Male hypogonadism is a condition that occurs in men because of hormonal problems- the body does not produce enough testosterone. About 35% of men over 50 years are suffering from hypogonadism. In this disorder, testosterone levels are low, leading to major changes. The patient no longer has strength, vigor, and mood or mental disposition necessary for sexual activity and when he does usually experience difficulties in maintaining an erection (erectile dysfunction). His partner will be unhappy and puzzled by man’s changing attitudes and the relationship will deteriorate.
Testosterone levels in men usually decrease with age by approximately 1.2% per year. Testosterone deficiency may promote metabolic syndrome including: dyslipidemia, insulin resistance, abdominal obesity and hypertension, diabetes mellitus, atherosclerosis, osteoporosis, muscle and joint pain, anemia, etc. In order to get an erection it is important testosterone level, the health of blood vessels involved and nerves in the area. This is the reason why men with hypogonadism also suffer from erectile dysfunction.
People may be born with the disease or may develop it later in life. Signs and symptoms depend on when the condition develops. The treatment depends on at what point in life this disorder develops. Also the symptoms depend on the age at which hypogonadism appear in man’s life.
For example, symptoms of fetal development differ significantly from those in puberty or adulthood. A baby born with this disease can present ambiguous genitals or even female genitals. If this disease appears in puberty the symptoms usually include: development of breast tissue, a growth insufficiency of the penis and testicles and an excessive development of arms and legs and also too little muscle mass lack of voice deepening.
In adulthood, hypogonadism can be caused by an injury or an infection and also serious immune deficiencies and certain medications. The symptoms for this period may be: infertility, erectile dysfunction, a reduction of testicles size, a decrease in bone mass and muscle mass and also the development of breast tissue. Hypogonadism is usually called the menopause of women because causes hot flashes and psychological changes like difficulty concentrating, low libido and an increase level of fatigue.
Endocrinologist exam is required for the correct diagnostic. There are some precise measurements of hormones in the blood that can be done for detection of testosterone deficiency. If deficit is confirmed the endocrinologist can prescribe treatment. It usually consists of a medication based on pills, injections or gels. Men who undergo a proper treatment eliminate the feelings of emotional instability and fatigue and improve their sex life, by restoring the normal erectile function.