General Information

Causes of Low Testosterone

Several factors can contribute to low testosterone levels, including:

• Obesity
• Diabetes
• Smoking
• Chronic illnesses like heart disease or sleep apnea
• Treatments for other health conditions
• Certain medications such as steroids (e.g., prednisone) or seizure medications

Signs and Symptoms of Low Testosterone

Low testosterone levels can lead to a variety of symptoms, including:

• Low sex drive
• Fatigue
• Weight gain
• Low energy
• Difficulty achieving an erection
• Low semen volume
• Loss of muscle mass
• Mood swings

Diagnosis

To diagnose low testosterone, your urologist will review your medical history, conduct a physical examination, and order blood tests to measure your testosterone levels. These tests are typically done in the morning when testosterone levels are highest. Your doctor may also assess other factors such as symptoms, overall health, and lifestyle habits. The diagnosis of low testosterone requires two lab tests done on separate days that confirm a testosterone level below 300.

Treatment

Low testosterone is a common issue that can be effectively treated.

Testosterone replacement therapy (TRT) is available in several forms, including:

• Topical Gels: Applied directly to the skin.
• Injections: Administered at regular intervals.
• Pellets: Inserted under the skin and release testosterone over time.
• Oral Medications: Taken by mouth.

Benefits of Testosterone Replacement Therapy (TRT):

• Increase in libido
• Decrease in mood swings
• Increase in lean muscle mass
• Improved sleep patterns
• Enhanced bone density
• Boosted self-confidence
• Improved erectile function

Talk to your urologist about starting TRT and which option might be best for you.