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Is low testosterone permanent?

If you suffer from low testosterone, treatment options are available that can help return your testosterone levels to normal. To put it simply, low testosterone isn't something that has to be permanent. With proper treatment and some lifestyle changes, you can overcome the troubling symptoms associated with low T.

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The amount of testosterone in a man’s body usually begins to decrease around the time he turns 30 years old. This natural decline continues throughout the rest of his life. However, this doesn’t necessarily mean that you should panic as you age. If you suffer from low testosterone, treatment options are available that can help return your testosterone levels to normal. To put it simply, low testosterone isn’t something that has to be permanent. With proper treatment and some lifestyle changes, you can overcome the troubling symptoms associated with low T.

Some common symptoms of testosterone deficiency include:

Hair loss

Low sex drive

Erectile dysfunction

Depression

Weight gain

Fatigue

Loss of lean muscle mass

If you have low T, there could be an underlying cause that isn’t directly linked to aging. For example, sleep apnea, obesity, diabetes, certain medications, high cholesterol, high blood pressure, injuries and excessive alcohol use can cause low testosterone. In many cases, identifying and treating your underlying cause or condition may result in improvements in your testosterone levels. Also, lifestyle changes such as abstaining from drinking alcohol, exercising regularly or changing certain medications may further improve your testosterone levels. Testosterone replacement therapy is sometimes needed to treat low T, especially if symptoms are severe and interfere with your quality of life. Your doctor may recommend injections, skin patches, topical gels, capsules or implantable pellets. Treatment will depend on your unique situation and individual needs. If you think you may have low T, let your doctor know so you can get tested as soon as possible. Remember, while low testosterone can cause a variety of uncomfortable symptoms, you don’t have to suffer from it forever. Help is available and there’s nothing to be ashamed of. At Arkansas Urology, we’re here for you. Our patients’ health has been and will always be our top priority! Do you need to schedule an appointment? Contact us today or book your appointment online. We look forward to seeing you soon.

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What is normal testosterone by age?

Age-specific middle tertile levels were 409-558 ng/dL for men 20-24 years old, 413-575 ng/dL for 25-29 years old, 359-498 ng/dL for 30-34 years old, 352-478 ng/dL for 35-39 years old, and 350-473 ng/dL for 40-44 years old.

Abstract

Purpose:

There is an age-related decline in male testosterone production. It is therefore surprising that young men are evaluated for testosterone deficiency with the same cutoff of 300 ng/dL that was developed from samples of older men. Our aim is to describe normative total testosterone levels and age-specific cutoffs for low testosterone levels in men 20 to 44 years old.

Materials and Methods:

We analyzed the 2011-2016 National Health and Nutrition Examination Surveys, which survey nationally representative samples of United States residents. Men 20 to 44 years old with testosterone levels were included. Men on hormonal medications, with a history of testicular cancer or orchiectomy, and with afternoon/evening laboratory values were excluded. We separated men into 5-year intervals and evaluated the testosterone levels of each age group, and for all men 20 to 44 years old. We used the American Urological Association definition of a “normal testosterone level” (the “middle tertile”) to calculate age-specific cutoffs for low testosterone levels.

Results:

Our final analytic cohort contained 1,486 men. Age-specific middle tertile levels were 409-558 ng/dL (20-24 years old), 413-575 ng/dL (25-29 years old), 359-498 ng/dL (30-34 years old), 352-478 ng/dL (35-39 years old), and 350-473 ng/dL (40-44 years old). Age-specific cutoffs for low testosterone levels were 409, 413, 359, 352, and 350 ng/dL, respectively.

Conclusions:

Diagnosis of testosterone deficiency has traditionally been performed in an age-indiscriminate manner. However, young men have different testosterone reference ranges than older men. Accordingly, age-specific normative values and cutoffs should be integrated into the evaluation of young men presenting with testosterone deficiency.

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