Beyond the surface symptoms lie deeper repercussions; low testosterone levels can catalyse severe issues like major depression, cognitive decline, compromised bone health, and even a complete loss of sexual function. Moreover, it elevates the risk of ischaemic heart disease (IHD), casting a shadow over heart health.
Navigating the landscape of age-related hypogonadism and associated low testosterone poses a unique challenge due to its nuanced symptoms. This accentuates the critical role of healthcare practitioners in discerning these signs and initiating requisite tests.
For those experiencing these enigmatic symptoms and are above 40, undergoing testing for low testosterone and other pertinent hormones is advisable.
Causes of Testosterone Deficiency
The underpinnings of low testosterone are multifaceted. In recent years, the spotlight has turned to “Andropause,” a phenomenon akin to female menopause but affecting most males, albeit gradually. Surprisingly, it remains one of the least recognised health conditions, often slipping under the radar.
Testosterone levels typically embark on a downward trajectory post-30, with an annual decrease of approximately 1%. However, certain individuals experience a more precipitous decline, hurtling into severe testosterone deficiency by their mid-40s. This underscores the imperative of testosterone level testing for men above 40 grappling with waning sexual desire and energy levels.
It’s imperative to acknowledge that testosterone decline may stem from chronic ailments or endocrinological disorders impairing its production. Individuals contending with conditions like HIV, chronic pulmonary disorders, hepatitis, and diabetes are particularly susceptible to low testosterone.
Signs of Testosterone Deficiency
Contrary to popular perception, testosterone’s influence transcends mere erections. While it indeed plays a role in erection quality, its impact on overall male reproductive health is profound. Signs of low testosterone merit attention:
• Decline in libido: Testosterone is instrumental in fuelling sex drive, and diminished levels can herald a loss of interest in sexual activity.
• Lack of energy: Testosterone infusion bolsters energy reserves and skeletal muscle vitality. However, depleted levels lead to chronic fatigue and diminished vigour.
• Reduced strength and endurance: As a potent anabolic hormone, testosterone is pivotal for muscle mass and endurance. Its waning presence triggers muscle atrophy and compromises physical robustness.
• Loss of height: While height diminution typically manifests in later years, an earlier onset may signal severe testosterone depletion.
• Mood changes: Testosterone exerts a profound influence on emotional well-being, and suboptimal levels can precipitate feelings of despondency and melancholy.
Additionally, subtle manifestations like suboptimal erections, diminished athletic performance, sleep disturbances, and reduced work productivity warrant attention.
