Understanding Hypogonadism (Low Testosterone)
Hypogonadism is the medical term for a condition in which the body doesn't produce enough testosterone, the primary male sex hormone. This deficiency can lead to a wide range of symptoms that affect a man's quality of life, energy, and overall health.
Types of Hypogonadism
There are two main types:
- Primary Hypogonadism: This means the problem originates in the testicles. The brain is sending signals to produce testosterone, but the testicles are unable to respond adequately. This can be caused by injury, genetic conditions (like Klinefelter syndrome), or other testicular issues.
- Secondary Hypogonadism: This means the problem originates in the brain (specifically the hypothalamus or pituitary gland). The testicles are healthy, but they aren't receiving the proper hormonal signals (LH and FSH) from the brain to tell them to produce testosterone. This is the more common type and can be caused by obesity, type 2 diabetes, chronic stress, or other conditions.
Symptoms of Low Testosterone
The symptoms of hypogonadism are often gradual and can be mistaken for normal aging. They include:
- Persistent fatigue and low energy
- Reduced sex drive (low libido)
- Erectile dysfunction
- Depressed mood or irritability
- Difficulty concentrating and "brain fog"
- Loss of muscle mass and increased body fat
- Decreased bone density (osteoporosis)
Diagnosis: The Importance of Comprehensive Testing
A diagnosis of hypogonadism requires blood tests to confirm low testosterone levels, ideally with at least two separate morning measurements. A comprehensive diagnosis involves more than just a total testosterone test. Our Full Male Hormone Panel looks at Free Testosterone, SHBG, LH, and FSH to determine not only if testosterone is low, but also whether the problem is primary or secondary, which guides treatment.
Treatment: Hormone Replacement Therapy (HRT)
The standard treatment for confirmed hypogonadism is Testosterone Replacement Therapy (TRT). The goal of TRT is to restore testosterone levels to a healthy, normal range, thereby relieving symptoms. This is a medically supervised treatment that may involve injections, gels, or other delivery methods. Regular monitoring through follow-up blood tests is essential to ensure the treatment is both safe and effective. You can learn more about our approach on our Hormone Replacement Therapy page.
Get a Clear Diagnosis. Feel Like Yourself Again.
Don't just accept feeling tired and "off." A proper diagnosis and treatment plan for hypogonadism can restore your vitality and dramatically improve your quality of life.
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