Atlanta Center for Endocrinology,
Diabetes, Metabolism and Weight Loss

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Male Hypogonadism

Male testosterone deficiency (aka. Hypogonadism, low testosterone, low T) is more prevalent than generally believed. For example, a recent study surveyed over 2,000 men over the age of 45 found the prevalence of hypogonadism was 38%. Only 10% of these men were being treated for their hypogonadism. A comprehensive medical history, a complete physical examination and blood testing are very important when identifying low Testosterone in men.

Symptoms associated with male hypogonadism include erectile dysfunction and decreased sexual desire, fatigue and loss of energy, depression, hot flashes and bone loss. Blood testing can be complicated when identifying low Testosterone. There are many causes of low testosterone. Endocrinologists are uniquely qualified to diagnose and treat low testosterone in men.

The epidemic of low testosterone

There are multiple products that provide Testosterone replacement therapy. They should be evaluated based on whether they restore serum Testosterone to normal physiologic ranges, and once Testosterone is in normal range, if they decrease patient symptoms, and are well tolerated. Treatment options for low testosterone include:

  • Testosterone Gel (Androgel, Testim, Fortesta, Axiron)
  • Testosterone Patch (Androderm, Testoderm)
  • Testosterone injections
  • Testosterone pellets
  • Compounded testosterone products
  • Buccal troche
  • Your physican may prescribe additional medications

Click here to read about testosterone and your weight.