Samma, 48, is
one of the several men that come to my office and complain of serious health
challenges that no one seems to be able to diagnose. Samma, like the rest says
he is totally uninterested in sex. He also says he experiences lack of libido,
even when sexually aroused. Samma said “I try to satisfy my wife out of
obligation and not out of interest, I always have have a very low energy
level.” He has been to several doctors but no one could tell him what was
wrong. Eventually, he was diagnosed with androgen deficiency, a problems of low
testosterone level in the body, also known as male menopause.
Men experience
a decline in the reproduction of the male hormone testosterone with aging but
this also occurs with some disease states such as diabetes. Along with a
decline in testosterone, some men experience symptoms such as fatigue,
weakness, depression and sexual/erection problems. Unlike menopause in women,
which represents a well defined period in which hormone production stops
completely, testosterone decline in men is a slower process.
A healthy male
may be able to make sperm well into his eighties or longer. While it is also
relatively easy to diagnose menopause in women when their menstrual period stops,
diagnosing make menopause is trickier and requires blood test. Consequently,
the condition goes undetected.
Definitely,
loss of testosterone in a man can lead to V deficiency, which has a bad impact
on his ego and takes a toll on his health. Among other potential causes of
testosterone deficiency are; injury or infection to the testicles, chemotherapy
or radiation treatment, genetic abnormalities such as extra X chromosome, too
much iron in the body, dysfunction of the pituitary gland, medications, stress
and alcoholism. Of the estimated 4 or 5 million men with low testosterone, only
5% currently is being treated. About one in every 1º men between the ages of 40
and 60 has low testosterone. Among men over the age of 60 the numbers jump to
one in every five men, according to researchers. The big question now is this:
is testosterone replacement therapy healthy, even if it needful?
Some studies
have shown that Testosterone Replacement Therapy in men who have low levels of
the hormone may improve libido, enhance sexual performance, increase
muscular mass and help improve mood. However, the adverse effects of Testosterone Replacement Therapy out numbers
its advantages. One of the disadvantages is sleep apnea, a potentially serious
disorder in which breathing repeatedly stops and starts. Testosterone
Replacement Therapy causes body to make too many red blood cells which can increases the risk of heart disease. It also causes acne or other skin reactions, stimulates noncancerous
growth of the prostrate and possibly encourages the growth of existing prostrate cancer. It also enlarges the breast, limit sperm production and causes the
testicles to shrink. So, if you are considering Testosterone Replacement
Therapy to help you feel younger and more vigorous as you age, know the risks
before you make your decision.
There are the
second categories of men who have low level of testosterone not because of
aging but because of a disease called hypogonadism. This is a condition in
which the body is unable to produce normal amounts of testosterone due to a problems with the testicles or with the pituitary gland that controls the
testicles. Testosterone is a hormone produced primarily in the testicles.
Testosterone helps maintain men’s bone density, fat distribution, muscle strength and mass red blood cell production as well as sex drive and sperm
production.
Testosterone
peaks during adolescence and early adulthood. As a man gets older, his
testosterone level gradually declines to typically about 1% a year after age
30. It is important to determine in older men if a low testosterone level is
simply due to the decline of normal aging or if it is due to a disease
hypogonadism. Testosterone Replacement Therapycan improve the signs and
symptoms of low testosterone in men with hypogonadism with fewer side effect
tan in elderly men. Testosterone
Replacement Therapy can help reverse the effects of hypogonadism but it is
unclear whether Testosterone Therapy would have any benefit for older men who
are otherwise healthy.
Many also want
to know if Testosterone Therapy helps increase sex drive in women. Well, research show that testosterone hormone does
impact sex drive as well as remedies other sexual problems in certain women
with sexual dysfunction. But the long term safety of Testosterone Therapy for women is unknown. Testosterone Therapy
usually is prescribed only for women who have low libido but sufficient
estrogen levels.
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