Low Testosterone Causes
Online intake — Additional evaluation may be required
Testosterone deficiency can involve the testes (primary hypogonadism) or the hypothalamus and pituitary (secondary hypogonadism). The distinction is part of the diagnostic assessment.
Overview
Testosterone deficiency can involve the testes (primary hypogonadism) or the hypothalamus and pituitary (secondary hypogonadism). The distinction is part of the diagnostic assessment.
Common Causes
History and testing may consider:
- Testicular injury or disease
- Pituitary or hypothalamic conditions
- Genetic conditions such as Klinefelter syndrome
- Obesity and type 2 diabetes
- Sleep apnea
- Opioids, steroid use, or chemotherapy
- Alcohol and substance use
Common Questions
How is low testosterone evaluated?
Evaluation includes symptoms, medical and medication history, and laboratory testing. A low laboratory value alone does not establish a diagnosis or eligibility for a prescription. In-person assessment or specialist referral may be required.
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