Overweight and sedentary men are more likely to have low testosterone levels, since the body doesn't need as much of the hormone. To combat this, it is important to get enough sleep every night, as sleep deprivation affects the body's hormones. Medical therapies for low testosterone levels include human chorionic gonadotropins, aromatase inhibitors, and selective estrogen receptor modulators. Non-pharmacological treatments such as lifestyle modifications, improved sleep, stress reduction, and varicocele repair are also being explored.
The high prevalence of obesity and metabolic syndrome in the United States suggests that disease modification could be a viable treatment approach for men affected by hypogonadism. If you're looking for an alternative to testosterone replacement therapy (TRT), ask your hormone specialist about medications that stimulate the body's natural production of testosterone instead of supplying exogenous testosterone. While TRT is an effective treatment for hypogonadism, concerns have recently been raised regarding its safety. There are innovative drugs that increase the body's natural testosterone levels without introducing exogenous testosterone at all.
If you want to receive TRT but don't want to receive injections, choosing a different testosterone preparation can help ensure that you get the treatment you need in a way that is tolerable and effective for you. Drug-free treatment options for low testosterone levels are also available, both those that occur naturally due to aging and those that occur due to other medical conditions. Many of the following lifestyle changes have been shown to not only increase testosterone production and libido, but also provide many other benefits: getting enough sleep every night, exercising regularly, eating a balanced diet, reducing stress levels, and repairing varicoceles. Even for men who find the risks associated with TRT worth it, it may not be that simple.
There are other treatments with sex hormones, whose objective is to improve testosterone levels directly or indirectly, but without using testosterone itself. Today, countless men can attest to the improvements in energy level, sexual desire, and overall mood that have been made possible by TRT. This is due to the decline in serum testosterone levels depending on age, with concentrations between 40 and 50% lower in men over 60 years of age compared to young men. This relatively new process is commonly referred to as testosterone restoration and may allow you to achieve the same effects of TRT through a completely different set of medications. For example, many GPs can offer standardized hormone products but aren't prepared to prescribe bioidentical hormone replacement therapy (BHRT), so you don't have the option of fully personalized treatment.