Low Testosterone
Low testosterone is a clinical and biochemical syndrome in men with persistently low blood testosterone plus characteristic symptoms. Treatment can improve symptoms but is not appropriate for everyone with low levels.
Quick Facts
- ICD-10: E29.1
Symptoms
- Reduced libido
- Erectile dysfunction
- Decreased energy
- Depressed mood
- Reduced muscle mass and strength
- Increased body fat
- Reduced body and facial hair
- Decreased bone density
Diagnosis
Two morning total testosterone levels confirmed low, plus consistent symptoms. Additional workup looks for cause (pituitary problems, medications, obesity, sleep apnea).
Treatment
- Address contributors (obesity, sleep apnea, medications, opioids, alcohol)
- Testosterone replacement therapy when appropriate (injections, gels, patches, pellets)
- Discuss fertility implications before starting (TRT suppresses sperm production)
- Monitor PSA, hematocrit during treatment
Medical Disclaimer: This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with questions about a medical condition. If you are experiencing a medical emergency, call your local emergency number immediately.
References
- Endocrine Society. Testosterone Therapy Guideline.