HOW TO KNOW IF YOU'VE GOT LOW T?

Falling testosterone levels are a fact of life for all men as they age. After the age of 30, a man can expect to lose 1% of his testosterone every year for the rest of his life. But the natural reduction all men can expect to suffer pales in comparison with the society-wide collapse in testosterone levels that has occurred over the second half of the twentieth and the first quarter of the twentyfirst century.

Men today have considerably less testosterone than men of the same age even a single generation ago. A 2007 study in the Journal of Clinical Endocrinology and Metabolism showed a significant reduction in the testosterone levels of men since the 1980s. A 60-year-old American man in 2004, for example, had 17% less testosterone than a 60-year-old American man in 1987.

The Main Symptoms:

• Reduced libido

• Erectile dysfunction

• Fertility problems (inability to conceive)

• Fatigue/low energy

• Depression/lowered mood

• Weight gain

• Muscle loss

The easiest and most definitive way is to have a blood test. A normal testosterone level range for men is 300 to 1,000 nanograms per deciliter (ng/dl), whereas for women, it’s between 15 and 70 ng/dl. If as a man your testosterone is below 300 ng/dl, you have low testosterone.

But this is putting the cart before the horse, because before you decide to have a test you will experience some or all of the following symptoms, assuming you actually do have low testosterone.

You’ll have good reason to ask the question ‘Do I have low T?, because in some very obvious ways you’ll feel like less of a man.

Boys with low testosterone may develop slower, with little or no body hair, under-developed muscles and smaller penises; and men with low T will have difficulty building muscle, no matter how hard they try.

In extreme cases of low testosterone, usually referred to as hypogonadism, men may also develop breast tissue (gynecomastia) and osteoporosis (reduced bone density).

Hypogonadism has a variety of causes, which include:

• Certain genetic disorders

• HIV

• Pituitary disorders, including pituitary tumours and

injuries

• Inflammatory diseases

• Obesity and also rapid weight loss

• Nutritional deficiencies

• Steroid use

Obesity, in particular, is an increasingly common cause of hypogonadism.

If you suspect you have very low T (hypogonadism), we recommend you contact your doctor to discuss a blood test and consider clinical advice to restore your testosterone levels, which may include hormonal therapy.

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