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I think I might have low testosterone. Do I need testosterone therapy?

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  4. I think I might have low testosterone. Do I need testosterone therapy?

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Answered by Nebraska Medicine UNO Health Center provider Star Dossou, PA:

Testosterone is a hormone typically prevalent in those assigned male at birth. The hormone maintains muscle mass and strength, fat distribution, bone mass, sperm production, sex drive, and potency.

Testosterone deficiency is defined as testosterone blood levels less than 300 nanograms per deciliter (ng/dL). A hormone decline can result in symptoms like low motivation, decreased stamina and energy, sexual dysfunction, depression, hot flashes, loss of muscle mass and/or mood swings.

The reality is that only about 5% to 7% of people with a penis and testicles will experience a clinically significant drop in testosterone levels that requires treatment. This typically begins happening after age 40.

If you are concerned you have low testosterone, do not take over-the-counter testosterone boosters. They are not regulated, can cause harmful side effects, and simply don’t improve testosterone. Instead, the best thing you can do is consult with a doctor who can test your levels if needed. If your testosterone levels are low, they will talk to you about the next steps, which may or may not include testosterone therapy.

Although testosterone therapy can be very effective at improving symptoms, it is not recommended for everyone. It can have side effects, including altered sexual function, infertility, and shrinking of the gonads. Therapy requires thorough evaluation and regular monitoring.

If you are a transgender or nonbinary person considering gender-affirming hormone therapy, we have a Transgender Care Clinic that can help you navigate your options.

To schedule an appointment at the UNO Health Center, call 402.554.2374 using the full 10-digit number whether on or off campus.

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