Hypogonadism Late Onset

Below normal or low-normal blood testosterone levels accompanied by symptoms of testosterone deficiency.

Male Menopause, Andropause

About the Condition

Decline in testicular function independent of patient age, but general in age > 30 years

Estimates of up to 38% of males >45 years. Less than 7/100 treated in USA, 1.5/100 Australia and 1.1/100 UK.

Symptoms

  • Decreased libido Lowered energy Fatigue Mood changes
  • Slow beard growth, fine facial wrinkles
  • Decreased body hair
  • Testes atrophic if condition long-standing
  • Normal voice pitch
  • Decreased muscle and bone mass
  • Normal skeletal proportions, penis length, scrotal rugae, prostate size

Continual decline in serum levels, increasing symptomatic, hot flashes, extreme fatigue, depression, loss of motivation and self-esteem. Potential suicide in extreme.

Diagnosis

Testosterone (total and free), sex hormone binding globulin (SHBG), FSH and LH. Also plasma cortisol (early morning and late evening) together with urinary free cortisol, thyroid indices including free thyroxine (FT4) and thyroid peroxidase (TPO), prolactin, growth hormone, and insulin like growth factor (IGF-1). Full blood count, liver function tests, urea, electrolytes and calcium phosphate levels.  AMS (Aging Male Symptoms) questionnaire and clinical symptom evaluation essential.

Secondary Considerations

Osteoporosis

Related websites


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AndroForte® 2% Testosterone Cream is specially formulated for men with low blood testosterone levels.

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