02.12.2019

Do I Have Low Testosterone? 14 Signs You May Want to Seek Treatment

Testosterone is the vital sex male hormone responsible for normal sexual development and function in men. In teenagers, it is responsible for body and facial hair and the development of muscle strength. In male adults, it stimulates sperm production and has a strong influence on a man’s sex drive. As men grow older, their testosterone levels drop gradually, with significant drops experienced from ages 60 to 80. At ProMD Health in Baltimore, MD,  if you ever wonder or ask yourself a question, “do I have low Testosterone?”, we have several ways of testing for this.

What Is Low Testosterone?

Also known as Testosterone Deficiency Syndrome or Low T, is a health condition where the amount of testosterone produced by the testicles is not enough to keep the body at optimum functionality. In medical circles, you are considered to be suffering from low testosterone if your levels are less than 300 nanograms per deciliter (ng/dL).

Testosterone Therapy

Testosterone therapy is an ideal treatment solution for this. The Food and Drug Administration (FDA) advises the use of testosterone therapy to treat this caused by inborn conditions such as Klinefelter syndrome. Testosterone therapy is also an ideal treatment option for men who harm or lose their testicles. Testosterone therapy boosts the testosterone levels for men who have had their testicles removed because of some serious health conditions, such as cancer.

How Common Is Low Testosterone?

It is not clear exactly how many men suffer from this. However, some data shows that 2 in every 100 are affected by this condition. The numbers vary depending on age. On average, only about 1% of younger men experience Testosterone Deficiency Syndrome. The number is significantly higher in older men, with about 50% of men aged 80 and above suffering from Low T.

Men are more likely to suffer from this if they are overweight or have diabetes. Up to 30% of men who are overweight have Testosterone Deficiency Syndrome compared to 6.4% of men with a healthy weight. Men who have diabetes are twice as likely to experience Low T compared to those without diabetes.

14 Signs and Symptoms of Testosterone Deficiency Syndrome

1. Problems With Erection

Besides stimulating your sex drive, testosterone also helps you achieve and maintain an erection. Testosterone on its own does not cause an erection. It influences an erection by stimulating brain receptors that produce nitric oxide. Nitric oxide is an important molecule involved in a complex reaction that results in an erection. Men with Low T have a hard time achieving and maintaining an erection before and during sex. They may also notice they no longer get those spontaneous erections they used to have while sleeping or early in the morning when they wake up.

However, it is important to note that Low T is not the sole source of erection dysfunction. There are several other causes of erection difficulties, including:

  • Anxiety
  • Depression
  • Stress
  • Diabetes
  • Thyroid problems
  • Alcohol
  • Smoking
  • High blood pressure
  • High cholesterol

 

2. Hair Loss

Among other body functions, testosterone also plays a role in hair production. For many men, balding is a natural process that comes with age. In most cases we inherit balding genes from our parents. However, men with Low T have an increased chance to lose body and facial hair.

3. Reduced Bone Mass

Thinning of the bone mass, also known as osteoporosis, is a medical condition that usually affects women. Since testosterone plays a part in development of bone tissue and maintenance of bone volume, however, lower than normal levels lead to reduced bone mass in men, too. Older men with Testosterone Deficiency Syndrome are more susceptible to bone loss, which exposes them to increased risk for bone fractures.

4. Low Blood Count

Health professionals have in recent years discovered a connection between Testosterone Deficiency Syndrome and an increased risk of anemia. Medical researchers have found that anemic men with Low T show significant improvements in blood count when they use testosterone gel compared to anemic men with Low T who use only a placebo gel. Some of the complications associated with anemia include:

  • Concentration problems
  • Dizziness
  • Sleeping problems
  • Abnormally rapid heart rate
  • Leg Cramping

 

5. Smaller Testicles

Although there can be other reasons for an unusually small penis and testicle, Low T among men sometimes contributes to a smaller penis and testicle size. Testosterone is vital in the growth and development of the penis and testicles. Therefore, when one suffers from Testosterone Deficiency Syndrome, they might have a disproportionately smaller penis or testicles. Their scrotum might also appear and feel softer than usual.

6. Low Sex Drive

Testosterone has a big impact on a man’s sex drive. While it is normal for some men to experience a gradual decline of their libido as they age, those with Testosterone Deficiency Syndrome experience a more drastic decline.

7. Loss of Muscle Mass

Testosterone is vital in the development of muscle mass. Therefore, when a person’s body is not producing enough testosterone, they tend to lose muscle mass. Fortunately, while Low T leads to a decrease in muscle mass, it does not seem to affect strength or function.

8. Increased Body Fat

Although Low T causes the loss of muscle mass, it also can lead to an increase in body fat. Men with Testosterone Deficiency Syndrome are susceptible to gynecomastia, a condition where the breast tissue increases in size. Gynecomastia occurs when there is an imbalance between testosterone and estrogen in men.

9. Fatigue

Men suffering from Testosterone Deficiency Syndrome experience a drastic drop in energy levels and constant, extreme fatigue. They feel tired most of the time despite having enough sleep and rest. Others lose interest and lack the motivation to engage in the physical activities they previously enjoyed.

10. Low Semen Volume

Semen is the liquid that transports sperm from the male body. It makes up a big part of the male ejaculate. A notable reduction in the volume of semen a man produces is a sign he might have Low T. In some cases, low semen volume can lead to fertility problems.

11. Difficulty Sleeping

Testosterone Deficiency Syndrome interferes with one’s sleeping pattern, making it difficult to get to sleep or stay asleep. The majority of men who have Low T are also more likely to develop sleep apnea. People with sleep apnea temporarily stop breathing while sleeping. This interferes with the quality of their sleep and can lead to further complications.

12. Hot Flashes

When a hot flash occurs, you are hit by a sudden wave of heat, sometimes accompanied by a red, flushed face and sweating. Hot flashes occur when blood vessels close to the skin expand to cool off, resulting in sweating. When hot flashes happen at night, they are called night sweats, and they can interfere with the quality of your sleep. Typically, hot flashes are common among women, especially after menopause when estrogen levels fluctuate. Men with this sometimes experience hot flashes, too.

13. Affected Memory

Naturally, physical and mental functions decline as we age. This includes testosterone levels and memory function. Health professionals believe there is a link between a drop in testosterone levels and the development of memory problems. According to some medical researchers, when men with Low T used testosterone supplements, their memory improves.

14. Mood Swings and Changes

Besides affecting physical function, testosterone also plays an important role in mood regulation. Medical researchers note that men with Testosterone Deficiency Syndrome are more susceptible to depression, irritability and lack of focus. All these conditions can reduce the quality of your personal and work life.

Causes of Testosterone Deficiency Syndrome

Some men have some innate health conditions that cause Low T, including:

  • Noonan syndrome
  • Klinefelter syndrome

Other conditions that contribute to Low T include:

  • Removal of testicles because of cancer
  • Damage to testicles in an accident
  • Radiation or chemotherapy
  • Infection
  • Autoimmune disease
  • Pituitary gland disease
  • Obesity
  • Aging
  • Metabolic syndrome
  • Certain medications, such as narcotic pain medications and antidepressants
  • HIV/AIDS

When to Seek Treatment

Sometimes men with Testosterone Deficiency Syndrome do not show symptoms and only find out they have it during a routine blood check. However, if you have experienced one or more of the symptoms we have mentioned, you should see a doctor and express your concerns. The doctor will physically examine you for any signs of Low T and may order a blood test or a bone density test to determine whether you have Testosterone Deficiency Syndrome. A bone density test shows any reduction in bone mass, which is a telltale sign of Low T.

Diagnosis

Although a doctor can physically examine you to check for any signs of Low T, the most reliable and accurate method to test for Low T is the measurement of total blood testosterone level.

The doctor will also review your medical history and may ask you about:

  • Your development in puberty
  • Headache and visual field change
  • Previous experiences of head trauma
  • History of brain tumor, brain surgery or cranial irradiation
  • Previous infections of the testicles
  • History of a heart attack or a stroke
  • Opiate use
  • Mumps during puberty

The doctor might also carry out the following physical examinations:

  • Body Mass Index (BMI) or your waist’s circumference to check for obesity
  • Prostate size
  • Testicle size
  • Hair pattern
  • Gynecomastia

 

Treatment

The most common treatment option for Testosterone Deficiency Syndrome is testosterone replacement therapy. Only a doctor can prescribe testosterone replacement therapy after ascertaining that you have Low T from blood tests and confirmed physical and mental signs and symptoms of Low T. Testosterone replacement therapy can be delivered in several ways, including skin patches, gels, injections, tablets, and through pellets that are surgically implanted.

Most people show signs of improvement after 6 to 8 weeks of testosterone replacement therapy. During this stage, you are likely to notice relief from the signs of Testosterone Deficiency Syndrome. Your doctor might also advise you to make some lifestyle changes, including getting regular exercise and eating a healthier diet. Foods like beef, oysters, beans, milk, fortified cereals, tuna and shellfish boost the production of testosterone.

Learn More

Testosterone levels decline naturally with age. However, since Low T plays an important role in several physical and mental functions, this decline brings some undesirable complications that can negatively affect the quality of your life. It is even more alarming when you notice the signs of Low T at a young age.

If you experience any of the signs we have mentioned above, reach out for professional help from the experts at ProMD Health in Baltimore, MD. A health professional will provide you with all the information you need about this and advise you on the steps to take to recover your youthful vitality.

02.12.2019
Share with:

Choose Your Location

To book an appointment online, select one of the following locations.

Annapolis, MD (21401)

Annapolis
annapolis_mob

Arlington, VA (22201)

Arlington
Arlington_mob

Timonium, MD (21093)

Timonium
timonium_mob

Bel Air,
MD (21015)

Columbia, MD (21045)

Columbia
Columbia_mob

Wellington, FL (33414)

Wellington
wellington_mob

Washington, DC (20001)

Washington
washington_mob

Tox Bar (21224)

Westminster, MD (21157)

Annapolis, MD (21401)

annapolis_tab

Arlington, VA (22201)

arlington_tab.

Timonium, MD (21093)

timonium_tab

Bel Air,
MD (21015)

Columbia, MD (21045)

columbia_tab

Wellington, FL (33414)

wellington_tab

Washington, DC (20001)

washigton_tab

Tox Bar (21224)

Westminster, MD (21157)

Taylor Warren ProMD Health Bel Air

Taylor Warren

RN, BSN

Locations

About

Taylor graduated from Towson University in 2021 with a bachelor's degree in nursing. Taylor worked as a nursing assistant throughout school before accepting a position as a registered nurse at Johns Hopkins Bayview in the emergency department. Using her critical care experience, she then worked as a perioperative nurse in an outpatient surgery center before joining the Pro MD team in Belair. Taylor has always had a love for cosmetic nursing and specializes in making patients not only look their best but also feel their best.

Stakesha St Clair Washington DC ProMD Health Aesthetician

Stakesha St. Clair

Aesthetician

Locations

About

Beauty muse meets patient care. Stakesha St. Clair, a native of Washington D.C. has honed her skills in providing personalized skincare treatments and recommendations to help her clients achieve a healthy and glowing complexion. With a background in dermatology and aesthetics, Stakesha is highly knowledgeable in the latest skincare techniques and products. She believes in the importance of a skincare regimen and that confidence starts with the health of your skin.

Search ProMD Health

Search

Kelly Cochran

Medical Aesthetician

Locations

About

Kelly Cochran a licensed aesthetician with over 20 years of hands-on experience. Kelly has dedicated her career to quality outcomes and providing a luxury service to every patient she sees. As a ZO Skin Health Expert, Kelly works with her patients using in office services and at home treatments to award them the best results available. Come see Kelly for her personally designed custom Hydrafacials! In her spare time, Kelly enjoys ballroom and professional dancing and spending time with her friends and family.

Jessica Hogg

Medical Aesthetician

Locations

About

Jess, a licensed cosmetologist, boasts over 15 years of experience in aesthetic medicine. She embarked on her journey in Plastic Surgery, eventually rising to become the aesthetic director of a multi-location dermatology practice and the lead medical aesthetician. Jess has truly excelled in skin health restoration, earning accolades as an expert in the field. With comprehensive training under Dr. Zein Obagi and a track record of nationwide educational lectures for SkinMedica, she has delved into every aspect of aesthetic care. Coined by colleagues as the "Skincare Queen," Jess believes what you do at home is paramount to achieving your aesthetic goals.

Jillian Krebs

CRNP

Locations

About

Jillian has spent the last 6 years of her career working in neurosurgery with WellSpan Health, York PA. Jillian’s extensive surgical background and understanding of the head and neck make her an advanced practitioner in the field of medicine. Graduation from York College, as a Registered Nurse, Jillian immediately worked to become a certified Nurse Practitioner. She has spent 15 years of her career dedicated to the health and wellness of the patients surrounding her home town. Jillian has spent months training along side the brightest and most talented injectors in the world of aesthetics and is thrilled to offer the patients of Westminster, MD her expertise. Jillian is passionate about health, wellness and ensuring her patients feel and look their very best. An avid athlete, Jillian spends her time with her fiancé and family enjoying the outdoors.

Bailey Babowicz

Laser Technician

Locations

About

Over the past four years, I've been a Certified Medical Electrologist (CME). I've collaborated with dermatologists and worked at medspas, performing a variety of laser treatments such as BBL, Moxi, laser hair removal, and acne treatments. Since I was young, I've always had a passion for helping people feel their best, and I'm fortunate to be able to do this through my career.

brynn_blackstock

Brynn Blackstock

Aesthetic Consultant

Locations

About

Brynn is one of our Aesthetic Consultants. She graduated from Penn State University in 2021 and holds a Bachelor of Science in Biobehavioral Health. She brings over 5 years of experience in customer service within the beauty industry to the team. Brynn has a passion for helping others look and feel their best and strives to make each patient feel welcome at our practices.

Kaitlin Lemenze

Medical Aesthetician

Locations

About

Kaitlin Lemenze is our medical front desk and licensed medical aesthetician. Kaitlin is patient focused and detailed-oriented. She is very personable and courteous in all interaction with patients and team members and skilled at anticipating physician and practice needs. Kaitln specializes in HydraFacial, medium depth chemical peels, dermaplaning, acne treatments, microneedling, skincare assessments, and in-depth treatment plans. All of Kaitlin's treatments incorporate goal oriented results while offering relaxation and pampering. Kaitlin is passionate about aesthetics and helping others to love the skin they're in. 

ashley_santamaria

Ashley Santamaria

PA-C

Locations

About

Ashley Santamaria is a Board-Certified Physician Assistant with a master’s degree in Medical Science from Lincoln Memorial University – DeBusk College of Osteopathic Medicine. She has an extensive healthcare background of 12 years as a Patient Care Representative, Emergency Medical Technician, Certified Nursing Assistant, Medical Assistant, and now as a Physician Assistant. She’s an active member of the FL Academy of Physician Assistants and the American Academy of Physician Assistants. Ashley fell in love with Aesthetic Medicine because “it is where science meets art; where research marries creativity” and therefore has completed multiple neurotoxin and injectable certifications, along with a certification in hormonal optimization therapy.

Steele Bolton

RN

Locations

About

Steele is a native Texan who has called DC home for almost 3 years! He first graduated from Texas State University with a Bachelor’s degree in Microbiology and Biochemistry, and then a degree in Nursing from Brookline College in Phoenix, Arizona. He has experience in various avenues of nursing ranging from the Neuro-Intensive Care Unit, to Orthopedics, Case Management, Home Health, as well as School nursing. He discovered his passion for anti-aging medicine as a client of a MedSpa in 2021 and could not be more excited to step into the industry. “My goal for each client is to feel more confident in themselves and their image with each step in the process of achieving their aesthetic goals. The greatest feeling is knowing that you’ve helped boost someone’s confidence.”

Farah Hizoune

Aesthetic Consultant

Locations

About

Farah is a Baltimore native and our Aesthetic Consultant for Tox Bar. Farah has always had a passion for making people feel beautiful and confident. As a current cosmetology student, she is always learning to grow her knowledge in all things beauty. She has worked in medical aesthetics for over 3 years and is a certified makeup artist. She looks forward to using her broad beauty acumen to help our patients achieve their aesthetic goals!

Cailie Murphy

CRNP

Locations

About

Cailie is a Baltimore native who joined ProMD in August 2022 as a Certified Registered Nurse Practitioner. She received Bachelors degrees from University of Denver and Thomas Jefferson University. She also completed her Masters in Nursing from Thomas Jeff

Mariel Castronova

Medical Aesthetician

Locations

About

Mariel is our Medical Aesthetician in the Columbia office. In addition to her aesthetics certification from Fortis Institute, she received her Bachelor of Science Degree from Towson University in Human Services as she thoroughly enjoys working with and helping people. Her knowledge and passion surrounding skin care allows her to educate patients while building treatment plans based on skincare goals. Her previous experience in a spa setting allows her to cater to patients’ needs and expectations during treatment, while providing a relaxing environment.

Kathy Hoang

Aesthetic Consultant

Locations

About

Kathy is an aesthetic consultant and studied Health Administration and Public Policy at the University of Maryland Baltimore County. She has a strong passion for healthcare and the aesthetics industry. She enjoys working with patients to create plans to achieve their aesthetic goals. On the weekends, you can find her golfing or spending time with her family and friends.

james_hogan

James Hogan

Aesthetic Consultant

Locations

About

James is one of our Aesthetic Consultants. He graduated from the Smith School of Business at the University of Maryland in 2021 and holds a Bachelor of Science in Operations Management and Business Analytics. Combining his love for aesthetics and his experience in consulting and customer service, James has made it his passion to keep up with the ever-changing industry to serve as a knowledgeable resource to patients while providing exceptional care.

Natalie Aponte

Aesthetic Consultant

Locations

About

Natalie is one of our aesthetic consultants at our Columbia location. She has been a part of the Columbia team for the past 3 years, where she worked as a front desk receptionist, and upon graduating from the University of Maryland at College Park, she has transitioned into the aesthetic consultant position. Natalie has a passion for aesthetics and aspires to attend medical school in the coming years with the intent of pursuing cosmetic dermatology. She is passionate about making patients feel confident and comfortable, and uses her customer service experience to ensure patients leave satisfied and feeling their best. She works hard to bring a positive attitude to the office, and offers a helping hand to all of our team members to ensure the office runs smoothly.

Jen Aponte at ProMD Health Columbia

Jennifer Aponte

PA-C

Locations

About

Jennifer is a Maryland native and lived in Columbia for 9 years before moving to Catonsville. She received her Bachelor of Science in Dietetics from The University of Maryland College Park and completed her Master’s as a Physician Assistant from St. Francis University. Jen worked as a physician assistant at Prince George’s Hospital in obstetrics and gynecology before working for Concentra as an urgent care and occupational medicine physician assistant. She has always had an interest in cosmetic dermatology. She completed a rotation in dermatology and completed training under Dr. Gavrilla. She is a member of the American Academy of Physician Assistants and the Maryland Academy of Physician Assistants.

meg_landymore

Meg Landymore

PA-C

Locations

About

Meg is a Physician Assistant, board-certified by the National Commission on Certification of Physician Assistants. She is a Baltimore-area transplant, originally from Connecticut, who moved after completing her Master’s as a Physician Assistant from Seton Hall University. Meg has over 9 years of experience in the fields of Neurosurgery, Emergency Medicine, Occupational Medicine and Army medicine as a member of the Army National Guard. Meg brings her wealth of experience to clinical aesthetics where she focuses on helping people look and feel their best. Meg underwent training under Dr. Gavrila and is certified in Botox, dermal fillers and hormone optimization therapy.

Paige Scott

Master Aesthetician

Locations

About

Paige has been in the beauty industry for 5 years. She has a passion for making people feel confident in their own skin. Paige’s combination of a personal and professional approach welcomes and comforts everyone who comes in for treatment. Paige passionately believes self care is the best care and the most beautiful thing you can wear is your own confidence.

Amanda Pittillo

PA-C

Locations

About

Amanda is a Baltimore native and ingrained in the local community and surrounding areas. She received her Bachelor in Nursing from Salisbury University and completed her Master’s as a Physician Assistant from Towson University. Amanda worked for five years as a registered nurse in cardiac care and an emergency room nurse. She is a member of the American Academy of Physician Assistants and the Maryland Academy of Physician Assistants. Her strong patient care background and attention to detail drives high expectations for quality in her work. “Patient satisfaction is a direct reflection of the quality of care I provide. I want every patient to leave my office feeling like a person and not a number.”

natalie_gavrila

Natalie Gavrila

Lead Aesthetician

Locations

About

Bio coming soon!

diana_gavrila

Diana Gavrila

Senior Aesthetician

Locations

About

Bio coming soon!

jodie_snodgrass

Jodie Snodgrass

Aesthetician

Locations

About

Bio coming soon!

jaclyn_fischer

Jaclyn Fischer

Aesthetic Consultant

Locations

About

Jaclyn is one of our medical office assistants at our Timonium location. She graduated from Medix School in Towson as a certified Medical Office Assistant. Jaclyn has worked in the medical field and customer service for over 15 years. Jaclyn is passionate about aesthetics and is here to help all of our patients have the best experience possible.

Yasmin Miremadi

Aesthetic Consultant

Locations

About

Yasmin Miremadi has been a Licensed Aesthetician for 5 years. Graduating from Von Lee International School of Aesthetics, she began her career specializing in facials and chemical peels. Yasmin enjoys putting together a skin care regimen based on patients specific needs. Most importantly she has a passion for helping others feel and look their best.

carmella_ellis

Carmella Ellis

Aesthetician

Locations

About

Carmella is a Baltimore native who has always had a passion for skincare. It is this passion that led Carmella to receive her aesthetician license under Diana Gavrila at Diana’s European Skin Care in 2014. For the last 8 years, Carmella has been able to bring her passion for skincare to all of her clients, where Carmella’s artistic eye and attention to detail are evident with every treatment. She has extensive experience working with people of all skin types, particularly individuals with aging skin, and skin prone to acne. She is always looking to learn more new and improved ways to better serve her clients, as technology and medical research are constantly evolving.

mandy_gauthier

Amanda Gauthier

PA-C

Locations

About

Amanda is a board-certified physician assistant with over 4 years of experience in plastic and reconstructive surgery. She holds her Bachelor of Science degree from James Madison University and completed her Master of Science degree in Physician Assistant Studies at Thomas Jefferson University in Philadelphia. She is a member of the American Academy of Physician Assistants, mentors physician assistant students, and volunteers with the PA Foundation performing scholarship reviews. Amanda enjoys developing strong relationships with patients and being part of their transformative process. "I truly believe in natural-looking results, and I am passionate about helping patients look and feel their best from the inside out."

Hannah Keenan

Director of HRT

Locations

About

Hannah is the Director of Hormone Optimization Therapy. She holds a Bachelor’s degree in Science from Towson University with a focus in Nursing and Psychology. Hannah is dedicated to improving each patients health and quality of life through Hormone Optimization Therapy. She recognizes that each patient is a unique individual and takes pride in providing quality patient care and promoting a healthy lifestyle for everyone. Hannah is responsible for managing patient medications, answering any questions about the procedure process, as well as assisting the physicians during the patients procedure.

amber_elliot

Amber Elliot

RN

Locations

About

Amber Elliott, a Registered Nurse, graduated from Baltimore County Community College in 2013. Immediately after completing her degree, she began working within the field of aesthetics. Amber’s skills and passion for all aspects within the industry have brought her to ProMD Health where she is the Laser Specialist. She helps clients with a wide range of issues such as hyper-pigmentation, acne and acne scarring, as well as uneven skin tone or texture. Additionally, Amber is skilled in the tattoo removal process, whether it is tattoo fading for cover ups or complete removal. Amber’s down to earth personality, along with her honest and genuine approach to skincare and medicine, allows patients to feel comfortable, safe and confident.

Christina Anyikwa, M.D.

Physician

Locations

About

Christina Anyikwa is a physician from Fort Lauderdale, Florida, with a passion for helping patients look and feel their best. After graduating from Spelman College with a Bachelor of Science in Biology, Dr Anyikwa graduated from Ross University School of Medicine and later completed her residency training at the Medical College of Georgia. During her residency, Dr Anyikwa served as Chief Resident, where she led a team of residents and helped to coordinate patient care. After completing her residency training, Dr Anyikwa worked as a hospitalist physician in Washington DC for several years, where she gained valuable experience in managing complex medical cases and providing compassionate care to her patients. Her passion for aesthetics and helping patients feel confident in their own skin led her to transition to medical aesthetics with ProMD Health. As a medical aesthetics provider, Dr Anyikwa combines her medical expertise and artistic eye to create personalized treatment plans that help her patients achieve their aesthetic goals. Outside of work, Dr Anyikwa enjoys traveling, trying new restaurants, and spending time with her family and friends.