It has been speculated that lower testosterone levels over the ages, have contributed to the civilised behaviour, over the period of time. The transition between the pre-modern humans and fully modern humans has been linked to the falling testosterone.
Having said that testosterone is important for men’s general, as well as sexual health. Deficiency of testosterone manifests as erectile difficulties, loss of night time and early morning erections, tiredness, fatigue, lack of motivation and concentration, low moods and mood swings. Some men report low muscle strength and muscle loss.
Low-testosterone is associated with obesity, and type-2 diabetes, and It is well known that testosterone replacement in hypo gonadal men causes increased lean muscle mass and reduces body fat, which potentially reduces risk of heart disease.
The problem is the other issues the middle-aged and old men experience mask the above-mentioned symptoms, and hence they are attributed to other diseases or treatment undergone for that.
Importantly, even the healthcare professionals differ in their approach to testosterone deficiency revealing a gap in knowledge around testosterone testing and managing deficiencies.
The clinicians must be alert to symptoms and signs of testosterone deficiency and be more aware of how to manage testosterone replacement therapy.
Beware of those commercials, suggesting testosterone-rubbing gels; Testosterone supplementation is not a sweetie, to be bought over the counter, if inappropriately used, could potentially cause cardiovascular problems. Testosterone levels in men fall by only 1- 2% a year after age 40.
The name of the game is awareness. The low testosterone condition has not increased dramatically to cause panic. The low T or low testosterone is not something for the commercials to cash on. I agree, testosterone deficiency is no laughing matter, and I take seriously the remarks made by my patients such “my tank is empty”, but I recommend a thorough check-up by a qualified health care professional before committing ourselves to long-term medications.