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Low Testosterone
December 2002

Q. I am a 40-year-old male. I have been diagnosed with a low testosterone count. I was getting injections of testosterone biweekly. I am no longer getting shots because I moved from the state where my doctor was. I have tried the gel form but it is not as effective as the injectable. Now that I am not getting the shots, I am having trouble functioning. I have all kinds of weird symptoms. The symptoms are: anxiety, sweating, low libido, mood changes, very passive and sensitive, can't handle stress as before, and low energy. What should I do and what can I do to deal with this problem? Is there a way to naturally restore or boost my testosterone level?

A. Low testosterone levels in a 40-year-old male is not so common. The key to the evaluation and treatment will be to make an accurate diagnosis, to determine the source of the problem. The production of testosterone from the testes is directed by a signal from the pituitary gland in the brain. This is the control center for most of the endocrine glands in the body, and the pituitary gets a signal from the hypothalamus gland in the brain. It is a complex control system to keep hormone levels in the normal range.

So the low level in your case could be due to malfunction of the hypothalamus, the pituitary, or the testes could be failing to respond to the signals from the brain. Once the source of the problem is determined, appropriate treatment can be determined. An endocrinologist or urologist would be well-qualified to help in this regard.



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