Over the last few decades men’s testosterone levels have been dropping by at least 1% per year.
Testosterone appears to decline naturally with aging but increased abdominal fat decreases it further.
Low testosterone levels can cause:
· Decreased sex drive, performance and fertility
· Increased fat mass with decreased muscle mass , strength and stamina
· Decreased bone density
· Tiredness, depression, irritability
· Hot flushes and sweats
· Reduced cognition and memory
The assessment of a man with low testosterone must include a thorough history: stress, sleep apnoea, alcohol and cigarettes, certain drugs (such as opiates, anti-fungals, and steroids), use of plastic containers, lack of exercise, weight gain, can all cause a decrease in the testosterone levels.
Dr Bitlan treats a lot of men with low testosterone levels with Male Hormone Replacement. These patients undergo a very thorough medical evaluation to assess their suitability for testosterone replacement therapy. In many instances testosterone levels improve as a result of correcting other health issues and making positive lifestyle changes.
Testosterone replacement therapy is reserved for people documented to have a low testosterone levels and symptoms of testosterone deficiency (Princeton III Recommendations).
There are several studies showing a reduction in mortality of all causes after testosterone replacement therapy in men with low testosterone.
Testosterone replacement therapy implies a very rigorous protocol of surveillance to ensure that there will not be any dangerous side effects.