Testosterone Deficiency Syndrome (TDS) and Low Testosterone


Which is the hormone that makes a man a man? Who needs testosterone replacement therapy?

It has to be testosterone

Do you need Testosterone Replacement Therapy Malaysia? Testosterone is a hormone produced by the testis. It is the key hormone responsible for all of men’s physical characteristics, like:

  • Facial hair
  • Chest hair
  • Muscle growth
  • Deeper voice
  • Sperm production
  • Aggression
  • Energy
  • Stamina
So you can imagine what will happen when a man has low testosterone levels.

Why has my testosterone dropped?

Andropause, or testosterone deficiency syndrome (TDS), is the condition whereby a man faces lower testosterone levels than normal.

This is caused by the following:

1.Age

In the vast majority of cases, low testosterone is just a consequence of aging. Similarly to how oestrogen production drops in women during menopause, men after the age of 40 will also have an equivalent decline in testosterone production.

2. Testes damage

Damage to the testis will greatly impact testosterone production. This can be from infections, trauma, radiation, heat or surgery.Mumps is a common viral infection acquired during childhood. Aside from causing a swollen face, it can also infect the testis.

3. Hot environments

Men who work in hot environments are also at risk. Particularly hawkers who work all day near an open stove positioned around the level of their testis.

4. Medical conditions

Certain conditions promote faster decline in testosterone, such as:

Obesity

Diabetes

High blood pressure

High cholesterol

Some pre-existing medical conditions such as undescended testis or chromosomal abnormalities (e.g. Klinefelter’s syndrome) would already affect testosterone production from a very young age.

5. Steroids

When anabolic steroids are used to boost testosterone for muscle growth, abuse over a long period of time, for sports or bodybuilding purposes, can eventually shrink the testis. This will then lead to testosterone deficiency syndrome.

What tests can I do to check my testosterone?

A blood test is standardized to measure the total amount of testosterone in the body.

A second test is done if the blood test results are normal. This test will measure the protein levels of albumin and sex-hormone binding globulin (SHBG) in the body. Some testosterone molecules may bind with these proteins and hence render useless for the body. With the albumin and SHBG quantities, the amount of free testosterone actively available can be calculated. IUD Malaysia

A Full Blood Count (FBC) test and Prostate Specific Antigen (PSA) test might also be conducted to determine the number of red blood cells as well as the health of your prostate before receiving the Testosterone Replacement Treatment.

If your symptoms seem to suggest a different condition and not low testosterone, further tests will be conducted for them too.

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