Gynecomastia and related problems: Decline in testosterone levels in men

The article was written by Master, Doctor Vo Thien Ngon - Urologist, General Surgery Department - Vinmec Danang International General Hospital

Testosterone is a male sex hormone, produced mainly in the testes. Testosterone levels in adults range from: 12-35 nmol/l and decrease with age, the older the age, the lower the concentration.

Testosterone is not only a hormone that determines the male gonads, but also affects and affects most other important organs of the body: brain, bones, pituitary gland, kidneys, muscles, submandibular glands, blood vessels, metabolism. fat metabolism, sugar metabolism, epithelial cells, epididymis, vas deferens, seminal vesicles, prostate gland, penis, hair follicles, sebaceous glands,...

Klinefelter syndrome. Orchitis due to mumps. Testicular trauma. Testicular irradiation. Chemotherapy in cancer. Excessive heat of the testicles. Malnutrition . Tumors of the pituitary gland and the hypothalamus. Pituitary resection or radiation therapy. Increased blood prolactin. Adrenal and testicular tumors. Fat. Increased uric acid in the blood. AIDS. Cirrhosis. Systemic disease. Effects of medications – such as ketoconazole, spironolactone, cimetidine, phenytoin. Aging: Decreased ability of testes to secrete Testosterone.

When sexual and sexual function decline, men have common symptoms: Decreased sex drive, erectile dysfunction, premature ejaculation, male infertility, ... In addition, they also feel tired, depression, memory loss, osteoporosis, muscle weakness,...
The doctor will diagnose impaired sexual and sexual function due to low testosterone based on medical history and test of testosterone hormone levels, LH, FSH, Proclactine, Estradiol.

Increase muscle mass, strength and function. Maintain BMI within normal limits and reduce the risk of osteoporosis fractures. Improve neuropsychiatric function. Improves fertility and sexuality. Improve quality of life. Treatment with Testosterone improves libido, erectile function, improves bone density, muscle mass and strength, and maintains a state and sense of well-being in men.

Treatment with Testosterone is dose dependent and individual patient response is different. Treatment with Testosterone is applicable to both young and elderly men with impaired sexual function. The treatment also increases bone mineral density and muscle mass in the body, and reduces body fat, strengthens blood vessels, improves sexual function, including libido and erection function, improve erectile dysfunction. In diabetic patients with impaired sexual function, increased insulin sensitivity and decreased blood glucose have been observed. In males with delayed physical growth and puberty, treatment with Testosterone first promotes growth and then induces the development of male sexual characteristics. In women who have had their ovaries removed, testosterone supplementation improves sex drive and increases bone mineral density (reduces osteoporosis) and body mass. In female-to-male transsexuals, treatment with Testosterone induces virilization. Note: The treatment must be individualized for each patient and follow the instructions of the Doctor. You should not arbitrarily use Testosterone without your doctor's prescription.
CONCLUSION:
Testosterone levels in the blood decrease with age. Decreased testosterone levels can lead to decreased sex drive. Symptoms of hypogonadism in the elderly include: Decreased bone density, decreased muscle mass and strength, increased obesity, depression, decreased sexual function, decreased hematopoiesis, decreased function awareness, increased cardiovascular risk. Late sexual decline contributes to mortality and morbidity in the elderly. Restoring testosterone levels in the blood can delay or prevent the consequences of sexual dysfunction and other chronic diseases in men such as diabetes, metabolic disorders, cardiovascular diseases, etc. There is no association between blood testosterone levels and the risk of prostate disease in the elderly. Testosterone treatment can maintain and/or improve quality of life in men. Men who are middle-aged or men who have delayed puberty with sexual decline should see an orthodontist as soon as possible for an effective diagnosis and treatment, to avoid long-term consequences. Currently, at Vinmec Da Nang Hospital, there is a male specialist with well-qualified doctors who have been trained for many years at home and abroad. In addition, the hospital has modern testing facilities, meeting international standards, providing quick and accurate results, supporting doctors to effectively treat patients.