December 11, 2024

What Are the Long-Term Effects of Untreated Low Testosterone in Men?

Written by
Edward Calleja
General Urology
Wave Blue

How Do Testosterone Levels Differ Between Young and Adult Men?

Testosterone levels vary greatly between young and adult males. During puberty, testosterone levels surge, driving the development of secondary sexual characteristics such as increased muscle mass, deepening of the voice, and growth of facial and body hair. In adult males, testosterone levels peak in early adulthood and gradually decline with age. A deficiency in young males can lead to delayed or incomplete puberty, resulting in conditions like Klinefelter syndrome or congenital hypogonadotropic hypogonadism. In contrast, adult males with low testosterone might experience symptoms related to aging, such as decreased libido, muscle loss, and osteoporosis.

What Are the Physical Health Implications of Low Testosterone in Adult Men?

How Does Low Testosterone Affect Bone Health?

Testosterone is essential for maintaining bone density. Men with low testosterone levels are at a higher risk of developing osteoporosis, a condition characterised by weak and brittle bones. Research shows that men with low testosterone are 40-50% more likely to develop osteoporosis compared to those with normal levels. This increased risk can lead to fractures, even from minor falls or injuries.

How Does Low Testosterone Impact Muscle Mass and Strength?

Testosterone plays a significant role in maintaining muscle mass and strength. Men with low testosterone often experience a reduction in muscle mass and strength. Approximately 30% of men with low testosterone experience significant muscle loss, making daily activities more challenging and increasing the risk of falls and injuries.

What Is the Connection Between Low Testosterone and Cardiovascular Health?

The relationship between testosterone levels and cardiovascular health is still under investigation. Some studies suggest that low testosterone is associated with an increased risk of cardiovascular diseases, including heart attack and stroke. Men with low testosterone have a 20% higher risk of heart attack and stroke compared to those with normal levels. Low testosterone may also contribute to conditions like metabolic syndrome, which includes high blood pressure, insulin resistance, and abnormal cholesterol levels.

How Does Low Testosterone Influence Obesity and Metabolism?

Testosterone influences how fat is distributed in the body. Low levels can lead to increased body fat, particularly around the abdomen. This type of fat is associated with a higher risk of metabolic disorders such as type 2 diabetes. About 50% of men with low testosterone levels are more likely to develop type 2 diabetes due to increased abdominal fat.

What Are the Mental Health Implications of Low Testosterone in Adult Men?

How Does Low Testosterone Affect Mood and Depression?

In addition to its physical effects, testosterone also impacts mood regulation. Men with low testosterone often experience symptoms of depression, irritability, fatigue and mood swings. The link between low testosterone and depression is well-documented. Around 25% of men with low testosterone report significant depressive symptoms, indicating that testosterone plays a role in the neurochemical processes that regulate mood.

What Is the Impact of Low Testosterone on Cognitive Function?

Cognitive decline is another concern with untreated low testosterone. Studies have shown that men with lower levels of testosterone may experience impaired memory, attention, and spatial abilities. Men with low testosterone have a 15-20% higher risk of developing cognitive impairments, which can significantly affect the quality of life and daily functioning.

What Are the Sexual Health Implications of Low Testosterone?

How Does Low Testosterone Affect Erectile Dysfunction and Libido?

One of the most noticeable effects of low testosterone is on sexual health. Men with low testosterone often experience reduced libido (sex drive) and erectile dysfunction. Approximately 30-40% of men with low testosterone report issues with erectile dysfunction and reduced libido. These issues can lead to lower sexual satisfaction and can impact relationships and overall quality of life.

How Does Low Testosterone Influence Fertility?

Testosterone is crucial for spermatogenesis, the process of sperm production. Low levels of testosterone can lead to reduced sperm count and quality, affecting fertility. This can be a significant concern for men trying to conceive, with about 20% of men with low testosterone experiencing fertility issues.

Words of Wisdom from a Consultant Urologist

The long-term effects of untreated low testosterone can be profound, impacting various aspects of health and well-being. From physical health issues like osteoporosis and cardiovascular disease to mental health problems such as depression and cognitive decline, the consequences are significant. Moreover, the impact on sexual health and fertility can further affect a man’s quality of life.

Given these potential risks, it is essential for men experiencing symptoms of low testosterone to seek medical advice. Early diagnosis and appropriate treatment can mitigate many of these long-term effects, improving both health outcomes and quality of life.