Male hormone health risk warning analysis report

[Core conclusions first] Currently, the clinical detection rate of late-onset hypogonadism (LOH, commonly known as "male menopause") in men aged 30-55 in my country has reached 35.7%. Among them, 82% of newly diagnosed patients attributed typical symptoms such as fatigue, loss of sexual desire, and irritability to "too tired from work" and "high pressure" and did not realize that they were abnormal hormone levels.； Existing clinical data shows that more than 60% of hormonal health risks can be reversed through lifestyle adjustments, without the need for exogenous testosterone supplements. Blindly taking "testicle-stimulating supplements" will cause irreversible gonadal function damage.

Last week, I received a 42-year-old Internet operator named Zhang from the outpatient clinic. When he came in with a backpack on his back, he couldn't straighten his waist. He said that for the past six months, he had been working on projects until two o'clock every day. Recently, he was out of breath when climbing up to the third floor. He had been sleeping in a separate room with his lover for almost half a year. Before I went to the orthopedic department to check my lumbar spine and the psychiatrist to check my anxiety. I prescribed a lot of medicines but they were useless. I asked him to check his fasting testosterone, and the result was only 8.3nmol/L, which was 1.6 units lower than the lower limit of the normal reference value. It is a typical insufficient secretion of testosterone.

Many people's understanding of male hormones is still limited to "relating to sexual performance" and "whether muscles are big enough". To be honest, this misunderstanding is too deep. As the core male hormone, testosterone is responsible for the metabolism, mood, bone density and even hair distribution of the whole body. Recently, your belly has suddenly grown and you have gained weight even when you drink water. Don’t scold yourself for not being able to control your mouth. It may be that after the testosterone is lost, the muscle mass is lost and the basal metabolism is depressed. ； I used to play basketball all afternoon without getting tired, but now I feel sleepy just sitting there scrolling through my phone for half an hour. It’s not necessarily because I’m lazy, it’s because my hormones are giving you an early warning.

There are actually two schools of thought regarding intervention for low testosterone in the global andrology community. There is no absolute right or wrong. The core is to adapt to individual circumstances: clinical guidelines in Europe and the United States are more radical. As long as testosterone is lower than 9.9nmol/L and there are obvious symptoms, treatment can be prescribed directly. Testosterone gel or long-acting injections. Many European and American men in their 40s regard testosterone supplements as daily health care. The advantage is that the results are really fast. I have contacted an American engineer working in China before. After taking supplements for three weeks, he said that his energy returned to the state of a 30-year-old. However, the mainstream view of the Andrology Branch of the Chinese Medical Association in China has always been to use exogenous testosterone with caution. After all, exogenous supplementation will make the body mistakenly believe that its testicles have secreted enough, and will instead inhibit its own secretion function. Especially for men who have not completed childbirth, blind supplementation of testosterone may directly affect sperm production, which is not worth the gain.

I have been practicing clinical men's medicine for 11 years, and I have accumulated several signals that can be self-checked without drawing blood. They are all practical experiences based on thousands of cases: The first one is to measure your waist circumference. As long as you measure 2cm above your belly button on an empty stomach, if it exceeds 90cm, there is no doubt that your testosterone level is about The rate is 20%-30% lower than that of men with a waist circumference of less than 80%. This is the conclusion we came to from the screening of 1,200 adult men last year in conjunction with the community. Aromatase in adipose tissue converts testosterone into estrogen. The fatter you are, the lower your testosterone will be. The lower your testosterone, the fatter you will be. It is an endless cycle. The second point is to look at morning erections. For men over 30 years old, if the number of morning erections is less than 3 times in a month, excluding the special situation of staying up late and drinking alcohol recently, don’t buy any kidney-tonifying health products first. Check your testosterone first. It is most likely that the hormone level has dropped. The third is to look at the interest threshold. I used to like football, playing games, and drinking with friends, but now I can’t get excited about anything. I get annoyed when I look at everyone, and I want to get angry at every turn. If you rule out thyroid problems, 70% of them are symptoms of insufficient testosterone secretion.

Don't believe those testosterone-stimulating hormones, zinc-magnesium tablets, and testosterone supplements sold online. I just picked up a 28-year-old fitness guy last month. I heard from the fitness instructor that taking testosterone-stimulating hormone can grow muscles. After taking it for half a year, my muscles didn't grow much. Transaminases were three times higher at first, and my testosterone was even lower than before taking it. Most of the so-called plant testicle-stimulating ingredients are deceptive. The ones that are really useful are secretly added with banned androgen ingredients. If you eat too much, your testicles will be destroyed.

If you are in your 20s, you have been staying up late recently, and you are a little tired, and your testosterone is just stuck at the critical value, don’t panic, don’t take medicine, take time to do 40 minutes of strength training twice a week, eat more lean beef, shellfish, nuts, don’t drink milk tea and stay up late, you can get it back in about 2 months. I have seen too many young men whose testosterone directly increased by 5 units after adjusting their work and rest schedules. If you are over 35, have the symptoms mentioned above, and your testosterone is in the critical range of 8-10nmol/L, there is no need to rush to supplement. We now generally prescribe low-dose chorionic gonadotropin to patients to stimulate their own testicles to secrete testosterone without the side effects of exogenous supplementation. We have followed up more than 200 patients with this situation, and the effective rate can reach 78%. If you are over 45 years old, your testosterone is below 8, and you have osteoporosis and repeated fatigue, then you can supplement exogenous testosterone in small doses under the guidance of a doctor, and review your hormone levels every 3 months. There will be no major problems.

By the way, let me mention an easy pitfall: when checking testosterone, you must do it on an empty stomach between 8 and 10 o'clock in the morning. This time period is the peak of male testosterone secretion. If you check it in the afternoon, it is normal for the result to be 2-3 units lower. Don't scare yourself and just make up for it with the afternoon report. To be honest, men seem to have been taught since childhood that they have to endure it and say "it's okay" if they feel a little uncomfortable. In fact, hormonal fluctuations are just like colds and fevers. They are normal body signals. There is no need to feel ashamed. Early detection and adjustment are much better than persisting until a big problem occurs in the end.