Hypogonadism (Low Testosterone): Understanding and Treating Hormonal Imbalance

Overview

Hypogonadism, often referred to as low testosterone, is a condition in which the body doesn’t produce enough testosterone—the key hormone responsible for male sexual development, muscle mass, bone density, mood regulation, and energy levels. It can affect men of any age but becomes increasingly common with age, especially after 40.

Types and Causes

There are two main types of hypogonadism:

1. Primary hypogonadism (testicular failure): The testes cannot produce adequate testosterone. Causes include genetic conditions (e.g., Klinefelter syndrome), injury, infection (e.g., mumps orchitis), or chemotherapy.
   
   
2. Secondary hypogonadism (pituitary or hypothalamic dysfunction): The brain doesn’t signal the testes to produce testosterone. This can result from aging, obesity, pituitary tumors, chronic illness, stress, or use of opioids and anabolic steroids.

Symptoms

Symptoms of low testosterone may include:

• Decreased libido and erectile dysfunction
• Fatigue and low energy
• Loss of muscle mass and increased body fat
• Depression, irritability, or brain fog
• Reduced facial/body hair
• Decreased bone density
• Infertility

Diagnosis

Low testosterone is diagnosed through blood testing. Total testosterone levels below 300 ng/dL on two separate morning labs, along with symptoms, suggest hypogonadism. Additional tests may include free testosterone, LH/FSH, SHBG, and prolactin to determine the underlying cause.

Treatment Options

Treatment depends on the type and cause of hypogonadism. Options include:

• Testosterone Replacement Therapy (TRT): Administered via injections, gels, patches, or pellets. TRT helps restore normal hormone levels and relieve symptoms.
• Clomiphene citrate: For men wishing to preserve fertility, this medication stimulates the body’s natural testosterone production.
• Lifestyle changes: Weight loss, resistance training, stress reduction, and improved sleep can naturally support testosterone levels.
• Management of contributing conditions: Such as obesity, diabetes, or pituitary disorders.

How Health Force One Helps

At Health Force One, we specialize in the evaluation and treatment of hypogonadism. Our services include:

• Comprehensive hormone testing, including testosterone, LH, FSH, SHBG, and estradiol
• Personalized treatment plans, including TRT when appropriate
• Monitoring protocols for hematocrit, PSA, and cardiovascular health
• Lifestyle and nutrition coaching to support natural hormone balance
• Patient education and support to help you feel empowered in your care

We take a safe, evidence-based approach to hormone therapy and monitor closely to ensure optimal outcomes while minimizing risks.

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