Q: I am an active 50-something male. My doctor recently recommended that I start a testosterone replacement therapy to increase my testosterone levels which have been waning over the course of the last few years. As much as I am intrigued by the benefits, I am equally wary of the side effects of Low T therapy, so what are your thoughts on the subject:
A: Testosterone is a hormone that is produced in the testicles in men (and to a far less extent in the ovaries in women). Its purpose is to maintain the production of red blood cells, promote bone density, maintain muscle strength, and in the production of sperm and sex drive.
As an individual ages, levels commonly decline. In fact, it is believed levels drop 1% every year following the age of 30. Reduced levels can cause infertility, lack of sexual desire, increased body fat and a reduction in muscle mass, decreased bone density/osteoporosis, gynecomastia (enlarged breasts), hair loss, hot flashes, and decreased energy overall. Keep in mind that some of these unwanted side effects may actually be caused by something other than low testosterone levels. For example, an individual may be drinking more alcohol than previously, there may be an undetected thyroid abnormality, or a medication side effect may be to blame. Were one of these causing the condition, think how simple it would be to reduce your alcohol consumption, have your thyroid checked through simple lab work, and make a modification to a different drug, over-the-counter, or herb that might correct the situation.
A reduced level of libido is to be expected as men age and a common effect of low testosterone levels. The degree varies from man to man with some individuals having no symptoms, even as they approach 70 years of age. You’re a long way from 70, so if this is a problem for you, you might consider the possibility that another condition is at play such as depression Were this the case, it might be more beneficial to treat the depression with therapy or medication, instead of testosterone replacement therapy.
Therapy can cause your body to produce too many red blood cells (known as polycythemia) that, in turn, can increase your risk of heart disease. Or, it can cause sleep apnea, a disorder in which a person’s breathing stops and starts during normal sleep. There can actually be diminished sperm production, enlarged breasts and acne.
If you choose to pursue the therapy, ask your doctor or specialist what to expect long-term. I strongly urge you to educate yourself and speak with your physician before making the firm decision to begin therapy which definitely has risks. If your reduced readings are simply part of the aging process, you may prefer not to subject yourself to the perceived pleasures ahead.
Readers who would like related information can order Dr. Gott’s Health Report “Erectile Dysfunction” by sending a self-addressed, stamped number 10 envelope and a $2 US check or money oder to Dr. Gott’s Health Report, PO Box 433, Lakeville, CT 06039. Be sure to mention the title when writing or print out an order form from our website www.AskDrGottMD.com.
