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Causes of low testosterone in young men

Low testosterone can be upsetting for a man of any age but it is especially pronounced in younger men who expect to be virile. There can be a number of reasons why you experience a drop in your male hormone levels but luckily regardless of the root cause you can receive effective treatment.

If you have unexplained tiredness and low libido it may be time to go see a doctor for diagnosis. Read on for an overview of most common causes of low Testosterone.

Genetics First

Genetic conditions affect men and women from birth, so if one of these genetic conditions is affecting your levels you will be risk aware. Sex chromosome disorders such as Prader-Willi syndrome and Klinefelter’s disrupt male hormone production. Other inherited conditions such as myotonic dystrophy or haemochromatosis can also affect your T levels.

External Suppression

A variety of environmental factors act both directly and indirectly on testosterone. Everything from smoking to chemotherapy can affect your body’s production. 

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Both mental stress and physical trauma will have a suppressing effect. These external factors are legion but individual men are more sensitive to these pressures than others.

Medical Issues

Serious or long term health concerns such as HIV / AIDs, cancer treatment and pituitary tumours are all well documented to have some influence. The testes are unable to produce satisfactory amounts of testosterone under these conditions.

Primary or Secondary?

If a doctor does confirm your diagnosis then they will classify your low levels as hypogonadism. This is split into two categories, primary and secondary. Primary because the testes are directly slowing their production due to injury, radiotherapy or birth defect. Secondary causes infer that the testicles are working fine but the signaling centers which tell them to secrete male hormones are not getting the message through.

Low or Low enough?

Testosterone levels are labile and change from time of day and day to day. A temporary dip does not obligate pharmacological intervention. They should give no treatment without need, side effects that come with any medication.

Aim for a blood testosterone level lower than 300ng/dL. You do not have hypogonadism above this nanogram and ergo do not need treatment. Even if the blood seems insufficient, asymptomatic clients will not be prescribed pharmaceuticals.

Testosterone Replacement Therapy (TRT)

While there are the external factors that we listed above, any permanent damage to the testes or your DNA will mean that TRT is your only option. Depending on where you live and the cost you can cover the following forms are available:

  • Depo Injections
  • Skin Patches
  • Slow release tablets
  • T-Gel

Even if you have TRT as the only way to increase your hormones it is not a permanent measure. T replacement must only happen in short bursts which will be monitored by your physician.

Fertility Warning

Looking to start a family? Being told you have hormone issues may scare men into thinking they may not be able to bear children. Don’t rush and start using replacement therapy without talking to a fertility specialist first. 

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Using endogenous testosterone i.e. it testosterone that you haven’t produced yourself can lead to a slow down in sperm production. Sperm count can remains low in your semen for an extended period of time. If you were planning on  a baby soon it’s best to consult for specialist advice antecedent to self-medicating and an irreversible position.

How Common Is Low Testosterone in Young Men?

Having deranged hormones can be very hard to detect in the initial stages due to the vagueness of the symptoms. Even when men are aware of what is happening not all go on to seek help. This can lead to skewed results when trying to find out just how widespread the condition is.

However, research points to this being of fairly common occurrence, depending on your outlook. The average is about 2%. Reflect that 50% over age 80 compared to only 1% of younger men. 1% is high considering 1 in every hundred is in need of treatment. Studies have shown that diabetes can more than double your risk inconsequential of age.