Daily Column

DEAR DR. GOTT:
I’m an older gentleman with a question. Can you tell me about testosterone?

DEAR READER:
The male body produces a hormone known as testosterone. This hormone helps maintain bone density, muscle mass and strength, sex drive, the production of red blood cells, and sperm. Levels generally peak during adolescence and early adulthood. Then at the age of 40 or so, production is lessened. As a general rule, the decline is gradual.

A higher than normal testosterone level has been linked with an increased risk of prostate cancer or an enlarged prostate. Lower than normal levels have been associated with memory loss, mood changes, erectile dysfunction, and depression.

Synthetic testosterone is available by prescription. While studies reveal the supplemental form can bring levels back to normal in those with low counts, there is no evidence to document any benefits. Therapy can cause sleep apnea, fluid retention, enlarged breasts, baldness, and a decrease in the production of sperm. It can also lead the body to produce too many red blood cells that can increase the risk of heart disease.

If you are exhibiting symptoms and feel you have a testosterone deficiency, speak with your urologist to determine if a simple lab test is in order to rule out the condition.

Because I mentioned prostate problems and ED I am sending you copies of my Health Report “The Prostate Gland” and “Erectile Dysfunction”. Other readers who would like copies should send a self-addressed, stamped number 10 envelope and $2 per report to Newsletter, PO Box 167, Wickliffe, OH 44092. Be sure to mention the title.

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