TRT in the UK and EU   |
  Contact: +44 (0) 203 9003 209My account

By Mike Kocsis | 3 minutes read |
  • Categories:
  • Medically Reviewed by Dr. George Touliatos

    Sometimes referred to as testosterone deficiency, male hypogonadism is a condition that occurs when the testes are not able to produce normal levels of testosterone and/or sperm.

    Take Hormone Quiz

    What are the Causes of Male Hypogonadism

    It is possible to be born with male hypogonadism but it can also develop later in life as the result of an infection, injury or disease.

    In cases of primary hypogonadism, the testicles will not respond to hormone stimulation. Primary hypogonadism can result from either a congenital disorder or be acquired after trauma to the testes, mumps, tumours, chemotherapy or radiation treatments.

    Cases of secondary hypogonadism are caused by a disease interfering with either the pituitary gland or the hypothalamus, which are both glands that release hormones that will stimulate the production of testosterone in the testes. Secondary hypogonadism can be caused by:

    • systemic illness
    • stress
    • malnutrition
    • cirrhosis of the liver
    • morbid obesity
    • toxins from heavy metals and alcohol
    • certain medications, including anabolic steroids

    Take Hormone Quiz

    Andropause, also known as male menopause, is a term sometimes used to describe the natural decrease in testosterone levels as a direct result of the ageing process. Testosterone in males typically increases until the age of 17. Levels then begin to decline in males over 40 at a rate of between 1.2 and 2% per year. The results of one study in 2012 indicated that around 20% of men over the age of 60 and 50% of men over the age of 80 present low levels of serum testosterone.

    What are the Symptoms of Male Hypogonadism?

    Hypogonadism can cause a wide range of different symptoms. The form and the severity of these symptoms will depend largely on:

    • whether onset was pre- or post-puberty
    • the degree of the testosterone deficiency
    • the length of time a person has been experiencing hypogonadism

     

    If hypogonadism occurs pre-puberty, puberty will not progress normally. Adolescents and young adults will typically appear younger than their age and might also:

    • lack facial hair
    • have small genitalia
    • notice that their voice does not break and deepen
    • experience difficulties gaining muscle mass

    Take Hormone Quiz

    In some cases, puberty-onset male hypogonadism can also lead to:

    • enlarged breasts
    • small testicles
    • impaired sexual development

     

    If hypogonadism occurs in adulthood, the symptoms can include:

    • loss of libido
    • erectile dysfunction
    • decreased sperm count
    • increased body fat
    • small, soft testes
    • reduced physical strength and muscle mass
    • osteoporosis
    • increased sweating
    • a wrinkled appearance to the skin
    • tiredness
    • loss of concentration and/or motivation
    • changeable moods

    How is Male Hypogonadism Diagnosed?

    Many of the symptoms of male hypogonadism can have multiple different causes, which is why diagnosis of male hypogonadism can sometimes be delayed or missed initially.

    Biochemical testing will be performed to accurately assess testosterone levels in the blood. As testosterone levels can fluctuate throughout the day, this testing is usually performed in the morning and before any food has been consumed.

    How is male Hypogonadism Treated?

    Testosterone replacement therapies can be used to successfully treat male hypogonadism. The precise form of treatment will vary from patient to patient, but the aim is ultimately to raise the amount of testosterone in the blood to a normal level.

    If you are displaying any symptoms of male hypogonadism, visiting your doctor to discuss your concerns and to obtain an official diagnosis is an important first step towards getting the appropriate treatment for your condition.

    About the Author: Mike Kocsis

    Mike Kocsis has an MBA with a focus on healthcare administration and is an entrepreneur and medical case manager for Balance My Hormones Ltd which offers medical services in the UK and Europe. Mike has over 20 years of experience in the healthcare sector, much of that working with people who have hormone imbalances. Mike has appeared on podcasts and radio and is an expert speaker on the subject of hormone imbalance. He specialises in Testosterone Replacement Therapy (TRT) and Hormone Replacement Therapy (HRT) and has helped thousands of people suffering from hormone imbalances recover and regain control of their lives. You can follow him on LinkedIn and on the Balance My Hormones YouTube Channel.

    Learn More

    Last update: April 1st, 2021

    Related Articles

    Low Testosterone In Women: Diagnosis, Symptoms and Treatments

    If you have are a woman and you suspect that you are being affected by low testosterone, then you may be trying to learn as much information as you can about this problem. Low testosterone in women is an issue that is a bit more common than some people may think. Whenever you are being […]

    Read More
    High Testosterone In Women: Diagnosis, Symptoms and Treatments

    Testosterone is one of the most important hormones in the body. It fuels several crucial functions and without it, the body wouldn’t function properly. That’s why it is so important to address the issue when testosterone levels are too high or too low. That’s right, even though testosterone is an essential hormone, there is such […]

    Read More
    What Does Testosterone Do?

    Though almost everyone has heard of testosterone and knows that it is a hormone in our bodies, not many people realize the full extent of testosterone and everything that it is responsible for in our bodies. While testosterone may be a casual topic of conversation for some, others know that it is one of the […]

    Read More


    Book My Consultation

    I agree to the privacy policy and to allowing balance my hormones to contact me to follow up on my enquiry
    (Reload)
    error: Content is protected !!