Testosterone treatment in adult men with age-related low testosterone: A clinical guideline from the American College of Physicians. Approach to older men with low testosterone. Your doctor can help you weigh the pros and cons of treatment. If you think you might have low testosterone, talk to your doctor about your signs and symptoms, testing, and possible treatment options. Your doctor will likely recommend against starting testosterone therapy if your fertility is important in the near future or if you have conditions such as breast or prostate cancer, untreated severe obstructive sleep apnea, uncontrolled heart failure or thrombophilia, or if you've recently had a heart attack or stroke. Testosterone therapy may also increase the risk of heart attack and stroke and contribute to the formation of blood clots in the veins. Though further research is needed, testosterone therapy might stimulate growth of metastatic prostate and breast cancer. For others, the benefits aren't clear and there are possible risks. If you choose to start testosterone therapy, your doctor will explain the different ways testosterone can be administered, target levels and follow-up testing.įor some men, testosterone therapy relieves bothersome signs and symptoms of testosterone deficiency. Some experts also recommend offering testosterone treatment to men with age-related low testosterone without the presence of signs or symptoms. It is part of your body's endocrine system, which consists of all the glands that produce and regulate hormones. The pituitary gland is a kidney-bean-sized gland situated at the base of your brain. If low testosterone is confirmed, further testing of the pituitary gland is recommended to determine the cause and rule out other hormone deficiencies. If an initial test shows low testosterone, the test should be repeated to confirm the results. It's also possible to experience increased sleepiness, sleep disturbances, mild unexplained anemia, reduced muscle bulk and strength, and increased body fat.Įxperts recommend only testing older men for low testosterone if they have signs or symptoms. Other possible symptoms include decreased energy, motivation and confidence, depressed mood, and poor concentration.
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January 2023
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