What are the symptoms of low testosterone in men over 50?

What are the symptoms of low testosterone? Reduced sex drive. Erectile dysfunction. Loss of armpit and pubic hair. Shrinking testicles. Hot flashes. Low or zero sperm count (azoospermia), which causes male infertility.

my.clevelandclinic.org - Low Testosterone (Low T): Causes, Symptoms & Treatment

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Overview

Symptoms of low testosterone can vary considerably, particularly by age and how severe it is.

What is low testosterone (male hypogonadism)?

Low testosterone (male hypogonadism) is a condition in which your testicles don’t produce enough testosterone (the male sex hormone). Testicles are the gonads (sex organs) in people assigned male at birth (AMAB). More specifically, the Leydig cells in your testicles make testosterone. Low testosterone causes different symptoms at different ages. Testosterone levels in adults AMAB naturally decline as they age. This includes cisgender men, non-binary people AMAB and transgender women who aren’t undergoing feminizing hormone therapy.

Other names for low testosterone and male hypogonadism include:

Testosterone deficiency syndrome.

Testosterone deficiency.

Primary hypogonadism.

Secondary hypogonadism.

Hypergonadotropic hypogonadism.

Hypogonadotropic hypogonadism.

What does testosterone do?

Testosterone is the main androgen. It stimulates the development of male characteristics and is essential for sperm production (spermatogenesis). Levels of testosterone are naturally much higher in people assigned AMAB than in people assigned female at birth (AFAB).

In people assigned AMAB, testosterone helps maintain and develop:

Sex organs and genitalia.

Muscle mass.

Bone density.

Sense of well-being.

Sexual and reproductive function.

Your body usually tightly controls the levels of testosterone in your blood. Levels are typically highest in the morning and decline through the day. Your hypothalamus and pituitary gland normally control the amount of testosterone your testicles produce and release. Your hypothalamus releases gonadotropin-releasing hormone (GnRH), which triggers your pituitary gland to release luteinizing hormone (LH). LH then travels to your gonads (testicles or ovaries) and stimulates the production and release of testosterone. Your pituitary also releases follicle-stimulating hormone (FSH) to cause sperm production. Any issue with your testicles, hypothalamus or pituitary gland can cause low testosterone (male hypogonadism).

What is a low testosterone level?

The American Urology Association (AUA) considers low blood testosterone to be less than 300 nanograms per deciliter (ng/dL) for adults. However, some researchers and healthcare providers disagree with this and feel that levels below 250 ng/dL are low. Providers also take symptoms into consideration when diagnosing low testosterone.

Who does low testosterone (male hypogonadism) affect?

Male hypogonadism is a medical condition that can affect people with testicles at any age from birth through adulthood.

Low testosterone is more likely to affect people who:

How common is low testosterone?

It’s difficult for researchers to estimate how common low testosterone is since different studies have different definitions for low testosterone. Data suggest that about 2% of people AMAB may have low testosterone. And other studies have estimated that more than 8% of people AMAB aged 50 to 79 years have low testosterone.

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Can a man love without a prostate?

Most men who have normal sexual function and receive treatment for early prostate cancer regain erectile function and can have satisfying sex lives after robotic prostatectomy.

mountsinai.org - Sex After Robotic Prostate Surgery | Mount Sinai - New York

Most men who have normal sexual function and receive treatment for early prostate cancer regain erectile function and can have satisfying sex lives after robotic prostatectomy. However, it is a gradual process and may take up to a year. Very few of our patients experience erectile dysfunction, but we work closely with those who do. Penile rehabilitation can help you resume sexual functioning. Studies show that going for too long without blood flow to the penis can damage the muscle and tissue, which can affect your ability to have erections on your own. The goal of penile rehabilitation is to keep the penile tissue and muscles oxygenated and stretched to preserve erectile function while the nerves in the penis fully recover. We encourage our patients to start working on penile rehabilitation even before surgery. Pre-operative visits could include early evaluation, penile Doppler studies (a test of blood flow into and out of the penis), and testosterone level estimations, if our experts feel that your particular case could benefit from these evaluations. Occasionally, we start penile rehabilitation using medications a few weeks before surgery in order to enhance the blood supply to the penis and “jump start” sexual rehabilitation. Post-operative rehabilitation usually starts a few weeks later and may include the following treatment options to maximize your chances of recovery.

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