Low Testosterone

QUESTION & ANSWER

For numerous men, age related low testosterone can come with many uncomfortable symptoms as well as physical and emotional changes. At Aria Health and Wellness, our advanced practice providers can help women navigate through this stage of life by offering different treatment options. Amber Burks, APRN and Deborah Davis, APRN both are BioTe Medical Certified Providers. 

What is Age related Low Testosterone?

The term "male menopause" has been used to describe decreasing testosterone levels related to aging. Hormone changes in men are different than in women. Sex hormone changes in men occur gradually rather than plummeting over a short period of time like in women. In men, production of testosterone and other hormones declines over a period of many years. A man's testosterone levels decline on average about 1-1.5% a year after age 30. Low testosterone levels in older men often go unnoticed.

What are the symptoms of low testosterone levels?

Testosterone levels can be checked by a blood test, but tests aren't routinely done. Signs and symptoms suggestive of low testosterone include:

 

  • Reduced sexual desire and performance

  • Decreased spontaneous erections or erectile dysfunction

  • Breast discomfort or swelling

  • Infertility

  • Height loss, low trauma fracture or low bone mineral density

  • Hot flashes or sweats

  • Decreased energy, motivation, and confidence

  • Depressed mood, and poor concentration

  • Increased sleepiness, sleep disturbances

  • Mild unexplained anemia

  • Reduced muscle bulk and strength, and increased body fat

  • Inability to lose weight regardless of healthy diet and exercise  

How is it treated?

Recommendations on testosterone therapy for men with age-related low testosterone vary. In 2020, the American College of Physicians recommended that doctors consider starting testosterone treatment in men with sexual dysfunction who want to improve their sexual function, after explaining the risks and benefits. In 2018, the Endocrine Society recommended testosterone therapy for men with age-related low testosterone who have signs and symptoms associated with low testosterone.

Some experts also recommend offering testosterone treatment to men with age-related low testosterone without the presence of signs or symptoms.

If you choose to start testosterone therapy, your provider will explain how testosterone can be administered, target levels and follow-up testing.

Testosterone therapy can relieve reduce risk for bothersome signs and symptoms of testosterone deficiency.