Low levels of testosterone are a nightmare for men. The levels of testosterone naturally decline as men age, though there are some conditions that can lead to abnormally low levels regardless of the age.
What are the symptoms of low testosterone?
- Erectile dysfunction
- Low libido
- Fatigue
- Decreased muscle mass
- Depression
- Lack of concentration
- Body and facial hair loss
- Low self-esteem
- Irritability
Many men with low testosterone levels have reported improved energy levels, mood, and libido after testosterone treatment. It is, however, important that testosterone replacement therapy may have side effects, and some of the long-term risks and benefits are not known.
Testosterone replacement therapy requires a delicate balance to effectively manage the side effects. Therefore, you also need to be aware of how testosterone interacts with estrogen and Luteinizing Hormone (LH) to operate at peak performance.
What are Testosterone replacement therapy available?
- Skin patch (transdermal)
An Androderm is a skin patch that is worn on the upper body or on the arm to boost the levels of testosterone in the body, and it is applied once a day. Testosterone is slowly released from this patch into the bloodstream.
- Mouth patch
It involves the use of Striant, which is a tablet that sticks to the upper gums above the incisor. It is applied twice a day and it releases testosterone into the blood continuously through the oral tissues.
- Gels and creams
Gels that contain testosterone are applied to the skin once a day, and testosterone is absorbed directly through the skin. These gels include Androgel and Testim which come in packets of a clear testosterone gel. Some gels also come in a pump that delivers testosterone in the amounts prescribed by your doctor. Another gel, Natesto, is applied inside the nose. They are, however, more costly than other methods and there is also the fear of transference to women and children. For some, there may be absorption problems and some are said to be sticky and even stinky. Gels and creams tend to be popular due to their ease of application.
- Injections and implants
Testosterone injections are the most efficient, inexpensive and reliable method to do testosterone replacement. Testosterone is in this case, injected directly into the muscles. It is also available in soft pellets that can be implanted in the soft tissues, and testosterone will be absorbed slowly into the bloodstream. Implants are popular because of their infrequent periods as they can last up to six months. However, critics say their efficiency as a testosterone replacement therapy is low.
- Oral pills
Oral testosterone pills are also available on prescription. However, experts believe that oral testosterone may have negative effects on the liver.
The other forms of testosterone replacement bypass the liver and get directly into the bloodstream, therefore sparing it from metabolizing the testosterone.
For you to consider testosterone replacement, your blood levels should confirm that the levels are low. It is, therefore, important to consult with your doctor before you consider any form of testosterone replacement therapy.
