The London Clinic, 120 Harley Street, London, W1G 7JW

Testosterone

Low Testosterone Treatment in London

The most immediate and obvious symptoms of testosterone deficiency include erectile dysfunction, loss of libido, loss of vigor, drive, and mood changes. These may affect work performance, quality of life and relationship difficulties. Other physical symptoms include sweating, aches and pains, dry skin and difficulty sleeping. Often such symptoms are attributed to work stress, relationship difficulties, travel etc. These symptoms however can be due to declining testosterone levels, which occurs in all men as they age, and they may start manifesting in middle age.

Specific symptoms often differ between individuals, some more obvious than others, and others may be absent. They also relate to the degree and duration of testosterone deficiency

In the longer term, testosterone deficiency may contribute to various age-related conditions and diseases, characterized by Testosterone Deficiency Syndrome. Untreated, longer term testosterone deficiency may adversely affect quality of life, and increase the risk of osteoporosis, metabolic disease, cardiovascular and neurological disease.

Symptoms of low testosterone and their severity can be quantified by completing a questionnaire.. This questionnaire is also useful for monitoring an individual's response to treatment. 

Testosterone has an important role in the function and physiology of testis, brain, bone, muscle, heart, cardiovascular system and metabolism. It is not surprising therefore that deficiency can produce a wide spectrum of symptoms. In the longer term, testosterone deficiency may contribute to a number of age-related conditions and diseases, characterized as testosterone deficiency syndrome.

Testosterone deficiency syndrome is associated with development of osteoporosis, diabetes, metabolic syndrome, cardiovascular and possibly neurological disease. These conditions are common and contribute significantly to deteriorating health with age.

Symptoms of testosterone deficiency usually respond well to testosterone replacement therapy. However, before treatment can be recommended or begun, a general medical and urological assessment is necessary. The possibility of contraindications, such as prostate cancer, or other underlying diagnoses must be assessed, and during treatment monitoring is always necessary.

Testosterone replacement therapy is usually carried out with a skin gel, applied on a daily basis. A variety of gels are available. They restore physiological levels of the natural hormone; they are convenient and generally acceptable to most men. A minority of patients are better suited to an injectable form of testosterone, every 6 – 8 weeks. Hormone implants provide replacement for up to six months, and require a minor operation for their placement; but, they give the least physiological replacement and have a greater tendency to side effects. Medication for erectile dysfunction can be often used in combination with testosterone supplementation.

Many but not all forms of testosterone treatment impair normal testicular function and fertility. Although testosterone has been tested as a contraceptive, it is not recommended for this purpose. Occasional side effects can include slight testicular shrinkage, breast swelling, an increase in balding (hair loss), or an increase in blood count. However, with modern treatment and monitoring, significant side-effects are uncommon. Since prostate cancer becomes more common with advancing age, careful monitoring is necessary to ensure it is detected and treated early.

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Clinics & Visiting Hospitals
  • The London Clinic
  • 120 Harley Street
  • London
  • W1G 7JW
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  • The London Clinic
  • 20 Devonshire Place
  • London
  • W1G 6BW
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  • Wellington Hospital
  • Wellington Place
  • London
  • NW8 9LE
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  • Princess Grace Hospital (HCA)
  • 42-52 Nottingham Place
  • London
  • W1U 5NY
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