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Detecting low testosterone levels
By Dr Shailesh Raina
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It is often said that early detection is the key to a successful treatment. In the case of low testosterone, however, detection is a major hurdle. A man’s total testosterone levels increase rapidly at the onset of puberty; remains stable and available for use by the body, but starts declining slowly after the age of 30.

Most people only have their total testosterone levels evaluated whereas the more important levels of free testosterone available for use by the body go unchecked. Consequently, many men suffering from low testosterone levels are walking around undiagnosed and unaware of the severity of its consequences. So the only sure shot way of detecting testosterone deficiency is by clinical testing done preferably in the mornings when the levels are highest.

Recognize the symptoms of low testosterone

The signs and symptoms of low testosterone levels are
  • Erectile dysfunction
  • Diminished libido and sense of vitality
  • Reduced muscle mass and bone density
How to treat
Testosterone replacement therapy restores the lowered levels of testosterone in your body. It is not known to cause any major side effects and reduces the effects of low testosterone. There is no conclusive evidence of this therapy improving any other health condition besides testosterone deficiency. The decision to go ahead with such therapy should be taken in consultation with your doctor.

Testosterone replacement could be in the form of:
  • Intramuscular injections, generally every two or three weeks (dose in accordance with physician’s advice).
  • Testosterone patch worn either on the body or on the scrotum.
  • Testosterone gel.
  • Tablets which stick to the gums. 
  • Oral tablets.
The best method of suitable treatment will depend on the cause of the problem, tolerance and cost. You should discuss this with your physician in detail and let him help you decide on a suitable therapy for you.

Benefits of testosterone replacement therapy
  • Long term follow-up shows enhanced sex drive and erections.
  • It has a positive effect on your mood and curbs fatigue.
  • It shows improved cardiac health by reduction in your cholesterol, blood sugar and blood pressure levels.
  • Testosterone therapy is known to reduce depression, control anger, nervousness and irritability.
  • Post therapy results in men have shown increase in muscle mass and bone density.
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