What Is Testosterone Deficiency?
What is Testosterone Deficiency (Hypogonadism)?
Testosterone deficiency, also known as hypogonadism or low testosterone, is a medical condition characterized by inadequate levels of testosterone in the body.
Testosterone is the primary male sex hormone responsible for the development and maintenance of male characteristics, such as sex drive, muscle mass, and bone density.
Low testosterone causes different symptoms at different ages. Testosterone levels in adults men naturally decline as they age.
Other conditions or circumstances, such as infection, trauma, chemotherapy, genetics, chronic illnesses, diabetes, obesity, obstructive sleep apnea, and HIV have also been linked to low testosterone.
Testosterone Deficiency Syndrome
Testosterone Deficiency Syndrome is a medical condition defined as a combination of symptoms and signs with documented biochemical evidence of low serum testosterone levels.
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Signs and Symptoms Of Low Testosterone
Sexual Signs And Symptoms
- Decreased Sex Drive*
- Erectile Dysfunction*
- Reduced Morning Erections
- Delayed Ejaculation
- Reduced Ejaculate Volume
- Decreased Intensity of Orgasm
- Infertility/Subfertility
- Hot Flashes
* The most predictive symptoms of low testosterone
Physical Signs and Symptoms
- Decreased Muscle Mass
- Decreased Muscle Strength
- Decreased Physical Performance
- Increased Body Fat
- Loss of Body Hair
- Testicular Atrophy
- Unexplained Anemia
- Osteopenia or Osteoporosis
- Gynaecomastia
Behavioral Signs And Symptoms
- Fatigue
- Mood Swings/Irritability
- Depression
- Insomnia
- Poor Concentration
- Poor Memory
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Causes of Testosterone Deficiency in Men
Testosterone Deficiency Syndrome can occur for many different reasons and is categorized into its primary (testicular) and/or secondary (non-testicular) causes.
Primary Hypogonadism
In primary hypogonadism there is a problem at the level of the testes resulting in suboptimal testosterone production. Depending on what stage of life this occurs the effects will be different.
Children born with primary testicular failure will not develop normally and will experience delayed puberty. They will require lifelong hormonal support from a young age and are best managed by a specialist endocrinologist.
Some men may acquire primary hypogonadism in their adult years, such as those who have been through chemotherapy. They may have non-functioning testes and require testosterone replacement therapy.
Secondary Hypogonadism
This type of hypogonadism indicates a problem in the hypothalamus/pituitary gland, causing decreased testosterone and sperm production. There are many causes of secondary hypogonadism including advanced age, obesity, diabetes, liver disease, hemochromatosis, pituitary tumor, anabolic steroids or chronic narcotic use.
Lifestyle interventions such as exercise and dietetics support can make a big difference to serum testosterone levels and reduce the dose of testosterone required in a treatment program.
How to screen for testosterone deficiency?
There are multiple screening tools employed to screen for testosterone deficiency. The T-Test, also known as Androgen Deficiency in Aging Males (ADAM) test, can help you to see if you should have your testosterone level checked.
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The T-Optimizer™ Program at Pollock Clinics
The Pollock T-Optimizer™ program is an evidenced-based, patient centered program designed to deliver testosterone replacement therapy to men in a safe and effective way.
Testosterone replacement therapy with the T-Optimizer™ program can improve many of the sexual, physical and psychological symptoms of low testosterone.
Our scientifically validated micro-dosing strategy means you can get the testosterone you need, minimizing the side effects you worry about.
We take a symptom-focused approach to ensure that each man receives the best possible treatment plan for his unique needs. This approach is based on the latest research and aims to help men improve their drive from the boardroom to the bedroom.
T-Optimizer™ draws on the updated Canadian Urological Association Guideline 2021 and clinical experience from around the world, combining different treatment methods and strategies into what we believe is a gold standard approach.
Additional Scientific Studies on Testosterone Replacement Therapy
Occult prostate cancer in men with low serum testosterone levels
Testosterone supplementation improves spatial and verbal memory in healthy older men
A Harvard expert shares his thoughts on testosterone replacement therapy
Testosterone treatment and cardiovascular and venous thromboembolism risk: What is ‘new’?
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