Project Description

Testosterone Therapy

What is Testosterone

Testosterone is a male sex hormone made in the testicles. Testosterone hormone levels are important to normal male sexual development and functions. This hormone helps boys develop male features like body and facial hair, deeper voice and muscle strength. Also, men need testosterone to make sperm.

What is Low Testosterone?

Some men have low testosterone levels. This is called Testosterone Deficiency Syndrome (TD) or Low Testosterone (Low-T).

What are the Symptoms of TD?

Some signs and symptoms of TD are: • Lower sex drive • Loss of body hair • Reduced erectile function • Loss of lean muscle mass • Feeling very tired all the time (fatigue) • Obesity (being overweight) • Symptoms of depression • Erectile dysfunction

Causes of TD

Some causes of TD are: • Aging • Chemotherapy • Infection • Medical conditions you may be born with • Diabetes • Drug use (such as corticosteroids, narcotics, opiates, psychotropics, and others) • HIV/AIDS • Obesity (overweight) • Pituitary gland disease leading to low hormone production • Radiation • Testicles being harmed or injured • Testicles being removed (because of cancer or other reasons)

How Does My Doctor Diagnose Testosterone Deficiency (TD)?

If you are worried, you should see your doctor to talk about your symptoms. Your doctor may:

  • Perform a physical exam and complete a medical history to includeany related diseases and medications you take
  • Order blood tests to check your testosterone level
  • Order other tests such as hormone tests

What is the Treatment for TD?

If you have TD, your doctor may offer you testosterone therapy (TT). There are usually five different ways to take testosterone.

  • Transdermal (through the skin)
  • Injection
  • Oral/buccal (by mouth)
  • Intranasal (through the nose)
  • Pellets under the skin

What Should I Expect After Treatment?

You will need routine health exams to see that your testosterone level has changed and stays normal. If you are stable on TT, total testosterone and certain other lab tests should be checked every 6-12 months.

PROS: You may notice beneficial effects on mood, energy levels and patients’ sense of well-being, sexual function, lean body mass and muscle strength, erythropoiesis and bone mineral density (BMD), cognition and some benefits on cardiovascular risk factors.