Androgen Deficiency

What is Androgen Deficiency?

An expected and normal change that all men will experience as they age. After the age of 40, the level of testosterone production will start to decrease. The amount of decline and how quickly it occurs can vary from person to person.

Symptoms

When there is not enough testosterone circulating in the body, it can cause a wide range of symptoms. However, a number of these symptoms may be non-specific and can mimic the symptoms of other diseases and conditions.

Some of the symptoms of androgen deficiency include:

• Reduced sexual desire

• Weaker erections and orgasms

• Hot flushes and sweating

• Breast enlargement (gynecomastia)

• Lethargy and fatigue

• Depression, mood changes

• Sleep pattern disruption

• Reduced muscle mass and strength

• Increased body fat, particularly around the abdomen

• Increased risk of osteoporosis

• Increased risk of diabetes

Diagnosis

Androgen deficiency is diagnosed using a number of assessments, including:

• Medical history: A full history is taken, including details about fertility, sexual function, symptoms of androgen deficiency, other medical problems, occupation, medication use.

• Physical examination: A thorough general examination is performed.

• Blood tests: Samples are taken to determine the level of testosterone in the blood. Other tests that are related to a low testosterone level may be checked as well.

Treatment

Treatment for proven androgen deficiency is based on testosterone replacement therapy. Testosterone is best administered by skin gels creams, or by injection.