Testosterone in Men

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Onset of Testosterone Deficiency in Men

How to Determine the onset of Testosterone Deficiency in Men
Onset	Puberty-onset	Adult-onset
Signs of virilization	Prepubescent man: Few signs of virilization	Aging man: Fully developed, but regressing sings of virilization
Hair	No hair recession No male pattern baldness	Hair recession at forehead and sides Some degree of male pattern baldness*
Face	Young looking, boyish face	Aging male face
Beard	Absent or sparse beard	Fully developed beard
Voice	High tone, immature, boyish Voice ( no Voice maturation)	Deep, adult male voice ( voice maturation at puberty)
Body	Feminine, eunuch-type body	More masculine body but regressing
Muscles	Poorly developed muscles	Developed, but atrophying muscles
Skin	Nearly absent sebum and sexual body scent	Reduce sebum production Some sexual body scent
Body hair	Poorly developed or absent body hair	Clearly developed body hair, bud diffuse regression
Pubic hair	Horizontal pubic hair lien	Pubic hair up to the navel
Genitals	Sexual infantilism: Underdeveloped genitals	Sexual maturity: Fully developed genitals
Penis	Small penis	Average adult-sized penis
Testicles	Small or undescended testes	Average adult-sized testicles
Prostate	Underdeveloped prostate	Normal to prostatic hypertrophy
Sex Drive	Poor or not developed	Developed sex drive but declining
Sex potency	Poor or not developed	Developed but potency problems
History	Has never been very masculine	Was masculine in the past

Physical complaints of Testosterone Deficiency in Men

Physical complaints of Testosterone Deficiency in Men
Physical appearance	Aging appearance Abdominal obesity	Health	Hypochondria (complains frequently of being sick)
Head	Headache	Energy/Vitality	Persistent fatigue that increases with physical activity Fatigability and lassitude
Ear	Ear buzzing (tinnitus)	Sports, Exercise	Lack of interest in sports Lack of endurance when exercising
Face	Aging face Small wrinkles	Sleep	Disturbed sleep
Heart	Tachycardia, palpitations Quickly out of breath with physical activity	Temperature	Hot flushes Sweating spells (mostly head and upper chest)
Muscles	Decreased muscle mass and strength	Prostate	Prostatism: dysuria, mictalgia, nocturia (Prostate hypertrophy) Prostate infections
Muscles	Muscle pains ( probably due to muscle and nerve ischemia)
Joints	Joints pains
Skin	Easily sunburned	Sex	Decrease or absence of : Sex drive Erections: reductions in volume, frequency, firmness & persistence Ejaculations volume
Nerves	Numbness and tingling
Digestive	Slow bowl movements ( low smooth muscle funct.) Constipation
Mental complaints of Testosterone Deficiency in Men
Behavior	Nervous, irritable III at ease	Attention	Poor concentration
Character	Lack of mental firmness Indecisive, hesitating Loss of self confidence Lack of authority Submissiveness	Memory	Poor memory
Character		Stress	Excessive emotions Excessive sensitivity to difficulties Unnecessary, futile worry Excessive anxiety, fear
Mood	Depression the whole day long ( may include crying, suicidal tendencies)	Interest	Loss of initiative Loss of interest in life
Mood		Social	Few social contacts, withdrawn

Physical Signs of Testosterone Deficiency in Men

Physical Signs of Testosterone Deficiency in Men ( Male Hypogonadism)
Physical appearance	Pale Slumped, fragile Older-looking (adulthood-onset deficiency); or Younger-looking (uncorrected early puberty-onset deficiency)	Behavior	Nervous Irritable Hesitant
		Metal	Poor concentration
		Memory	Poor memory
		Mood	Depressed attitude
Back	Kyphosis, lordosis	Voice	Higher, anxious tone
Fat	Often overweight, even obese Fat accumulation on the breasts, abdomen and lips	Clothes	Messy clothing (due to the depressive tendency and lock of the desire to be sexually attractive)
Scalp hair	Male pattern baldness (androgenic alopecia)	Clothes
Face	Pale Lacks muscle tone Small wrinkles at the corner of eyes Small vertical wrinkles above lips Poorly or undeveloped beard and moustache (puberty-onset defic.)	Height	May have been originally taller (prepuber onset def.) Becoming shorter (adult onset deficiency)
Face		Skin	Pale skin Dry, thin (atrophic) skin
Eyes	Dry eyes (conjunctiva sicca)	Heart	Week heartbeat
Underarms Pubis	Decreased axillary hair Decreased pubic hair	Blood vessels	Bruises easily Gangrene
Chest	Gynecomastia	Prostate	Prostate hypertrophy or atrophy Prostatitis
Abdomen	Flabby belly Increased abdominal fat	Prostate	Prostate hypertrophy or atrophy Prostatitis
Body hair	Lack of loss of (sexual) body hair	Penis	Pale, dry glans penis Loose prepuce Small, flaccid, atrophied, Peyronie’s disease
Body scent	Lack or loss of body scent (pheromones)
Anus	Hemorrhoids
Things	Cellulite	Testicles	Hypotonic, lax testicles Testicles are reduced in size (normal: 46 x 26 mm)
Legs	Hair loss on legs, esp. external sides Varicose veins	Testicles