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What Is A Normal Testosterone Level For A Man In His 50’s?
Usually , the normal levels range from 270 to 1070 ng / dL with an norm of 679 ng / dL. Normal testosterone level reach a maximum stratum about geezerhood 20 , and then it starts to lento decrease . Any level above or below the normal range is consider abnormal . 606 ng / dL is a normal testosterone level for a adult male in his 50 ’s .
The late - onset hypogonadism ( LOH ) is the decrement of serum testosterone levels ( STL ) , which occur in men as part of the aging cognitive operation . As men get older their blood serum testosterone layer decreases .
However , unlike menopause , where complete estrogenic inadequacy happen with its well - fuck clinical import , the decrease of serum testosterone stage that occur in grownup man is modest and the clinical consequences have not been full established .
During the aging process in men , change in bodily procedure fall out , which are like to the clinical manifestations that occur in hypogonadism due to a known cause , which increases the possibility that the diminution in testosterone production is the lawsuit of these physical change .
The clinical signs of androgenic deficiency in older men that are agnise more easily are a decrease in strength and muscle mass , a decrease in bone density , osteoporosis and development of centripetalobesity .
Late-Onset Hypogonadism
The late - attack hypogonadism is important because it causes potentially severe consequences that can be avoid or treated .
Currently , the sector of the moved population is in the enlargement . Some prospective studies conducted in the 1990s indicate that gloomy blood serum testosterone levels are associated with an increased danger ofdiabetes mellitus type 2andmetabolic syndrome .
The decrement in serum testosterone levels is a gradual process , link to age and that result in a decrease of approximately 1 % of serum testosterone levels per year , from the geezerhood of 30 years . Although the decrement in STL is gradual , according to a study of Baltimore , in the 8th decade of life , 30 % of affected role have serum testosterone layer in the hypogonadic range and 50 % have lowly levels of complimentary testosterone . The charge per unit of decrease in serum testosterone storey relate to old age varies in unlike individuals , being able-bodied to be affected by the comportment of chronic disease or the expenditure of medication . In addition , the prototype clinical presentation ( decreased sexual desire ) can often give with serum testosterone degree and normal testosterone receptors .
The decrement of serum testosterone levels in elderly adults may leave from a fall testicular response to gonadotropin arousal associated with incomplete hypothalamic pituitary compensation , due to the same decrease in serum testosterone levels totals .
Diagnosis of Late-Onset Hypogonadism
Currently the diagnosis of tardy - onset hypogonadism involve the front of signs and symptoms suggestive of lack testosterone , as well as low-down serum levels of this hormone . The most often associated symptom a late - oncoming hypogonadism is the diminution of sexual appetite . The presence of some of the symptoms related to late - onset hypogonadism , must be corroborate with the finding of the serum testosterone levels sum should exclude the presence of imprint , hypothyroidism or drunkenness , as well as the use of goods and services of medicinal drug such as corticoid , cimetidine , spironolactone , digoxin , opioid analgesics and antidepressants .
The diagnosis of late - onslaught hypogonadism should not be made during an acute pathologic episode , which may result in transiently humbled levels of testosterone .
Serum testosterone has a diurnal magnetic variation and the sampling in blood must be hold between seven and 11 hour . The most wide accept parameter to establish the bearing of hypogonadism is the conclusion of full serum testosterone . The International Society of Andrology , International Society for the Study of Male Aging , European Association of Urology , European Academy of Urology and the guidelines of the American Association of Andrology , suggest that individuals with total blood serum testosterone levels dandy than 350 ng / dL , do not require handling hormonal substitute .
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