Testosterone is a vital hormone for men's overall health and well-being. As men age, testosterone levels naturally decline, leading to symptoms such as low energy, reduced muscle mass, weight gain, erectile dysfunction, and low mood. This condition is known as hypogonadism or low testosterone. Fortunately, testosterone replacement therapy (TRT) can help men suffering from low testosterone restore healthy hormone levels. The experienced medical team at Optimize Hormones in Pahoa, Hawaii, specializes in testosterone treatments utilizing state-of-the-art therapies tailored to each patient's unique needs and health goals.
This comprehensive guide will provide valuable information about:
Our aim is to empower you with knowledge to help you make informed decisions about your health and understand how testosterone therapy provided by Optimize Hormones can help you feel like your best self again.
Many men start experiencing signs and symptoms of low testosterone around age 30, but the development can be gradual over years, making the symptoms harder to recognize.
Here are the most common signs and symptoms of low testosterone in adult men:
Physical symptoms:
Mental and emotional symptoms:
Other common symptoms:
Many low testosterone symptoms are nonspecific, meaning they can also be caused by other medical conditions. A blood test is needed to measure testosterone levels accurately and make a diagnosis.
If you're experiencing any concerning symptoms of low testosterone, consult your doctor or schedule an appointment at Optimize Hormones. Early diagnosis and treatment can lead to significant improvements in your overall well-being.
Medical experts, including the Endocrine Society, recommend screening certain categories of men for low testosterone, including:
Don't hesitate to request a testosterone blood screening from your healthcare provider, even if you don't fit the descriptions above but still have troubling symptoms.
At Optimize Hormones, we understand that testosterone deficiency can occur in men from diverse backgrounds, regardless of age or health status. The common factor is life-changing symptoms that can dramatically respond to treatment.
Diagnosing low testosterone requires having your blood tested to check total testosterone levels along with free testosterone.
Testosterone in the bloodstream is either free (unbound) or bound to proteins like sex hormone-binding globulin (SHBG). Free testosterone is the active form that your tissues and cells can use.
Along with testosterone, your doctor may check other related hormones produced by the hypothalamic-pituitary-gonadal (HPG) axis, like luteinizing hormone (LH). Irregularities in this hormone network can cause low testosterone.
Reference ranges for male testosterone levels:
| Age Group | Total Testosterone Normal Range | Free Testosterone Normal Range |
|---|---|---|
| 19-39 years old | 240-950 ng/dL | 46-224 pg/mL |
| 40-59 years old | 193-740 ng/dL | 40-190 pg/mL |
| 60 years old | 100-650 ng/dL | 110-575 pg/mL |
Table data source: University of Rochester Medical Center guidelines
However, optimal testosterone levels for symptom relief are typically higher in the range. If test results show low-normal levels combined with ongoing symptoms, treatment may still be warranted.
At Optimize Hormones, we use the most advanced testing methods for precision diagnostics and customized treatments. Our comprehensive analysis includes checking testosterone along with over 15 other hormones and biomarkers associated with aging and metabolism to guide individualized therapies.
Testosterone deficiency can significantly reduce your productivity and enjoyment of life. The good news is that treatment is safe, effective, and easy to administer when properly monitored.
Benefits of testosterone replacement therapy include:
Numerous scientific studies confirm these widespread benefits of normalizing testosterone levels in deficient men. Patients report life-changing improvements in many areas.
At Optimize Hormones, our expert physicians customize treatment plans to achieve your health objectives, whether that's building strength, boosting performance, improving intimacy, or simply feeling healthier overall.
If blood tests confirm low testosterone, your doctor will discuss treatment options. The most common and effective options prescribed by the experienced physicians at Optimize Hormones include:
Testosterone injections - Injections administered every 7-14 days maintain stable hormone levels. Testosterone cypionate, testosterone enanthate, or testosterone undecanoate are often prescribed.
Testosterone gels - Topical gels provide daily testosterone directly through the skin. Popular FDA-approved gels include AndroGel and Testim.
Testosterone pellets - Pellets implanted under the skin every 4-6 months offer steady testosterone release. No need for daily dosing.
Human chorionic gonadotropin (hCG) - hCG mimics LH to stimulate natural testosterone production. Especially helpful for fertility.
Aromatase inhibitors - Medications like Arimidex block the conversion of testosterone into excess estrogen, improving treatment results. Helpful for some men.
Prolactin inhibitors - Medications like bromocriptine lower prolactin levels that can suppress testosterone, especially when elevated.
When beginning testosterone therapy, retesting blood levels after 6 weeks helps finalize optimal
