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low testosterone

Low Testosterone: Let’s Understand

“I have low testosterone” is a frequent and growing complaint in the office, although it is not always correct. Decreased testosterone levels can lead to a number of signs and symptoms, such as erectile dysfunction and decreased sexual desire. For this reason, many men go to the best sexologist in Delhi because they believe that their problem is the decrease in testosterone. However, this is not always true.

As explained, erectile dysfunction is multifactorial. Therefore, circulatory, metabolic, neurological, hormonal, medication and psychological etiologies may be involved. Testosterone, then, is a small part that can contribute to erectile dysfunction.

Likewise, the decrease in sexual desire is also related to different etiologies. Among them: depression, post-traumatic stress, kidney failure, coronary heart disease, heart failure, stroke, STDs and AIDS, eating disorders, erectile dysfunction, dysfunctional partner, couple conflicts, medications and hormonal changes. Therefore, the linear reasoning that decreased sexual desire and erectile dysfunction are synonymous with low testosterone levels, is wrong.

Androgenic Male Aging Disorder

Although subjects of all ages come to the sexologist in Delhi to find out about their testosterone, the patients who most seek information about their hormonal status are middle-aged and elderly. That certainly has a reason. We all age, at least for now. Thus, there are gradual changes in our organism, but at some point they are noticeable, including the disposition for sexual intercourse. Indeed, sexual desire is different and erections are not the same when comparing older men and young people. The sexologist in Delhi will be able to assess and guide what is part of our normal aging and what may possibly be outside of expectations.

Androgenic Male Aging Disorder is a clinical and biochemical syndrome associated with unhealthy male aging. It is characterized by signs and symptoms in multiple organs, in addition to a negative impact on quality of life, resulting from the decrease in serum testosterone levels.

Testosterone throughout life

The healthy aging man has a natural decline in testosterone as the years go by – about 1-2% per year. This drop in hormone levels is not responsible for the worsening of your sexual quality of life. There is a peak in testosterone around 20 years of age and a decrease in its concentration throughout life. In this way, the elderly man gets to have his testosterone levels close to 300ng / dL.

Low Testosterone – What happens?

There is certainly a relationship between testosterone levels and symptoms. As the concentration decreases, the symptoms appear:

Low testosterone, however, is not just about sexual performance. The testicles decrease in size, there may be growth of the breast (gynecomastia), loss of muscle mass and hair loss.

I emphasize the association with obesity, type 2 diabetes, metabolic syndrome and physical inactivity. I speak in association and not in cause or effect, as there is a vicious cycle. In such a way, the above diseases lead to low testosterone and this in turn leads to or worsens the first conditions.

I also emphasize that cognitive and psycho-vegetative symptoms may be related to the drop in testosterone. They are: hot flashes, changes in mood, fatigue, irritation, sleep disturbances, depression and decreased cognitive ability.

There is also a decrease in bone mineral density / osteoporosis, and thus, fractures occur with minor trauma. Up to a third of the elderly are believed to have anemia without a clear explanation. In the meantime, observational data suggest a relationship between low testosterone levels and anemia.

What then are the warning signs for Low Testosterone?

Firstly, having the warning signs does not necessarily imply a decline in testosterone. Thus, their presence should lead the patient or health professional to seek other clinical celebrations. In addition, testosterone dosage should be considered.

Are they:

  • Sexual Dysfunction;
  • Obesity, Diabetes Mellitus type 2 and Metabolic Syndrome;
  • Diseases of the hypothalamic-pituitary region, including after treatment with radiotherapy;
  • Chronic use of medications that can affect the normal physiology of testosterone;
  • Moderate and severe chronic obstructive pulmonary disease (COPD);
  • Infertility;
  • Osteoporosis or fractures with minor impact trauma;
  • Patients with HIV and sarcopenia (loss of muscle mass).

In the hypothalamus-pituitary region there is production and hormones such as GnRH, LH, FSH and prolactin that are involved in the regulation of testosterone, as this is the focus for diseases in that region.

In summary, the decrease in testosterone is a complex phenomenon. Its causes are many and its effects on our organism involve multiple organs. It is related to some problems such as obesity, metabolic syndrome and physical inactivity that generates a vicious cycle. Finally, if the warning signs caught your attention, be sure to see your sexologist in Delhi and receive full attention to your problems.

low sex desire treatment in Delhi

Five questions about libido

At the origin of our sexual desires, libido evolves throughout life, for physical and psychological reasons. What do we really know about her? Sexy quiz, to be completed under the covers for two!

Is libido always at its lowest in winter?

False. Ah, it is easy to pretend that winter damages our libido! But that’s an unfounded excuse because studies have only found one case in which it was proven: seasonal depression, the condition caused by lack of light in the fall and winter.

The symptoms are varied: sadness, lack of energy, difficulty in making decisions, sleep and appetite disturbances … and sometimes sexual problems. Low sex desire treatment in Delhi includes psychotherapy, and sometimes antidepressants. But apart from this case, no excuse to hang out alone under the duvet. Moreover, the desire is in oneself, it does not come only from the other. In the beginning, everything is rosy and as soon as we see each other, we jump on each other. With time, desire becomes less automatic, it then comes from oneself and is worked on. Because sexuality often comes after children, work, shopping, cleaning, friends, keeping time for sexuality is therefore essential!

It’s up to us to spice up our winter sexuality, even if it means turning up the heating thermostat to warm up our libido.

Does libido depend on hormones?

In part. Libido depends on many factors, first and foremost hormones.

In women, it evolves according to the cycle. The female desire is under the yoke of several hormones, of which the testosterone (in much less quantity than the men) and the estrogens, the female sex hormones. These are produced at a peak just before ovulation, an archaic heritage of our animal condition: they boost desire in order to ensure the reproduction of the species! But do not worry if this is not the case, some feel much less this hormonal sexual tension.

When breastfeeding, a hormone, prolactin, inhibits sexual desire. It was long believed that at menopause, libido collapsed. A study put an end to this belief: it is especially the negative received ideas about sexuality after menopause, which are responsible for its collapse. Many women over 50 have fulfilling sexuality.

In man, we often hear that they want it all the time … It’s not that simple. In men, desire is more linear than that of women, because it is conditioned by testosterone, a male sex hormone secreted continuously. But in practice, other factors must be taken into account, such as stress, which can have a negative impact on male libido.

Is the drop in libido necessarily psychological?

False! This misconception is completely wrong. The decrease in desire can be caused by diseases, for example of endocrine origin (hypothyroidism, pituitary gland tumor, etc.), depression, and the consequences of childbirth or breastfeeding.

The andropause, the equivalent of the female menopause, is defined by the drop in testosterone level. Which can alter the desire in some men? Just like some drugs: certain pills, certain antidepressants, antihypertensive (diuretics), anxiolytics, etc. It is sometimes difficult to know if it is the medicine or the condition for which it is taken, that is causing the altered libido, but it is important to talk to your sexologist in Delhi, which may be able to decrease. Doses or change medication. On the other hand, it is forbidden to stop your treatment on your own!

The psychological component of libido is very important. Conditioning oneself positively with regard to sexuality, by granting it space and time, is also important to regain desire. The advice of women’s magazines (alluring underwear, a night at a hotel, and fulfillment of fantasies …) will not revolutionize desire, especially if the origin of the drop in libido is a disease or a treatment, or if there is a marital problem behind the decline in desire. But in some, especially those who are motivated together to relaunch their desire, they help to stimulate a little vis-à-vis sexuality, to give it a real place again, to be more available and attentive for her lover. Which is far from negligible…

Is there a treatment for low libido?

In case of a decrease in libido that lasts, it is recommended to talk to your GP or a sex specialist in Delhi, who will seek to identify the cause. The support then includes the treatment of a medical origin, the adaptation of low sex desire treatment in Delhi if it is involved, psychotherapy or even couple therapy in the event of marital conflict, a frequent explanation of decreased desire!

Do stress and fatigue have an effect on libido?

Often. The stress has variable effects on libido, according to the people. It makes adrenaline secrete, a hormone antinomic of the libido: for some lovers, impossible to make love when they are very stressed. On the contrary, others seek the well-being caused by the endorphins secreted after orgasm: a good remedy against stress!

As for fatigue, it can have a devastating effect on libido: sex requires significant physical effort and emotional investment. When one is exhausted, it may be impossible to find that animal energy necessary for the sexual drive and its gratification. The mental load is often invoked by women to explain their lack of desire, they are so exhausted from dealing with everything.

Work on his desire, on his way of conceiving sexuality, can then be interesting, seeing the sexual relation differently, no longer as the prelude to an obligatory orgasm, but simply as a moment of intimacy and pleasure, of reunion with the loved one. In addition, sexuality is not limited to penetration: masturbation, fellatio, cunnilingus are less expensive in terms of energy and emotions. The erotic massage also provides much valuable sensual interlude.