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Q: Low serum testosterone level in 26 year old male ( Answered,   4 Comments )
Question  
Subject: Low serum testosterone level in 26 year old male
Category: Health > Men's Health
Asked by: valetudoguy78-ga
List Price: $50.00
Posted: 16 Sep 2004 09:26 PDT
Expires: 16 Oct 2004 09:26 PDT
Question ID: 402073
I'm a 26 year old male in pretty decent shape.  I try to eat a
balanced diet, take my vitamins, and exercise regularly.  I recently
had my regular checkup which involved a prostate exam and normal
physical.  My doctor said my prostate seemed a bit large so she had me
do some bloodwork which included a PSA (prostate-specific ag).  The
results came back and the PSA results were 0.5 ng/mL, which is normal.
What worries me is my serum testosterone levels were 336 ng/dL.  The
doctor said it was a little low. Other than that, I have high
cholesterol (226 overall: triglycerides - 116, HDL - 56, VLDL - 23,
and LDL - 147).  I think its genetics since both my mom and father
have high cholesterol.  My doctor said I needed to eat more fruits and
veggies and to come back in a year.  Like I mentioned before, I think
I eat decent and exercise regularly.   Being a young guy, I'm worried
about my testosterone.  I don't like the idea I may have to take
Viagra at my age.  Do I have anything to worry about?  What can I do
to raise my serum testosterone levels naturally?
Answer  
Subject: Re: Low serum testosterone level in 26 year old male
Answered By: leapinglizard-ga on 16 Sep 2004 16:26 PDT
 
Dear valetudoguy78,

Please read the Important Disclaimer at the bottom of this page and
bear in mind that nothing I have to say is an adequate substitute for
the advice of a qualified professional such as a doctor or dietician.
However, I am pleased to offer you the results of my search for
background information on the connection between serum testosterone
and impotence.

To put it succinctly, I have found several sources in favor of the
idea that low testosterone levels contribute to erectile dysfunction,
but almost all of them state clearly that low testosterone is not
commonly a cause of sexual impotence. Instead, the process of aging
results naturally in lowered testosterone at the same time that sexual
activity decreases.

As for raising your testosterone level, it is possible that you can do
so by non-pharmacological means. The advice I have found generally
argues for ample exercise and a diet heavily weighted toward fresh
fruits and vegetables. I did find a statement to the effect that zinc
supplementation has been shown to raise testosterone levels. Several
other sources claim that the use of certain oils in your diet will
promote the production of testosterone. Among the herbal treatments
advertised on the web, I have found mention of chrysin, nettle roots,
and muira puama.

The one sure way to raise testosterone is to have it administered
directly on a doctor's prescription. On the other hand -- and I think
this is the most important point -- it is not at all evident that you
are lacking in testosterone.

A testosterone level of 336 ng/dL falls within the normal range for
adult males. According to an article on WebMD reviewed by medical
doctors, the normal testosterone level is "Men: 300?1,000 nanograms
per deciliter (ng/dL)".

WebMD: testosterone
http://my.webmd.com/hw/mens_conditions/hw27307.asp

A website devoted to the subject of testosterone has the following to say.

"Knowing what the normal testosterone level is for a man is quite
difficult to do as what is low and what is high varies from person to
person. But the general consensus of experts is that a normal level of
testosterone for a man will range from the low 200s to more than 1200
ng./dl."

Testosterone Online: Testosterone Levels in a Man
http://www.testosterone.uk.net/testosterone-level-man.htm

An article by Dr. Ken Goldberg states the following.

"Normal levels are considered to be anywhere between 300 and 1,000
micrograms per deciliter, and low readings ought to be confirmed by a
repeat test."

Male Health Center: "Testosterone: The Fountain of Youth?"
http://www.malehealthcenter.com/Columns/testost.html

In the same article, Dr. Goldberg tells us:

"In general, low testosterone levels are not a common cause of sexual
difficulty. Among men who see me for erection problems, only about 5
percent have significantly low testosterone levels, although some
studies have shown an incidence as high as 15 percent."

As you'll see below, there is plenty of material to support this
contention. Here is a discussion of low testosterone and impotence,
although it's not clear that it applies to your situation.

"In men, mid-life hormone changes usually begin without notice,
especially after the age of forty. Unfortunately, the only obvious
result may be the gradual assumption of the appearance of 'an old
man.' Andropause, a condition in which the testosterone level slowly
declines with age, also decreases a man?s ability to enjoy sex. In
addition to experiencing a decrease in sexual desire and erectile
function, men with a lowered testosterone level may also notice
changes in mood and emotions, a decrease in body mass and strength due
to loss of muscle tissue, and an increase in body fat."

Seek Wellness: low testosterone
http://www.seekwellness.com/andropause/low_testosterone.htm

The phenomenon of andropause in men is comparable to menopause in
women, which comes at a later stage in life as part of the general
trend of aging and bodily decline. It is no surprise to me, anyway, to
read that sexual energy decreases in old age. As far as I can tell,
andropause is not applicable to a healthy twenty-something man.

To get a better idea of whether you truly suffer from low
testosterone, consider the following list of indicators and
counter-indicators. An indicator is a symptom that argues for the
presence of a medical condition, while a counter-indicator argues
against it.

First, the indicators.

"Symptoms - Aging
  Health declining with age
"Symptoms - Hair
  Reduced underarm/pubic hair growth
"Symptoms - Metabolic
  Low energy/stamina
  ...
"Symptoms - Mind - Emotional
  Impatient/hostile disposition
"Symptoms - Mind - General
  Being unmotivated
"Symptoms - Skeletal
  Morning stiffness
  Joint pain/swelling/stiffness"

Diagnose Me: Low Male Testosterone Level
http://www.diagnose-me.com/cond/C15002.html

And now the counter-indicators.

"Symptoms - Metabolic
  ...
  High energy/stamina
"Symptoms - Mind - General
  ...
  Being highly motivated"

Diagnose Me: Low Male Testosterone Level
http://www.diagnose-me.com/cond/C15002.html

So if you're an energetic, highly motivated male who does not suffer
from andropause and does not complain of morning stiffness, joint
pain, hostility, or the other indicators listed above, the odds appear
to be slim that you're suffering from low testosterone level.

The same article has some interesting advice for those who do suffer
from low testosterone and low sperm count.

"Studies support the use of zinc supplementation in the treatment of
low sperm count especially in the presence of low testosterone levels.
Both sperm count and testosterone levels rose in men with initially
low testosterone levels. Zinc status should be evaluated in men with
decreased serum testosterone levels."

Diagnose Me: Low Male Testosterone Level
http://www.diagnose-me.com/cond/C15002.html

I have seen zinc supplements at my local drugstore, but if you plan on
taking them or pursuing any other treatment, I urge you to consult
your pharmacist or doctor first.

As for the connection between low testosterone and impotence, an
article on Senior Health has the following to say.

"Impotence usually has a physical cause, such as disease, injury, or
drug side-effects. Any disorder that impairs blood flow in the penis
has the potential to cause impotence. The incidence of impotence is
higher in men with diabetes, high blood pressure and smokers than in
others. Low testosterone is also being looked at as a cause."

About: Senior Health: "Do low testosterone levels cause impotence?"
http://seniorhealth.about.com/library/FAQ/blqa40.htm

Note that this advice is directed toward elderly men, who may well be
suffering from andropause, as per the material I mentioned earlier.
Here is some more information arguing against low testosterone as a
common cause of impotence.

"Blood testosterone (male hormone) level can be measured. However, it
is unusual for impotence to be caused by a low testosterone level, so
the result is usually normal. The exception is when there has been a
reduced sex drive for some time before any problem with erections; in
this situation a testosterone test is worthwhile."

Embarrassing Problems: Impotence
http://www.embarrassingproblems.com/pages2/impotence3.htm

In other words, reduced sex drive is an indicator for low testosterone
level as well as for impotence.

A great many websites specializing in herbal medicine and other
natural approaches to health will name certain organic substances as a
treatment for low testosterone. I don't know whether I, on my own
behalf, would put much stock in such cures. As a representative sample
of this school of thought, one article recommends the herbs chrysin,
nettle root extract and muira puama. Note that here, too, low
testosterone and impotence are described as an effect of aging.

"Enhanced sexual enjoyment is of paramount importance to a great many
people, increasingly so as we age. An enormous amount of published
data documents the libido-enhancing effects that occur when
testosterone is restored to a youthful level."

Health-n-Energy: Information on Herbal Testosterone Enhancement
http://www.health-n-energy.com/ARTICLES/chrysin.htm

A website devoted to discussion of testosterone, and to which I have
already linked above, has the following to say about the
testosterone-friendly diet.

"So is there a diet that will specifically increase testosterone?
Well, not specifically, but there is a type of food that has been
found to promote the production of testosterone in the body. Or more
specifically, a type of fat. Monounsaturated fats are called that
because the presence of one carbon bond in the carbon chain means that
the fatty acid does not get ?saturated? with hydrogen. Monounsaturated
fats are found in Canola Oil, Olive Oil and Peanut oil."

Testosterone Online: Testosterone Diet
http://www.testosterone.uk.net/testosterone-diet.htm

To recapitulate, a diet featuring monounsaturated fats, certain herbs,
and supplemental zinc may have beneficial effects on your testosterone
level. However, low testosterone is generally seen to accompany
impotence in older men, beginning at the age of 40 and become more
prevalent between the ages of 50 and 70. Finally, based on the test
result you have reported, your current testosterone level is within
the generally accepted normal range.

If you feel that my answer is incomplete or inaccurate in any way, please
post a clarification request so that I have a chance to meet your needs
before you assign a rating.

Regards,

leapinglizard


Search Queries:

normal testosterone level
://www.google.com/search?hl=en&ie=UTF-8&q=normal+testosterone+level

increase testosterone diet
://www.google.com/search?hl=en&lr=&ie=UTF-8&safe=off&c2coff=1&q=increase+tes
tosterone+diet&btnG=Search

testosterone impotence
://www.google.com/search?hl=en&lr=&ie=UTF-8&safe=off&c2coff=1&q=testosterone
+impotence&btnG=Search
Comments  
Subject: Re: Low serum testosterone level in 26 year old male
From: kriswrite-ga on 16 Sep 2004 16:42 PDT
 
The range of ?normal? testosterone levels varies from man to man.
According to Testosterone: ?The general consensus of experts is that a
normal level of testosterone for a man will range from the low 200s to
more than 1200 ng./dl.? (?Testosterone Levels in a Man,?
http://www.testosterone.uk.net/testosterone-level-man.htm ) WebMD, and
other trustworthy sources of medical information, confirms this:
?Different labs measure free testosterone differently. But ranges they
consider ?normal? generally fall between 260 nanograms/deciliter to
1,000 ng/dL. (2.6 nanograms/milliliter to 10 ng/mL).? (?Is It Time to
Add Testosterone?? http://my.webmd.com/content/article/43/1687_51041 )

Nonetheless, many medical websites claim: ?Normal levels are
considered to be anywhere between 300 and 1,000 micrograms per
deciliter?? ( ?Testosterone: The Fountain of Youth?? by Dr. Ken
Goldberg, http://my.webmd.com/content/article/61/67442.htm )

In addition, one test isn?t sufficient to confirm that you have low
testosterone levels. Hormone levels fluctuate during the day and the
month. (Generally, testosterone is higher in the morning.) Also,
current tests for testosterone aren?t always accurate, and if there?s
a real concern, you may wish to consult a specialist.

Most hormone experts suggest that you have two tests done at the same
location, at about the same time of day. Inaccuracies in testosterone
tests may be due to lab errors, testing at different labs, or normal
hormone fluctuations. For more information, I highly recommend WebMDs
article on testosterone testing: ?Is It Time to Add Testosterone??
http://my.webmd.com/content/article/43/1687_51041

If your doctor determines that you do, indeed, have consistently low
testosterone, he or she will then need to determine whether the
problem is in the testes or if it?s pituitary based. Only then can a
determination be made on how to treat the problem. In addition, the
doctor would need to ensure that you don?t have certain medical
conditions that can be exacerbated by testosterone. Low testosterone
levels in men can also be related some inherited diseases, including
Klinefelter's syndrome) and liver disease, so your doctor should look
into that, as well.

Typical symptoms of low testosterone are feeling constantly low in
energy, loosing weight quickly, depression, and loss of strength. Low
testosterone may also lower your libido, although this is one of the
less common causes of lowered sex drive. (See ?Lack of Sex Drive,?
http://www.netdoctor.co.uk/sex_relationships/facts/lackingsexdrive.htm
 and ?When a Husband Isn?t Interested in Sex? at About.com,
http://marriage.about.com/cs/lowsexdrive/a/2malelowlibido.htm  for
more information on common causes of lowered sex drive.)

If you don?t have any of these symptoms, you probably have no need to worry.

It will probably also comfort you to know that low testosterone is not
a common cause of sexual dysfunction. ?Among men who see me for
erection problems, only about 5 percent have significantly low
testosterone levels, although some studies have shown an incidence as
high as 15 percent.? (?Testosterone: The Fountain of Youth?? by Dr.
Ken Goldberg, http://www.malehealthcenter.com/Columns/testost.html )

There are ways to add testosterone to your body, but you should not
attempt them unless your doctor has proven you healthy, as
testosterone may cause serious problems in men with certain
conditions.  In addition, high testosterone has it?s risks (including
shrinking the testes and possible baldness); you should not attempt to
alter your hormone levels without the aid of a doctor.

Regards,
Kriswrite

KEYWORDS USED:
symptoms "low testosterone"
normal "testosterone levels"
Subject: Re: Low serum testosterone level in 26 year old male
From: thedon1-ga on 09 Jun 2005 10:49 PDT
 
I too have low testosterone for a young man (29)...no chronic illness
and/or diseases.  I'm eat healthy and workout regularly (5'10"; 78lb;
14%body fat).  The one thing is I have been taking Propecia for the
last 9 years...with success.  Never had any of the symptoms described
as the side effects.  However, I just noticed symptoms that concerned
me (erections weren't as strong; rarely any morning erections and if
so they were more 'chubbies'; also desire was lowered (quit
masturbating and was only having sex 5x a week w/fiance...as opposed
to daily masturbating and daily sex).  This was ongoing for 2 months
before I saw my physician (didn't know if it was physcological...until
i realized the loss of morning erections) Initial Dr response was that
I'm probably fine and blood tests showed no issues with Thyroid. 
Requested Hormone test to be done and also a referral to urologist. 
Tests came back and sure enough my Total Testosterone measured 276
ng/dL and Free Testosterone is 9.4 pg/mL (ranges i was given are
260-1000 ng/dL for TT and 10.3-28.8 pg/mL for FT).  Urologist was
somewhat surprised by my low level of Free Testosterone...figuring the
Propecia would make it go higher.  Also, the fact that my Total
Testosterone was so low.  Were in process of measuring my Prolactin
levels to see if there is any Pituitary tumor and if so go from there.
Otherwise it may be in my testicles...which is odd cuz I've never had
this before...nor has anyone in my family (both sides of my family
have tons of kids and healthy lives).  I'll fill you in on what comes
out of my tests and experience.  I hope I don't have to take
Testosterone replacement therapy...but if that's the case oh well. I
do want to have children! I hope there will be no issues there.  Good
luck!
Subject: Re: Low serum testosterone level in 26 year old male
From: valetudoguy78-ga on 09 Jun 2005 11:58 PDT
 
UPDATE: I went back to the doctor and had another test done.  The
levels were normal!  This is a month after the last test.  Since then
I started exercising more, eating healthier, and having more sex.  I
also noticed I was less stressed.  I honestly believe the stress of
losing a job and personal issues I had at the time were lowering my
testosterone levels.  I'm going back in six months to get retested. 
Other than that, the urologist said I was ok.

The big thing that scared me was during the first test, where it was
low, the doctor also felt my prostate and said it was unusually large.
 I read online that low testosterone levels can be seen in men who
have prostate cancer.  Also, low testosterone can make the prostate
cancer screening test report false positives.  Luckily, I was tested
twice with the prostate test (PSA) and both came back negative.

I wish you luck in your search and please keep me updated.
Subject: Re: Low serum testosterone level in 26 year old male
From: thedon1-ga on 09 Jun 2005 13:19 PDT
 
Thanks for your update!  Have you been told or do you know that
Stress/Anxiety/Guilt/Depression can mess with your testosterone
levels?  I wasn't aware of that. Im happy to hear your levels are
normal again. When I tested mine it was done in the morning. I've been
having sex daily however, only once and not 2 or 3x like i was in Feb.
 I just had my blood drawn for Prolactin levels yesterday and awaiting
results...but having sex in the meantime...however, only when
stimulated by my fiance...I can't get hard by myself...unlike 3 months
ago.  Glad to hear your feeling healthy and no prostrate issues! 
What's next?

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