Hypogonadism Specialist

Endocrinology Institute of South FL -  - Endocrinologist

Endocrinology Institute of South FL

Endocrinologists located in Bonita Springs, FL & Fort Myers, FL

Men who experience a decline in their sex drive, energy levels, and muscle strength may have hypogonadism (low testosterone). It affects all men as their hormone levels slowly but continuously declines over time. Dr. Orlando Fernandez at the Endocrinology Institute of South Florida has extensive experience identifying the underlying cause and providing customized treatment to restore testosterone to normal levels. If you have questions about hypogonadism, call one of the offices in Bonita Springs or Fort Myers, Florida, or book an appointment online.

Hypogonadism Q & A

What do you need to know about testosterone?

Testosterone is the primary sex hormone in men, where it’s produced by their testicles and is responsible for male characteristics. Beyond causing the physical changes that occur in boys at puberty, testosterone affects your health throughout your life.

Testosterone regulates:

  • Sex drive
  • Sperm production
  • Fat distribution
  • Muscle strength and mass
  • Bone density
  • Red blood cell production

What is hypogonadism?

Hypogonadism is a medical condition in which men have a testosterone deficiency. There are two types of hypogonadism:

Primary hypogonadism

Primary hypogonadism occurs when there’s a problem in your testicles. Common causes of primary hypogonadism include undescended testicles, mumps during adolescence or adulthood, and high levels of iron in the body. You can also develop hypogonadism from a testicular injury and congenital abnormalities.

Secondary hypogonadism

This type of hypogonadism arises from a problem in the hypothalamus or pituitary gland, which control the production of testosterone in the testes.

A few possible physical causes of secondary hypogonadism include a pituitary gland tumor, inflammatory disease, HIV/AIDS, severe illness or extreme stress. Certain medications and obesity are also related to low testosterone.

How does age affect testosterone levels?

Aging is one of the top causes of low testosterone. While men don’t go through a change like women experience at menopause, their levels of testosterone gradually decline as they age. That's a type of hypogonadism, although it's commonly known as low-T and andropause.

Testosterone begins to decrease when you reach the age of 30, then continuously drops every year afterward. The rate at which testosterone falls is different for each man, but it ranges from 0.4% to as high as 2% annually.

When low testosterone occurs due to natural aging, a mix of problems often causes it. For example, you may have a decline in hormone production in the testicles or less activity from the pituitary gland.

Age-related low testosterone is also related to chronic health conditions such as diabetes or insulin resistance, high cholesterol, chronic obstructive pulmonary disease, and obstructive sleep apnea.

What are the symptoms of hypogonadism?

Low testosterone may cause sexual and non-sexual symptoms, including:

  • Low sex drive
  • Erectile dysfunction
  • Reduced muscle mass
  • Increased body fat
  • Loss of bone density
  • Decrease in beard and body hair
  • Difficulty concentrating
  • Feeling fatigued and depressed

Please call Dr. Fernandez or book an appointment online if you have symptoms of low testosterone.