Hypogonadism is a disease in which the body is unable to produce normal amount of Testosterone due to a problem with the testicles or a problem with the Pituitary gland. In general, the normal range of testosterone in males is 270-1070 ng/Dl. A normal Testosterone peaks at age 20. Then it slowly declines over time, approximately one percent per year after age 30. Men can experience many signs and symptoms of low testosterone. Some examples are decreased sexual desire, fewer spontaneous erections and insomnia. Increased body fat and decreased muscle mass can happen as well.
Low Testosterone can also cause loss of body and facial hair, hot flashes and brittle bones. It is important to understand that some males with normal testosterone levels, just don't feel normal. Every persons "normal" is individualized.
Common treatments for testosterone therapy include topical creams, injections or pellet therapy. It is paramount to find a balance for each individual. Too much testosterone can cause low sperm count, decreased testicle size, acne and insomnia. A complete evaluation of testosterone, free, total and sex hormone binding globulin, when considering replacement therapy.
Options for replacement include via pellet, topical creams, or injectable testosterone.