Overview

Testosterone naturally declines with age, but pathologically low levels can affect mental, physical, and sexual health.

Causes

• Aging
• Testicular injury or surgery
• Pituitary gland dysfunction
• Obesity, metabolic syndrome
• Alcohol, anabolic steroid misuse

Symptoms

• Fatigue, low energy
• Reduced libido or ED
• Depression or low mood
• Loss of muscle, increased fat
• Decreased bone density

Treatment: Modern Medicine

• Diagnosis: Early morning Total & Free Testosterone levels, LH/FSH, SHBG
• Treatment:
  • Testosterone replacement therapy (gel, injection, patch)
  • Clomiphene citrate (for fertility-preserving approach)
  • Treat underlying conditions (obesity, diabetes)

Treatment: Traditional Medicine

• Ayurveda: Ashwagandha, Shilajit, Kapikacchu
• Siddha: Veliparuthi, Nilappanai
• Unani: Majoon-e-Mughalliz, Habbe Mumsik
• TCM: Yin Yang Huo (Horny goat weed), Ginseng, acupuncture
• Homeopathy: Agnus castus, Lycopodium, Nuphar luteum
• Nutraceuticals: Zinc, Magnesium, Vitamin D, D-Aspartic Acid, Fenugreek

Caution

• Testosterone therapy may affect fertility
• Monitor prostate and heart health during therapy

Prevention

• Maintain healthy weight
• Sleep 7–8 hrs/day
• Manage stress and avoid substance abuse