How Should I Use This Medication
This medication is for injection into a muscle. It is usually given in a hospital or clinic.
A special MedGuide will be given to you by the pharmacist with each prescription and refill. Be sure to read this information carefully each time.
Contact your care team regarding the use of this medication in children. While this medication may be prescribed for children as young as 12 years of age for selected conditions, precautions do apply.
Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
NOTE: This medicine is only for you. Do not share this medicine with others.
Do You Have Low Testosterone
If you think you may have low testosterone, it’s important to see a doctor so that the cause can be properly diagnosed and treated. Low testosterone is a treatable condition, so there’s no need to suffer in silence. There are a number of different treatments available, so you can find the one that’s right for you.
Mood Swings And Changes In Mood
There is some evidence that suggests men who have lowered testosterone levels end up being more irritable than normal. While you wont be able to use this one symptom to diagnose low testosterone levels at home, you can use this as a sign to go along with the other symptoms as a sure fire way to assume you need some help with your testosterone levels.
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Sleep Apnea And Low T Are Double Trouble
Sleep problems also increase the risk of low T. Obstructive sleep apnea is one example. Sleep apnea can lead to more obesity and worsening hypogonadism, says Dr. Ghalib. And, she adds, treatment for low T will be less effective if you dont treat sleep apnea first. According to a 2018 scientific review, the poor sleep caused by OSA leads to a drop in testosterone levels because it disrupts the hormone-producing partnership between the pituitary gland and the testicles. Another complicating factor: Many people with OSA also are obese. The vicious circle continues.
Could You Have Low Testosterone
Testosterone is a hormone made by the testicles. It is important for a man’s sex drive and physical appearance.
Certain health conditions, medicines, or injury can lead to low testosterone . Testosterone level also naturally drops with age. Low testosterone can affect sex drive, mood, and changes in muscle and fat.
Treatment with testosterone therapy may help reduce symptoms.
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Risks: Who Should Not Take Testosterone
Testosterone replacement therapy may cause the prostate to grow. Therefore, if a person has early prostate cancer, there is concern that testosterone may stimulate the cancer’s growth.
People who have prostate cancer are advised not take testosterone replacement therapy. It is important for all males considering testosterone replacement therapy to speak to their healthcare providers and undergo prostate screening before starting this therapy.
What Is Low Testosterone
Low testosterone is a condition in which your testicles dont produce enough testosterone . Testicles are the gonads in people assigned male at birth . More specifically, the Leydig cells in your testicles make testosterone.
Low testosterone causes different symptoms at different ages. Testosterone levels in adults AMAB naturally decline as they age. This includes cisgender men, non-binary people AMAB and transgender women who arent undergoing feminizing hormone therapy.
Other names for low testosterone and male hypogonadism include:
- Testosterone deficiency syndrome.
- Sexual and reproductive function.
Your body usually tightly controls the levels of testosterone in your blood. Levels are typically highest in the morning and decline through the day.
Your hypothalamus and pituitary gland normally control the amount of testosterone your testicles produce and release.
Your hypothalamus releases gonadotropin-releasing hormone , which triggers your pituitary gland to release luteinizing hormone . LH then travels to your gonads and stimulates the production and release of testosterone. Your pituitary also releases follicle-stimulating hormone to cause sperm production.
Any issue with your testicles, hypothalamus or pituitary gland can cause low testosterone .
What is a low testosterone level?
The American Urology Association considers low blood testosterone to be less than 300 nanograms per deciliter for adults.
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What Causes Male Hypogonadism
Male hypogonadism can be divided into two groups. Classical hypogonadism is where the low levels of testosterone are caused by an underlying specific medical condition, for example Klinefelter’s syndrome, Kallmanns syndrome or a pituitary tumour. Late-onset hypogonadism is where the decline in testosterone levels is linked to general ageing and/or age-related diseases, particularly obesity and type 2 diabetes. It is estimated that late-onset hypogonadism only affects about 2% of men over the age of 40.
There are two types of classical male hypogonadism primary and secondary. Primary hypogonadism occurs when the low level of testosterone is due to conditions affecting the testes. Primary hypogonadism is also referred to as hypergonadotrophic hypogonadism, whereby the pituitary produces too much luteinising hormone and follicle stimulating hormone to try and stimulate the testes to produce more testosterone. However, as the testes are impaired or missing, they are not able to respond to the increased levels of gonadotrophins and little or no testosterone is produced. In some patients with primary hypogonadism, testosterone levels may be within the normal range, but the increased LH and FSH indicates that the pituitary gland is trying to compensate for a deficiency and treatment may still be needed.
Examples of conditions affecting the testes, which lead to primary gonadal failure, include:
- inflammation due to infections such as mumps
How Is Testosterone Deficiency Treated
Early diagnosis and treatment in adult men provide better protection against loss of bone density and cardiovascular disease. Treatment can also improve tiredness, general well-being, erectile dysfunction and sex drive.
The treatment for testosterone deficiency also depends on the underlying cause.
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Low Testosterone Can Cause Unwanted Health Consequences In Men The Effects Of Low Testosterone May Lead To:
- Erectile dysfunction
- Loss of muscle mass
- Having greater fat and less muscle can then potentially increase the risk of heart disease, diabetes, and other health conditions
Note that average levels of testosterone decrease as men age. Starting around age 30, testosterone decreases about 1% per year, on average. This decline is part of the normal aging process, so some older men develop abnormally low testosterone levels.
The Everlywell at-home Testosterone Test can help men identify if their hormone levels are lower than whatâs typical for their age. If your testosterone levels are low, you can share your Everlywell results with your healthcare provider, and collaborate on a plan for a healthier lifestyle and/or medication that may help improve your testosterone levels.
How Important Is It To Have Enhanced Sexual Drive
Sexual energy is an essential part of both our physical and emotional well-being. It can help to increase libido, fertility, and overall pleasure in both partners. When there is enough sexual energy present, it can help to boost the overall mood and create a more positive environment. Its also important to keep in mind that good sexual health means having a healthy sex drive as well as satisfying and enjoyable sex. There are many ways to improve your sexual energy, and learning about them is essential if you want to enjoy your sex life to the fullest.
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Excessive Stress And Depression
Stress is one of the most common causes of low testosterone in men. If youre stressed out all the time, your body may stop producing enough testosterone. If youre feeling depressed, you may also have low T-levels. In fact, many men who suffer from depression experience low testosterone as well. Fortunately, there are lots of ways to manage your stress and treat depression, both of which can help you boost your testosterone levels.
Other known causes of a drop in testosterone are Injury of the testis which affects blood flow, and infection.
Chronic Disease Is Linked To Low T
Still, as men get older, they become more likely to develop a range of chronic conditions, such as diabetes, obesity, high cholesterol, and heart disease, and they also tend to become less physically active. Men who do have those things will likely develop low testosterone with aging, says Dr. Ramasamy. Why do these health issues have this impact? Thats the million-dollar question, says endocrinologist Luma Ghalib, M.D., of the Ohio State University Wexner Medical Center in Columbus. There are multiple layers to how lifestyle and comorbid diseases can affect testosterone levels.
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Life Extension Testosterone Elite
Image courtesy Life Extension
Testosterone Elite is a natural testosterone booster that helps you increase your testosterone levels safely and effectively. With a blend of powerful ingredients like D-Aspartic Acid, Fenugreek, Ginseng, and Zinc, Testosterone Elite can help to increase your strength, stamina, and libido.
Additionally, Testosterone Elite does not require a prescription. Testosterone Elite is a great option for those looking for a safe and effective way to boost their testosterone levels. It is backed by a money-back guarantee, so you can try it risk-free.
Additionally, Testosterone Elite is one of the most affordable testosterone boosters on the market. If you are looking for a safe and effective way to increase your testosterone levels, Testosterone Elite is a great option.
What Are The Main Causes Of Low Testosterone
There are many potential causes of low testosterone, and it can be difficult to pinpoint the exact cause in any given individual. However, there are some common causes that are worth considering.
One potential cause of low testosterone is simply aging. Testosterone levels tend to decline with age, so older men are more likely to have low testosterone than younger men.
Other potential causes of low testosterone include certain medical conditions, such as obesity, diabetes, and pituitary disorders.
Certain medications, such as glucocorticoids and opiates, can also cause low testosterone levels.
In some cases, the exact cause of low testosterone may never be fully understood. However, there are treatments available that can help to improve testosterone levels and alleviate any symptoms associated with low testosterone. If you think you may have low testosterone, it’s important to see a doctor so that the cause can be properly diagnosed and treated.
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How Are Low Testosterone Levels Treated
Testosterone therapy, given by injections, gels, lotions, creams, patches or tablets, is used to treat low testosterone. It’s unclear whether testosterone therapy has any benefit for older men who are otherwise healthy, and testosterone therapy may even be harmful in some situations.
The risks of testosterone therapy include:
- acne or other skin reactions
- non-cancerous growth of the prostate and growth of any existing prostate cancer
Getting diabetes or other illnesses under control and losing weight can also improve testosterone levels.
How Common Is Testosterone Deficiency
Men are more likely to develop testosterone deficiency as they get older. It is also more common in men who are overweight and men who are in poor general health with long-term health conditions.
One large study in Europe found that testosterone deficiency affected about 2 in 100 men aged 40 to 79 years. Testosterone deficiency affected about 5 in 100 men aged 70 to 79 years.
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Causes Of Low Testosterone
Beginning around age 30 to 40, testosterone levels may start to slowly decrease. This occurs naturally.
Other causes of low testosterone include:
- Medicine side effects, such as from chemotherapy.
- Testicle injury or cancer.
- Too much body fat . Ask your doctor whether you need a test called free testosterone.
- Other disorders, chronic diseases, treatments, or infection.
How Is Azoospermia Treated
Treatment of azoospermia depends on the cause. Genetic testing and counseling are often an important part of understanding and treating azoospermia. Treatment approaches include:
- If a blockage is the cause of your azoospermia, surgery can unblock tubes or reconstruct and connect abnormal or never developed tubes.
- If low hormone production is the main cause, you may be given hormone treatments. Hormones include follicle-stimulating hormone , human chorionic gonadotropin , clomiphene, anastrazole and letrozole.
- If a varicocele is the cause of poor sperm production, the problem veins can be tied off in a surgical procedure, keeping surrounding structures preserved.
- Sperm can be retrieved directly from the testicle with an extensive biopsy in some men
If living sperm are present, they can be retrieved from the testes, epididymis or vas deferens for assisted pregnancy procedures such as in vitro fertilization or intracytoplasmic sperm injection . If the cause of azoospermia is thought to be something that could be passed on to children, your healthcare provider may recommend genetic analysis of your sperm before assisted fertilization procedures are considered.
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What Does Testosterone Do
Testosterone contributes to the building of muscle mass and the increase of bone density. As a result, males tend to build more muscle mass and have more dense bones than females.
The hormone also contributes to other secondary sexual characteristics, such as hair pattern development and deepening of the voice. It does this by binding to the androgen receptors of cells and activating them.
Testosterone is also believed to play a role in mood regulation. This effect is not well understood, but unbalanced testosterone levels are correlated with mood disorders like depression and anxiety.
In addition to its effect in men, testosterone is believed to play a role in womenâs ovarian function and sex drive.
What Should I Watch For While Using This Medication
Visit your care team for regular checks on your progress. They will need to check the level of testosterone in your blood.
This medication is only approved for use in men who have low levels of testosterone related to certain medical conditions. Heart attacks and strokes have been reported with the use of this medication. Notify your care team and seek emergency treatment if you develop breathing problems changes in vision confusion chest pain or chest tightness sudden arm pain severe, sudden headache trouble speaking or understanding sudden numbness or weakness of the face, arm or leg loss of balance or coordination. Talk to your care team about the risks and benefits of this medication.
This medication may affect blood sugar levels. If you have diabetes, check with your care team before you change your diet or the dose of your diabetic medication.
Testosterone injections are not commonly used in women. Women should inform their care team if they wish to become pregnant or think they might be pregnant. There is a potential for serious side effects to an unborn child. Talk to your care team or pharmacist for more information. Talk with your care team about your birth control options while taking this medication.
This medication is banned from use in athletes by most athletic organizations.
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What Tests Will Be Done To Diagnose Low Testosterone
The following tests can help confirm low testosterone and determine the cause:
- Total testosterone level blood test: This test usually requires two sample collections between 8 a.m. and 10 a.m., when testosterone levels should be at their highest. If youre sick or have recently been sick, its important to tell your provider. Acute illness may cause a falsely low result.
- Luteinizing hormone blood test: This test can help determine if the cause of low testosterone is an issue with your pituitary gland.
- Prolactin blood test: High prolactin levels may be a sign of pituitary gland issues or tumors.
Does A Vasectomy Lower Testosterone
Maybe youve been considering a vasectomy but havent quite finalized your decision yet because youre worried about the side effects. Or maybe youve already been snipped and youre wondering What if my vasectomy caused my decrease in low testosterone? Wherever you are on that journey to understanding the ins and outs of this simple and potentially reversible procedure, you should know that a vasectomy doesnt impact your testosterone levels at all.
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What Is Testosterone Replacement Therapy And Is It An Effective Treatment
Testosterone replacement therapy, or TRT, can help treat some low testosterone symptoms in men. Doctors often recommend TRT as a treatment option for male hypogonadism, a condition in which the body doesnât make enough testosterone . Ultimately, this condition can lead to symptoms of low testosterone in males.
Testosterone therapy can improve muscle strength and erectile function in hypogonadal men, as well as boost energy and protect against bone loss.
Testosterone can be administered in several different ways, including skin patches, gels applied to the skin, injections, and implants.
How Common Is Low Testosterone
Statistics are difficult to come by, and they vary, but experts estimate about 2 men in every 100 may have low T.
The chance of having the condition tends to increase as a part of aging. So, while as few as 1% of younger men may have low levels of testosterone, as many as 50% of men over age 80 may have low T.
Research presented at the American Urological Association 2020 annual meeting suggests that testosterone levels are declining in teen and young adult men in the U.S., and that unhealthy lifestyles may be playing a part. In one study, researchers looked at National Health and Nutrition Examination Surveys, with data on more than 4,000 men from 1999-2016, finding an overall decline in levels of testosterone across the board.
The researchers say the greatest reduction was found in men who had a high body mass index , which was not surprising, since being overweight and having low testosterone are known to be linked. But they also found a decline even in men with normal BMIs. On average, it decreased from about 664 to 539 ng/dlnot low enough to be considered low T, but still a drop.
Experts also found that men who exercised regularly were less likely to have low testosterone compared to those who did not participate in physical activity.
Yet another study found both low testosterone and erectile dysfunction were less likely in men who ate an organic diet than those who ate processed food and those who did .
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