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Update on Testosterone Side Effects

Update on Testosterone Side Effects
It has come to my attention that some patients could use a refresher on side effects of testosterone replacement.
First let’s remember that Low testosterone is a valid medical condition that should be treated. Now let’s review why it’s important to treat Low T. Hypogonadism (Low T) may result in significant decrease in quality of life and adversely affect the function of multiple organ systems.
Population-based studies done in the last 10 years indicate that low testosterone levels are associated with an increase in the risk for developing type 2 diabetes, metabolic syndrome, heart disease and even a reduction in longevity.
In men, testosterone concentrations are inversely related to mortality due to cardiovascular disease and all causes. Low testosterone may be a predictive marker for those at high risk of cardiovascular disease. 

Signs and symptoms of low testosterone (low T)
1.    A decrease in muscle mass and strength
2.    A decrease in bone mass and osteoporosis
3.    An increase in central body fat
4.    Loss of energy and drive
Other symptoms such as a decreased libido, erectile dysfunction, forgetfulness, anemia, difficulty concentrating, insomnia, and a decreased sense of well-being are also sometimes present. 
Now for the unwanted side effects…
1.    Testicular atrophy (diminished testicular size) which is reversible and easily treated with human chorionic gonadotropin (hCG)
2.    Increased red blood cell count which can be treated by donating blood

Less common:
1.    Acne
2.    Irritability, impatience
3.    High blood pressure
4.    Swelling (edema)
5.    Sleep apnea and snoring

If you have been experiencing any of these side effects please make an appointment to discuss treatment.