Low Testosterone Level

Hypogonadism (or commonly known as Low Testosterone Level), is slowly gaining more recognition as an important entity affecting men. It is characterized by the low circulating free testosterone hormone in the male body, thus causing a multitude of symptoms as follow:

  • Sexual – erectile dysfunction, low sex drive
  • Psychological – poor memory and concentration, insomnia, intolerant of stress
  • Physical – enlarging abdominal girth, shrinking muscle mass
  • Physiological – derangement in sugar and cholesterol metabolism

To diagnose, one need to have:

  • Low testosterone level (blood sample best taken between 8am – 10am)
  • Symptoms as listed above (especially sexual symptoms)

A simple diagnostic tool is available to screen for symptoms of low testosterone level:


It is important to exclude other conditions that can mimic low testosterone level such as hypothyroidism and depression.

What are the risk factors for low testosterone level?

  • Age
  • Obesity (particularly abdominal fat)
  • Chronic medical conditions (e.g. Diabetes, High Cholesterol, Hypertension)
  • Previous injury to testes

Treatment is readily available and is safe! Testosterone replacement does not make one manlier (and hence not indicated as sports performance enhancer). It is meant to restore the quality of life a man has lost as a result of the low testosterone level.

Replacement comes in few forms:

  • Topical Gel
  • Oral Capsule
  • Short acting injection
  • Long acting depot injection

Each type of treatment has its benefits and disadvantages. Do speak to your doctor with regards to the advantages and disadvantages of each mode of treatment.

While on replacement, one needs to go through regular blood tests to monitor the testosterone level, blood count and prostate cancer markers (1 to 2 times a year)

Testosterone replacement is SAFE and DOES NOT increase the risk of prostate cancer in men.

Testosterone replacement however should not be used in the following groups:

  • Raised Prostate Cancer marker on pre-replacement screening
  • Prostatic nodules detected during routine check up
  • Severe symptoms of enlarged prostate
  • Have not completed family
  • Raised blood count

If you have symptoms suggestive of low testosterone level, do make an appointment with Phoenix Medical Group in either of these branches:

1 Seletar Road #02-11
Greenwich V S807011
Tel: 6555-3512

4 Hillview Rise #02-20
Hill V2 S667979
Tel: 6710-7157

Paya Lebar
60 Paya Lebar Road #02-09
Paya Lebar Square S409051
Tel: 6702-2940

OR email us at pmgmenshealth@phoenixmedical.sg
For more information do visit www.phoenixmenshealth.wordpress.com

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