Low libido, or losing interest in sex, can occur at different stages of life and is often normal and temporary. However, if this persists for more than six months or raises concern, it's advisable to discuss it with a doctor. Possible underlying causes include low testosterone (Testosterone Deficiency), thyroid disease, diabetes, stress, anxiety, depression, certain medications, alcohol, and recreational drugs, among others.
Low levels of testosterone can adversely affect erections, libido, muscle mass, energy levels, mood, bone strength, and increase the risk of heart disease. Therefore, it's crucial to assess for Testosterone Deficiency (TD) appropriately. While testosterone levels naturally decline with age, age alone is not the sole cause of TD.
Other potential causes include obesity, diabetes, other hormonal conditions, certain medications, alcohol, and recreational drugs. It's important to accurately identify men with genuine testosterone deficiency using appropriate tests before considering testosterone replacement therapy (TTh).
Men experiencing mood swings, fatigue, loss of libido, reduced self-confidence, erectile dysfunction, sleep disturbances, decreased concentration, and lack of motivation are often unsure about the cause. TD can affect approximately 8% of men aged 50 to 79 years, yet it remains under diagnosed and under treated in Ireland. Many men attribute these symptoms to aging.
As men age, testosterone levels naturally decline; however, in cases of TD, testosterone drops to levels impacting health and quality of life in various ways. This is particularly common in men over 50, as well as those with type 2 diabetes and erectile dysfunction (ED). Low testosterone levels can serve as a significant health indicator for these and other conditions. Diagnosis of TD involves a consultation and a series of blood tests. Testosterone replacement therapy aims to restore normal testosterone levels in those diagnosed with TD. However, like any treatment, it may have side effects. It's advisable to discuss the diagnosis and various treatment options directly with a healthcare professional to determine the most suitable approach.
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