Low Testosterone A Life Threatening Event  Contributed by Dr. Chris D. Meletis NDwww.DrMeletis.com    Mortality levels are 88% higher in men with low testosterone, compared with men who had normal testosterone.  The real challenge is that  testosterone levels for

 

Low Testosterone- A Life Threatening Event 

Contributed by Dr. Chris D. Meletis NDwww.DrMeletis.com 

 

Mortality levels are 88% higher in men with low testosterone, compared with men who had normal testosterone.  The real challenge is that  testosterone levels for the average healthy man drop slowly over 10 to 15 years and the symptoms that accompany this drop are often missed.  These include, decreased libido and sexual functioning, decreased muscle mass and strength, increasing fatigue, diminishing drive and zeal for life events and at times overt depression.

To make things worse, the dropping testosterone levels increase the risk of gaining weight and developing metabolic syndrome and diabetes. Most physicians do not test for testosterone levels in their obese male patients. If they did, millions of men could be protected against the scourge of metabolic syndrome, type 2 diabetes, high blood pressure, atherosclerosis, and cancerWhat is important to note, is that as the aging male gains weight, what testosterone he does still create on a daily basis is more likely to convert to estrogen, which is a double jeopardy circumstance, as the testosterone is not allowed to deliver its anabolic effects and the estrogen increases “fluffy weight distribution” including belly, breast, abdomen, hips and legs.  In addition the increased estrogen dramatically increases the risk of cancer. 

Bottomline: 

At least 25 million American men between 40 and 55 are experiencing signs and symptoms of andropause. My clinical philosophy is to, test not guess, and I routinely measure Total and Free Testosterone, Sex Hormone Binding Globulin, Estradiol, Dihydrotestosterone (DHT), Pregnenolone,  DHEA Sulfate for all my male patients.  Beyond stress control, I routinely rule out sleep apnea for any of my male patients that snore or are tired. Often correcting sleep deficits and sleep apnea can really help improve symptoms and support optimal testicular function.

 

References: 

Shores MM, et al., Arch Intern Med. 2006 Aug 14; 166(15):1660-5. 

Boyanov MA,  et al., Aging Male. 2003 Mar;6(1):1-7. 

 Lunenfeld B. Aging Male. 2007 Jun;10(2):53-6. 

Bhasin S, et al.. J Clin Endocrinol Metab. 2007 Mar;92(3):1049-57. 

Spark RF. Curr Urol Rep. 2007 Nov;8(6):467-71. 

Laaksonen DE, et al. Diabetes Care. 2004 May;27(5):1036-41. 

Haider A,  et al., Andrologia. 2009 Feb;41(1):7-13. 

 Dhindsa S,, et al. Diabetes Care. 2010 Jun;33(6):1186-92.