25% of US men over 30 years have low testosterone levels but only 5% of men have shown symptoms, according to a latest survey on sexual health. More than 4.5 million Americans suffer from low testosterone symptoms. This survey highlighted the fact that all men with low testosterone do not show symptomatic androgen deficiency. This survey was conducted on 1,500 men in Boston area by New England Research Institute researchers. This sexual research report was published in the “Journal of Clinical Endocrinology and Metabolism”.

Even though sex hormone levels fall gradually with ageing (from 30 years onwards), unlike women, men do not symptoms of hormone deficiency. From 30 years onwards, testosterone levels decline by 1% a year.

Androgen deficiency symptoms: These occur in 3-7% of men under 70 years age and around 20% in men over 70 years age. By 2025, more than 6.5 million American men will suffer from androgen defeciency symptoms.

1. Erectile Dysfunction.

Low testosterone:

It is defined as 300 ng/dl of total testosterone and less than 5 ng/dl of free testosterone.

Who need testosterone replacement therapy?

Men with symptomatic androgen deficiency clearly benefit from testosterone replacement therapy.

Contraindications:

1. Men with prostate cancer.
 

2. Symptom less testosterone decline.

3. Fall in testosterone levels with age.

Who are at high risk for androgen deficiency?

1. Men with a waist line over 40.

2. Uncontrolled blood pressure.
 

3. Signs of Insulin resistance.

All the above points fall under Metabolic Syndrome. Testosterone replacement therapy may protect these men from coronary artery disease and other harmful effects of metabolic syndrome.

Men with low testosterone levels without any disease or anatomical abnormality should receive treatment as it prevents bone loss in them.

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