This document provides information about low testosterone from the Department of Urology Education. It defines testosterone and its role in male development. It states that testosterone levels naturally decline after age 30. Low testosterone is defined as less than 300 ng/dL. Potential causes of low testosterone include injury, disease, and obesity. Treatment options discussed include gels, patches, injections, buccal tablets, and pellets which all aim to supplement testosterone levels. Risks of treatment include increased red blood cell count and accelerated prostate growth.

1. DEPARTMENT OF UROLOGY EDUCATION
Low Testosterone
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Dr Abraham Benjamin - Manager Medical Informatics
Mr. Naresh Kumar - Coordinator Medical Informatics

2. What is Testosterone?
 Testosterone is hormone usually present in
males and it is the hormone which gives the
male his sex drive .

3. How does testosterone work and why does it
decline ?
 During puberty, testosterone helps build a man's
muscles, deepens his voice, and boosts the size of
his penis and testes. In adulthood, it keeps a man's
muscles and bones strong and maintains his
interest in sex.
 After age 30, most men begin to experience a
gradual decline in testosterone. A decrease in sex
drive sometimes accompanies the drop in
testosterone.

4. Anatomy of the Male Reproductive System

5. When do you say its Low testosterone ?
 The bottom of a man's normal total testosterone
range is about 300 nanograms per deciliter
(ng/dL). The upper limits are 1,000 to 1,200
ng/dL.
 Any level less than 300 nanograms per deciliter is
called low testosterone.

6. What are the causes of low Testosterone ?
Injury to the testicles.
Testicular cancer.
Hormonal disorders.
Infection.
HIV/AIDS.
Chronic liver or kidney disease.
Type 2 diabetes.
Obesity.

7. What are the treatment options for low testosterone?
 Gels and Solutions:
Testosterone gels and solutions are applied daily. The testosterone in
the gel or solution is absorbed into the body through the skin. They
provide continuous delivery of testosterone throughout the day.
It's important to make sure that other people are not exposed to the
gel or solution.
 Patches:
Patches allow testosterone to be absorbed by the skin. Patches are
applied daily.

8. What are the treatment options for low testosterone?
 Injections:
Testosterone injections, usually in the upper buttock, are typically
given every 1-2 weeks .
 Buccal Tablet
The tablet is applied to the gum, where testosterone is absorbed over
a 12-hour period.
 Pellets
They are a relatively new form of treatment in which several pellets
are placed under the skin of the buttocks, where they release
testosterone over the course of about three to four months.

9. What are the Risks of Testosterone Treatment?
 Testosterone treatment can raise a man's red
blood cell count as well as enlarge his breasts. It
can also accelerate prostate growth.
 Men with breast cancer should not receive
testosterone treatment.
 Testosterone treatment usually is not advised for
men with prostate cancer.

10. Important Information
 If you need more information on this
test or meet our team of Urologists for
Consultation click on the link below.
 http://www.ramayyapramila.com/

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 Blood In Urine
 Benign Prostatic Hypertrophy
 Vasectomy
 Kidney and Urinary stone Medical Treatment
 Andrology-Male Infertility
 Urodynamics / Uroflowmetry.
 CT/MRI
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