Adoption of Healthy Lifestyle:
If the males are experiencing the symptoms of low testosterone, changing in lifestyle helps to avoid the low testosterone symptoms.
Several measures need to adopt:
- Physical Activities: such as vigorous exercises, heavy lifting, etc
- Healthy diet: For example, Tuna, low-fat milk rich in vitamin D, Egg yolk, Fortified cereals, beans, beef, etc. help to increase the level of testosterone
- It can also be beneficial not to use glucocorticoid medications such as prednisone as well as opioid pain medications
Testosterone Replacement Therapy:
Treating low testosterone is done through testosterone replacement therapy, which is available in different forms:
Intramuscular Injections (into a muscle): Testosterone injection is directly injected into the muscles, for 10 to 14 days.
Testosterone Skin Patches: These are the transdermal patches that are usually applied over the skin of different body parts are the buttocks, arms, back, and abdomen. It is given almost once a day. For example, Androderm.
Testosterone gels: A doctor applies them over the clean dry skin of the upper back and arms. For example AndroGel, and Axiron. Dosing is difficult to adjust, that's why it is available in single-application packages or premeasured pumps.
Caution: It is used with care so that a hormone is not transferred to another person accidentally.
Pellets: These are implanted beneath the skin every two months.
Important Note: Testosterone is available in the form of a pill. According to the best andrologists/sexologist, they believe that it shows a negative effect on the liver if these pills are used on a long-term basis. Other delivery methods can bypass the liver and transfer directly into the bloodstream.
Side effects of Testosterone Replacement Therapy:
The side effects of low testosterone therapy are enlisted below:
- Swelling in the ankles due to mild fluid accumulation
- Prostate stimulation, can cause urinating symptoms such as difficulty in passing urine.
- Breast enlargement or tenderness
- Sleep apnea gets worsening (a sleep disorder that results in frequent nighttime awakenings and daytime sleepiness)
- Reduction in testicles
- Skin irritation (for those patients who are receiving topical testosterone replacement)
- Laboratory abnormalities that may detect with testosterone replacement therapy are:
- Prostate-specific antigen (PSA) elevation
- Red blood cell count elevation
- A decrease in sperm count causes infertility (inability to have children)
Who is at Risk of testosterone replacement therapy?
Testosterone replacement therapy may affect the enlargement of the prostate. An andrologist/sexologist will not allow those males who are diagnosed with prostate cancer. That's why before starting the testosterone replacement therapy, prostate screening is important to carry out.
Other people who should not allow testosterone replacement therapy are:
- A male with an enlarged prostate causes urinary symptoms (difficulty starting a urinary stream)
- A lump on their prostate that is difficult to evaluate
- A PSA measurement above 4
- An elevated number of red blood cells
- Obstructive sleep apnea that has not been treated
- Breast cancer
- Severe congestive heart failure