too embarrassed to voice your concerns. WebMD gives those hints to help you speak to your physician about it.

What reasons It?

Testosterone degrees drop in all men as they age. approximately four out of 10 guys over age 45 have low testosterone.

“these days, there’s plenty more interest paid to testosterone troubles in guys,” says S. Adam Ramin, MD, the medical director of Urology most cancers specialists in los angeles. “some of my patients are proactive and are available in to my workplace to find out about their stages. however others may not want to speak about it all.”

The signs of low testosterone can consist of:

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Low intercourse drive
Fertility troubles
changes inside the testicles
problem concentrating
Weight gain across the center
Hair loss
Enlarged breasts
Many men confuse low testosterone with erectile dysfunction. however “low testosterone doesn’t always have whatever to do with the capability to get an erection,” Ramin says. “It’s extra about low preference and libido.”

how it’s tested

if your medical doctor suspects your testosterone levels are low, he’ll come up with a blood check, probably first aspect inside the morning. Your tiers go up and down at some stage in the day. Mornings are once they tend to be highest.

still, you may need to have your blood taken more than as soon as and at one-of-a-kind instances of the day. once your consequences come lower back, your doctor may ship you for other assessments to accumulate extra facts.

A regular variety of testosterone is anywhere among three hundred to at least one,000 ng/dL. but there’s no exact number it desires to fall under to be considered low, says Philip Werthman, MD, director of the center for Male Reproductive medicinal drug & Vasectomy Reversal in l.  a.. “every lab has a distinct range of what’s ‘regular.’”

guys begin having signs at extraordinary times, too. a few may additionally word modifications around 250 ng/dL, as an example. different guys, Werthman says, “don’t get signs and symptoms till their level is at one hundred fifty or maybe 100.”


some men don’t require any, Werthman says. “There are natural methods to raise testosterone, inclusive of exercising and weight reduction.”

different times, your physician may additionally recommend you start hormone replacement therapy. He’ll provide you with testosterone in an injection, patch, gel, or capsules to raise your stages back to a ordinary range.

What to tell Your doctor

ideally, your doctor will deliver up the topic at some stage in an office go to. “That doesn’t suggest coming proper out and asking, ‘Do you've got low testosterone?’ but ‘How’s your sexual characteristic?’” Ramin says. “It’s generally the first query I ask.”

nonetheless, you might want to broach the topic to your very own. you could make an appointment with your primary care health practitioner or seek the help of a urologist, who makes a speciality of male intercourse organs. If fertility is an problem, you can speak to a reproductive endocrinologist. They treat hormone imbalances in both males and females.

since you can sense self-conscious, there’s no want to inform the scheduler at your medical doctor’s office that you assume you have got low testosterone. Nor do you have to inform the nurse when she comes into the examination room to take your important signs and symptoms. “It’s adequate to listing some of your symptoms, then await the health practitioner before you move into more element, Werthman says. “you may inform him, ’I’ve been having those signs and symptoms these days.' Then once you list them, endorse, ‘perhaps it’s testosterone.’”

It’s ordinary to sense embarrassed, specifically if low sex pressure is one among your lawsuits. however it is able to assist to think about this like some other fitness trouble that needs attention, Werthman says.

“As clinical providers, we’re now not here to choose, but to help,” Ramin adds. “As we age, our our bodies generally tend to change. It’s a herbal system.”

you might have visible tv or magazine commercials that make testosterone remedy appear to be a treatment for all problems that include aging. It’s a fashion that’s pushed an increasing number of men to fear approximately their testosterone levels and ask their medical doctor to be tested, Werthman says. however “in case you don’t have any signs and symptoms of low testosterone, there’s no need for a take a look at.”