Why do Young Men Suffer from Testosterone Deficiency?

Men often experience fatigue, decreased libido and increased belly fat. This is when testosterone deficiency may be a cause. The deficiency was previously thought to be a problem only for older men. However, it is increasingly being recognized in younger men.

Although the causes may not always be obvious, treatment is sometimes necessary. One fifth of German men who are being treated by their family doctor have a testosterone level too low. This was the result of a study by several German universities hospitals. It was based on data taken from the DETECT study five years ago.

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Harald Jorn Schneider is an endocrinologist at University Hospital Munich. He was the lead author of the study. These include abdominal obesity, also known as the “apple type”. Men with metabolic syndrome, chronic diseases, or men who have a combination of both are also affected. A combination of high blood cholesterol, high blood sugar and obesity. The study couldn’t prove the cause or the consequences of testosterone deficiency.

An interaction is possible, especially in the case obesity, according to Jens Jacobeit (specialist in endocrinology at the Endokrinologikum hospital in Hamburg). “In the fat tissue is an enzyme that converts testosterone to estrogens.” He says that this causes testosterone levels to fall. This is a vicious circle because testosterone increases the body’s ability fat to be broken down. He said that permanent stress can also be a trigger. “The stress hormone cortisone reduces testosterone production.”

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There are many possible causes of testosterone deficiency. Schneider says that testosterone deficiency can also be caused by disorders in the pituitary gland function and the testicles. The problem with the diagnosis is that there are many non-specific complaints. Schneider says that there is not one symptom. Schneider says that there are many possible symptoms, including a decreased sexual desire, diminished erectile function and fatigue, as well as a decrease or increase in body fat.

He said that there are people who have slightly lower testosterone levels and live without any symptoms.

Harald Klein, professor of general endocrinology at Bochum’s Ruhr University and German Society for Endocrinology, says that you shouldn’t have testosterone prescribed for a lack in libido. He strongly opposes testosterone as an anti-aging and lifestyle drug. Too high testosterone levels can lead to liver damage and other risks that are not yet known. “Hormone substitutions for women in menopause were also discovered only after twenty years. They can have serious health consequences.”

Schneider warns against prescribing too much testosterone. He does recommend that patients with severe symptoms or a low testosterone level receive testosterone replacement therapy. Klein adds that those who have a severe testosterone deficiency should also receive testosterone replacement. Because prolonged testosterone deficiency can cause irreversible bone loss and damage.

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The key point is that the patient sees an expert, an endocrinologist (or an andrologist), i.e. A doctor who is specialized in men’s healthcare. Jacobeit states that diagnostics are not appropriate for general internists or primary care physicians. He says that the specialist should carefully weigh the risks and benefits of replacement therapy, as it can be dangerous in certain situations. There is an increased chance of Prostate cancer.

Although testosterone therapy can’t cause prostate cancer, it can stimulate the growth of a dormant tumor. Schneider says that this is possible. Men with liver disease, lung problems, or sleep apnea syndrome may be at risk from therapy. He says that it is often possible to get by without taking medication. Schneider states that if you lose weight, your chances of normalizing testosterone levels are high.

He also said that the same holds true for those who are recovering from serious illnesses. Sport can also increase testosterone levels, but in moderate amounts, Schneider stresses: “With high-performance athletes like marathon runners, this could backfire as the level often falls again.”

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