Testosterone Deficiency in Men Symptoms, Causes & Treatment Options

What Is Testosterone Deficiency?

Testosterone deficiency, also known as male hypogonadism or androgen deficiency, is a condition in which the body does not produce enough testosterone.

It is a recognized men’s health issue. However, it is often overlooked, especially because the symptoms present in a subtle, vague, or non-specific manner.

This low testosterone condition is much more common than men think. In fact, it is estimated that more than 5% of Australian men over 50 are testosterone deficient. Still, it is frequently missed in routine health checks. This may be because men feel embarrassed about raising this concern, or maybe its symptoms overlap with other conditions.

At Iluka Medical Centre, we include testosterone deficiency screening as part of a detailed men’s health check.

Additionally, note that this condition can occur in women, and if you suspect you may be suffering from it, you should consult one of our GPs.

Common Symptoms of Testosterone Deficiency

Wondering what are the early signs of low testosterone? Well, they vary from individual to individual. Below are the most common signs that may prompt a man to seek medical help and have his testosterone levels checked.

• Reduced libido
• Persistent fatigue or low energy
• Memory difficulties or brain fog
• Low mood or depressive symptoms
• Muscle loss or reduced strength
• Erectile difficulties
• Generally “not feeling right”

These signs and symptoms are non-specific, and they can be caused by a range of conditions. A medical assessment is necessary to determine if low levels of testosterone are a contributing factor.

How We Diagnose Low Testosterone (Low T)

We diagnose testosterone deficiency through a morning blood test measuring serum testosterone levels. Because levels naturally fluctuate, two separate low readings are required to confirm deficiency.

Where appropriate, we may also investigate secondary causes (like pituitary or other hormonal conditions) through additional blood tests or imaging. In most cases, no secondary cause is identified.

Testosterone Deficiency Treatment Options in Perth

In cases where the deficiency has been confirmed, and the treatment is deemed appropriate, we provide the following treatment options:

• Intramuscular Injection: This is our most commonly used treatment, which involves administering testosterone via injection at the clinic by one of our nurses, typically every 6–8 weeks. It provides consistent hormone levels and is a convenient option for many patients.
• Topical Cream: In cases where the patient cannot visit the clinic regularly, the topical cream can be used. It simply has to be applied daily on the surface of the skin.

Testosterone replacement therapy is generally a long-term process, and the treatment should not be stopped or adjusted without proper medical guidance. Our experienced GPs select the most appropriate treatment option and monitor your response over time.

FAQs

What causes testosterone deficiency in men?

In the majority of men, testosterone deficiency is a primary condition without any identifiable cause. It is a decline of the hormone with age or as a result of individual variation. Less commonly, it might result from a secondary cause, such as pituitary gland disorder, certain medications, or other hormonal conditions. It is your GP’s role to determine if any further investigation is required.

How is testosterone deficiency diagnosed?

Diagnosis of testosterone deficiency requires a morning blood test, where the level of testosterone in the bloodstream is checked. Because the level of testosterone varies during the course of the day, the diagnosis requires two separate low readings to confirm deficiency. However, your GP might carry out other tests as well.

Is testosterone replacement therapy safe?

Testosterone replacement therapy has long been accepted as a treatment, which, when used correctly, is safe. Like all medications, there are risks associated with the treatment, which your GP will discuss with you prior to your treatment.

How long does testosterone replacement therapy take to work?

The response to treatment varies from one individual to another. Some men may feel energized and improve their mood within a few weeks, while other effects may take longer. Note that testosterone replacement is a long-term treatment that should not be ceased without advice from a doctor.

Can women have testosterone deficiency?

Yes. Testosterone deficiency can also occur in women, although it is not commonly talked about. Women are known to have lower levels of testosterone in their bodies. A deficiency of the hormone can affect mood, sexual function, and energy levels. It is advisable to consult your GP for more information.

Where can I get tested for testosterone deficiency in Perth?

At Iluka Medical Centre, we provide a comprehensive men’s health check that includes a testosterone screen. Please call us on (08) 6119 4700 to arrange a consultation with one of our expert GPs in Perth.