Low T often exists alongside other medical issues.

Many of my male infertility patients with low sperm counts or other semen abnormalities will also present with Low T. In addition, many patients with low Testosterone have medical co-diagnoses including sleep apnea, obesity, hypothyroidism, high Estrogen (high E), and erectile dysfunction (ED). In view of this reality, it is critical that men with Low T not be evaluated and treated by simple schemes from simple minded health care providers. Men need and deserve, health care providers who will assess their clients’ overall health including their hormone status.

When a client presents to me with male infertility, I will typically assess their FSH, LH, Testosterone, Estradiol and Prolactin levels (see glossary section). I am not surprised to find that many of these men, even in their 20’s have a low testosterone level, and that this correlates with some of the common symptoms of Low T upon further questioning of the client. As you might expect, when a condition exists that negatively impacts sperm production, quantity or quality, it often also affects Testosterone production in a negative way. Many of such clients are so appreciative when we get them feeling better by treating their Low T in a way that preserves their sperm count, since direct TRT (testosterone replacement therapy) drives the sperm count down towards Zero!

Other Low T clients have presented with primary complaints of low energy and weight gain in spite of a good diet and attempts at exercise. In these men, it is important to question them about sleep habits, since undiagnosed and untreated sleep apnea is often associated with Low T and weight gain. In addition, we will often check Thyroid function is these patients since low Thyroid hormone levels will result in this presentation. Comprehensive evaluation and treatment is essential to meeting our clients’ expectation of improving Health and Wellness.

Lastly, never underestimate the importance of evaluating Estrogen levels both at time of diagnosis and at regular intervals during therapy. Many men have too high of an Estrogen (major female hormone) level as a part of their picture. High Estrogen level (high E) is diagnosed with a blood test for the primary Estrogen called Estradiol. Treatment of High E results in loss of excess water weight, increased metabolism, more stable mood, decreased bone and joint pain and decreased breast size and tenderness.

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