Some men may experience a return of spotting or heavier bleeding after months or even years of testosterone treatment. In most cases this represents changes in the body’s metabolism over time. To be safe, always discuss any new or changes to bleeding patterns with your doctor.
Low testosterone scores often lead to drops in bone density, meaning that bones become more fragile and increasingly prone to breaks. “Some say it’s just a part of aging, but that’s a misconception,” says Jason Hedges, MD, PhD, a urologist at Oregon Health and Science University in Portland.
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Sometimes such an imbalance could lead to a precancerous condition, although this is rare in transgender men. Missing a dose or changing your dose can sometimes result in return of bleeding or spotting.
A gradual decline in testosterone can’t explain a near-total lack of interest in sex, for example. And for Hedges’ patients who are in their 20s, 30s, and early 40s and having erectile problems, other health problems may be a bigger issue than aging. During puberty, testosterone helps build a man’s muscles, deepens his voice, and boosts the size of his penis and testes. In adulthood, it keeps a man’s muscles and bones strong and maintains his interest in sex. They come in saying they feel excessively fatigued, weaker, depressed, and that they have lost their sex drive — all common symptoms of a drop in testosterone.
When the researchers administered testosterone gel to anemic men who also had low testosterone, they saw improvements in blood counts compared to men who used a placebo gel. Some of the symptoms anemia can cause include problems concentrating, dizziness, how to cure hemorrhoids leg cramping, problems sleeping, and an abnormally rapid heart rate. In particular, they sometimes develop gynecomastia, or enlarged breast tissue. This effect is believed to occur due to an imbalance between testosterone and estrogen within men.
- But many people don’t know that it can cause facial hair growth as well.
- Indirect causes of low testosterone include excessive exercise, malnutrition, synthetic steroid abuse, and hormonal imbalances in the pituitary gland.
- Check if your testosterone is too high with theEverlywell at-home Testosterone Test.
- For men suffering from low testosterone who would like the opportunity to have children, avoid TRT and work with your fertility doctor if you have challenges conceiving.
- In adult males, testosterone promotes muscle growth, physical energy, assertive and competitive moods, sperm development, libido, and emotional bonding.
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While available data are limited, it does not appear that testosterone increases the risk of cancer to the uterus, ovaries, or breasts. Because not all breast tissue is removed during masculinizing chest surgery, otherwise known as top surgery, there is a theoretical risk that breast cancer could develop in the remaining tissue. However, it can be difficult to screen for breast cancer in this tissue, and there are risks of a false positive test result.
A range of symptoms can occur if testosterone production drastically drops below normal. According to the American Urological Association, about 2 out of 10 men older than 60 years have low testosterone. Additionally, maintaining a healthy lifestyle, getting plenty of sleep and fitting exercise into your routine are some other significant steps you can take to naturally boost testosterone. Zinc is an essential nutrient during puberty, and its effects can keep male hormones in check throughout adulthood.
In boys, delayed puberty can be a symptom of low T , while early puberty may be a symptom of high T. Testosterone levels that are too low or too high can cause health problems in both men and women. The researchers are conducting follow-up clinical trials to address the effects of testosterone replacement both on the measures in this study and others, such as bone and prostate health. Hedges agrees and warns that even if a man does not have symptoms, he may be well advised to seek treatment.