Erectile Dysfunction Radio Podcast Testosterone Levels: Who Benefits from Treatment?
Dec 30, 2024
Dr. Josh Schammel, a urology resident specializing in infertility and sexual medicine, shares insights on testosterone's vital role in men's health. He explains how testosterone affects everything from libido to mental well-being and the age-related decline many experience. Dr. Schammel discusses the causes of low testosterone, including lifestyle factors, and critiques direct-to-consumer clinics for their lack of oversight. He emphasizes the importance of careful testing and the nuances of treatment options to preserve fertility.
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Testosterone Is Central To Male Health
- Testosterone drives male virilization, energy, libido, muscle mass, and mental health.
- Dr. Josh Schammel says declining T with age commonly causes fatigue, low libido, and erectile problems.
Low T Increases Sharply With Age
- Testosterone declines with age and comorbidities; prevalence rises from ~12% at 40 to nearly 50% by 80.
- Dr. Josh Schammel highlights age plus health issues as drivers of hypogonadism rates.
Lifestyle And Stress Harm Testosterone
- Stress and obesity raise cortisol and disrupt the hormonal axis, reducing testosterone production.
- Dr. Josh Schammel calls these factors part of a multifactorial 'ball of yarn' causing low T.