Testosterone is often misunderstood, and its importance in men’s health cannot be overstated. As a urologist, I’ve seen a surge in interest in testosterone levels, particularly among men in their 30s and 40s. The US Defense Secretary has even announced the launch of screening for low testosterone among service members over 30.
What is Testosterone?
Testosterone is the primary hormone driving male growth and development. It is produced by the testicles and fluctuates constantly, with levels highest in the morning and lower by the afternoon. Factors such as sleep, weight, workouts, and stress can affect testosterone levels.
A low testosterone diagnosis is never the result of one blood draw. Doctors will check testosterone levels alongside other labs, such as the hormone estradiol and the sex hormone-binding protein globulin, at least twice. This process helps rule out other factors that can drive a number up or down.
Treatment and Risks
Treatment for low testosterone usually involves taking testosterone through a gel, patch, or injection. However, this therapy can shut down the body’s own production, affecting fertility. It’s essential to have a conversation about the potential risks and benefits before starting treatment.
Pushing testosterone levels too high can also carry risks, including thicker blood, higher clot risk, higher blood pressure, and worse sleep apnea. It’s crucial to approach testosterone therapy with caution and carefully consider the potential consequences.
The American Urological Association recommends testing men who have symptoms rather than screening everyone. While there is value in catching testosterone deficiency earlier, the guidelines should only be updated with evidence that it’s warranted.
Original reporting: KTVZ (Central Oregon) — read the source article.