is testosterone bad for enlarged prostate

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Testosterone Levels by Age: Normal Levels for Males and Females

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Male Hormone Testosterone Test

Men who are no longer interested in conceiving may benefit from safe, monitored testosterone replacement therapy. Some patients with genetic issues that cause subfertility, such as Klinefelter’s syndrome, may also benefit. Everyone can benefit from an unbiased, listening ear now and then. I’ve referred many patients to see a therapist whose concerns resolve without testosterone therapy. Low-T clinics also tend to overtreat, making blanket recommendations around the patient’s total testosterone and not their individual health needs.

And in women or anyone with ovaries, testosterone is produced by the ovaries, the adrenal gland, and other tissues, and it aids in overall growth and development. The authors of a 2021 study noted that males with high levels of dihydrotestosterone (DHT) — a substance that works with testosterone — may have a higher chance of acne and hair loss. However, they did not link this effect directly to high testosterone levels. Men have much higher testosterone in the early morning than they do at night. Because of this variation, it’s important to schedule a blood draw in the morning—especially for younger men, whose testosterone levels vary more drastically than those of a man over 65. The symptoms of low testosterone (sometimes called “low-T”) reflect the role that the hormone plays in your body. As testosterone is essential for your fertility, energy levels, and muscle and bone strength, low-T can impact these areas of your health.

Regaining fertility is not guaranteed, but it is possible for some patients depending on their age and duration of testosterone use. The first step is to end any testosterone therapy and get baseline lab tests to know where your levels truly are. Often, we find that the patient’s LH production has been suppressed. Making these lifestyle changes, in conjunction with hormone replacement therapy through testosterone supplements, can raise a man’s testosterone levels. If your doctor suggests testosterone supplements, your levels will be monitored regularly to measure the outcomes and monitor your health.

It’s natural for testosterone levels to vary depending on your age and overall health. If they’re consistently high or low, you may experience unpleasant symptoms worth discussing with your provider. In female adults, high levels of testosterone may be a sign of polycystic ovary syndrome (PCOS).

Hyperandrogenism also has various clinical presentations, depending on puberty status and gender. Prepubertal boys with hyperandrogenism may present with virilization. Virilization includes penile enlargement, excess hair growth in androgen-dependent areas, and voice deepening.

No randomized controlled trial has demonstrated decreased cardiovascular events or mortality with testosterone therapy. Testosterone is the main sex hormone in men, though women have testosterone as well in smaller amounts. Hypogonadism, a condition characterized by low testosterone levels, can lead to sexual dysfunction, decreased muscle and bone strength, less energy, and lower fertility. The Panel recommends that clinicians use the same laboratory with the same method/instrumentation for serial total testosterone measurement. Where possible, clinicians should use LCMS to measure total testosterone levels to maximize accuracy and limit CV between tests in men undergoing testing, particularly in men flying with trt (https://keijikai.or.jp/) very low total testosterone levels. The Panel recognizes that not all laboratories use LCMS technology, and immunoassays may be the only measurement tool available to clinicians.

The original guideline search strategy was updated and used to systematically search PubMed for new evidence published between the previous search end date and February 2022. This search covered the topic areas of all Key Questions listed previously. The literature search returned 11,537 citations after deduplication. During title first pass review, 11,060 citations were excluded. A systematic review utilized research from the Mayo Clinic Evidence Based Practice Center and additional supplementation by the authors. Literature searches included Ovid Medline In-Process & Other Non-Indexed Citations, Ovid MEDLINE, Ovid EMBASE, Ovid Cochrane Central Register of Controlled Trials, Ovid Cochrane Database of Systematic Reviews, and Scopus. Controlled vocabulary supplemented with keywords was used to search for studies according to each defined question.

It’s responsible for facial hair, muscle mass, growth of the penis and testicles, and sex drive. It helps the testicles produce sperm and the penis to become erect. Before puberty, the testosterone level in boys is normally low.

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