Two key blood tests must be carried out to confirm the presence of hypogonadism: If an individual is at risk of or may have hypogonadism, a doctor will take a thorough medical history taken and carry out a physical examination, including blood tests. It is also worth noting that while it can relieve symptoms of hypogonadism, TRT does not restore fertility. The response to TRT is individualized, and testosterone levels are not an indicator of who will respond to TRT and who will not. TRT is contraindicated in men with erythrocytosis, a condition involving a high volume percentage of red blood cells in the blood. This will include regular blood tests and periodic digital rectal exams. TRT should not be started without first attending to these conditions.Īll males who are using TRT require ongoing medical evaluation to determine adequate response to treatment. It may lead to worsening of benign prostatic hyperplasia (BPH), acceleration of pre-existing prostate cancer, and worsening of both sleep apnea and congestive heart failure. However, there are a few risks associated with it. TRT can eliminate many, if not all, of the signs and symptoms of male hypogonadism. Oral forms of testosterone are not used due to the high risk of side effects, such as upset stomach. It is normally given as a topical gel, transdermal patch, or by injection. Testosterone replacement therapy (TRT) is the recommended treatment for male hypogonadism.
Share on Pinterest Testosterone replacement therapy can improve mood and overall quality of life in males with hypogonadism. Risk factors for hypogonadism include type 2 diabetes, obesity, renal failure, HIV, hypertension, chronic obstructive pulmonary disease (COPD) and taking glucocorticoid (steroids), opioid or antipsychotic medication therapy. Then, starting at approximately 40 years of age, testosterone levels begin to decline at 1.2-2 percent per year. Testosterone levels in males increase until the age of 17 years. Situations that can cause secondary hypogonadism include:Īndropause is sometimes used to describe decreased testosterone due to the normal aging process. In secondary hypogonadism, a disease state interferes with either the hypothalamus or pituitary gland, the main glands that release hormones to stimulate the testes to produce testosterone. This can be due to a congenital disorder such as Klinefelter’s syndrome, or acquired as a result of radiation treatment, chemotherapy, mumps, tumors or trauma to the testes. In primary hypogonadism, the testicles do not respond to hormone stimulation.
Share on Pinterest Primary male hypogonadism is caused by testicular dysfunction that can be congenital or develop later in life.
0 kommentar(er)
