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WHAT ARE NORMAL TESTOSTERONE LEVELS FOR MEN AND WOMEN THROUGHOUT LIFE?


Written by Dr. Welsh, Article reviewed and edited by Dr. Fine M.D..
Published on 15 October 2018

What Are Normal Testosterone Levels for Men and Women Throughout Life?

Testosterone Levels are dependent upon a variety of diverse factors. Most logically, Testosterone is dependent upon gender, but it is also contingent on age, health, lifestyle, and genetics. Males almost always have more Testosterone than women unless influenced by external factors such as Hormone Therapy or Hormone Suppression.

Testosterone belongs to a collection of critical hormones known as Androgens. Androgen is the catch-all term for sex hormones that are associated with male function and form. Although Androgens are expressed in higher concentrations in men, women also produce Androgens like Testosterone, though in much lower levels.

The opposite is also true. Men need Estradiol and other Estrogens for normal function but produce far less of the feminine Hormones. The majority of Testosterone produced by a woman's body is transformed into Estradiol. While the Adrenal glands produce small amounts of Testosterone for both men and women, the testes and ovaries are responsible for the majority of Testosterone secretion.

What Does Testosterone Do for Men?

Testosterone is central to the development of primary and secondary sex characteristic in men. It's responsible for the formation of the sex organs during fetal development and is responsible for spurring the maturation of the sex organs during puberty. Testosterone also plays an essential role in libido, metabolism, strength, energy level support, and reproduction.

What Does Testosterone Do for Women?

For women, Testosterone encourages fertility and facilitates libido while also promoting the creation of red blood cells and maintaining Hormone Homeostasis. Both sexes report issues with fertility and sex drive associated with Low Testosterone Levels.

What Are Healthy Testosterone Levels?

Testosterone is incredibly important, and the body thrives when Testosterone Levels are in the healthy range. While it is possible for men and women to have naturally high Testosterone Production, Low-T is the far more prevalent condition, and most people have Testosterone circulating within the healthy range, though men and women are more prone to issues related to diminishing Testosterone as they age. Testosterone is calculated using nanograms per deciliter by most physicians. Testosterone Levels are assessed via blood sample.

Abnormally Low Testosterone Levels during gestation can interfere with male fetal development. Suppressed Testosterone Levels during adolescence can delay or slow pubertal development. High Testosterone in boys can trigger early puberty.

Normal Testosterone Levels by Age

Early Development In Boys In Girls

0-5 Months Years 75-400 ng/dl 20-80 ng/dl

6 Months-9 Years Less than 20 ng/dl Less than 20 ng/dl

10-11 Years Less than 130 ng/dl Less than 44 ng/dl

During Puberty In Boys In Girls

12-13 Years Less than 800 ng/dl Less than 75 ng/dl

14 Years Less than 1200 ng/dl Less than 75 ng/dl

15-16Years 100-1200 ng/dl Less than 75 ng/dl

During Adulthood In Men In Women

17-18 Years 300-1200 ng/dl 20-75 ng/dl

19+ Years 240-950 ng/dl 8-60 ng/dl

Tanner Scale for Measuring Adolescent Development

While the guidelines above are generally correct, many physicians choose to evaluate Testosterone Levels in children and adolescents according to visual phase of development. In order to do this, doctors refer to a clinical schema known as the Tanner Scale. This scale is useful because children reach puberty and mature at different rates.

Stage I on the Tanner Scale is associated with the period before puberty, and Stage II is reached when visible signs of puberty first appear. The following provides information regarding the Testosterone Levels related to Tanner Stage in both boys and girls:

Tanner Stage In Boys In Girls

Stage I Less than 20 ng/dl Less than 20 ng/dl

Stage II 8-66 ng/dl Less than 47 ng/dl

Stage III 26-800 ng/dl 17-75 ng/dl

Stage IV 85-1,200 ng/dl 20-75 ng/dl

Stage V 300-950 ng/dl 12-60 ng/dl

What Are the Symptoms of Testosterone Deficiency in Men?

  • Low Sex Drive

  • Thin, Easily Damaged Skin

  • Issues with Concentration and Memory

  • Fatigue

  • Thinning Hair on Head, Face, and Body

  • Weight Gain

  • Depression and Anxiety

What Are the Symptoms of Testosterone Deficiency in Women?

  • Low Fertility

  • Osteopenia/Osteoporosis

  • Low Libido

  • Missed or Irregular Periods

  • Sexual Lubrication Issues

Polycystic Ovary Syndrome and Testosterone Levels

One of the most common reasons for excessive Testosterone in women is Polycystic Ovary Syndrome. Women struggling with PCOS experience elevated Testosterone Levels, which can lead to issues such as the development of facial and body hair, acne, oily skin, and absent or irregular periods.

Steroid Use and Testosterone Levels

Steroids are anabolic organic compounds which share similarities with Testosterone. Steroids are commonly used to increase body mass and build muscle. They are often utilized illicitly by men and women looking to bulk up. Steroid use and abuse can have a dramatic effect on natural Testosterone Production.

When guys abuse steroids, it can cause Testosterone Levels to drop precipitously, leading to low libido, temporary infertility, increased body/facial hair, acne, and testicular shrinkage.

In women, Steroid abuse can disrupt fertility and period timing while also causing baldness, acne, unfortunate hair growth, and deepening of the voice.

Testing for Testosterone-Related Issues in Men and Women

If an individual believes that they are having issues related to Low-T or Elevated Testosterone Levels, they should strongly consider reaching out to a doctor or Hormone Specialist for evaluation.

When evaluating for Testosterone Abnormalities, it is common for physicians to follow some general guidelines. For example, opiates have a dramatic effect upon the body's ability to produce Testosterone, so they will likely ask about prior opiate use along with the use of steroids. Men will often be measured for waist circumference, BMI, prostate/testicle size, and evaluated for signs of baldness. Women will be assessed for symptoms of masculation and also for acne and menstrual function.

How Are Testosterone Levels Tested?

Free and Total Testosterone Levels are evaluated using a blood test. To provide the most accurate results, Serum Testosterone is best tested during the morning hours, which gives the doctor the best idea regarding your peak Testosterone Production. The established Low-T Threshold for men varies depending upon the source, but most medical professionals consider Testosterone Deficiency to be associated with Testosterone Production lower than 230-350 ng/dl. Healthy women should have Testosterone Levels registering at 15-75 ng/dl.


THE RELATIONSHIP BETWEEN NIGHT SWEATS, HOT FLASHES, AND TESTOSTERONE


Written by Dr. Welsh, Article reviewed and edited by Dr. Fine M.D..
Published on 09 January 2019

The Relationship Between Night Sweats, Hot Flashes, and Testosterone

Hot flashes and night sweats are two of the many signs of Hormone Imbalance. While night sweats have long been associated with Menopause, these annoying night-time events are also related to Testosterone Deficiency. Men go through a change similar to women, commonly known as Andropause. While women experience the effects of Menopause suddenly and rapidly, Andropause is a relatively slow change in comparison. As Testosterone Levels fall, the frequency and severity of symptoms increases.

What Causes Night Sweats?

Night sweats are a very common issue which impact a large portion of men and women. Around 1/3rd of patients report night sweats in the last thirty days to their doctor. There are a wide variety of causes, including some scary things like cancer, addiction, withdrawal, and infection. Even consuming spicy foods, caffeine, or hot drinks before bed can contribute to night sweats.

Some medications contribute to night sweats, such as prescriptions for diabetes and depression. While night sweats are something you should talk about with your doctor, there's no need to panic! Some of the issues most strongly correlated with night sweats are breathing issues during sleep, stress, anxiety, numbness in the feet and hands, fever, poor sleep, and anxiety attacks.

Age-Related Hormone Imbalance Among Strongest Factors Which Contribute to Night Sweats

During Menopause, 7 out of 10 women experience hot flashes. The frequency of this symptom is strongly correlated with the severity of Estrogen decline resulting from the change. While Testosterone Levels fall continuously and slowly beyond age thirty in men, once Testosterone Production falls beneath a certain threshold, men are more likely to experience some of the same symptoms as women, including low libido, hot flashes, night sweats, depression, and unhealthy changes in body composition.

This propensity for hot flashes associated with Low Testosterone Levels is displayed clearly among those receiving treatment for prostate cancer. One of the primary components of prostate cancer is a drug that suppresses the release of Androgens into the blood stream. Severe androgen deficiency leads directly to a massive increase in reports of night sweats and hot flashes.

Even having children may lead to an increase in night sweats among vulnerable males. When couples have children, the male experiences a drop in Testosterone during the partner's pregnancy and during the early development of the child. This decline in Testosterone Production occurs in order to promote the father to devote more energy and resources toward protecting and raising the child than to trying to find a mate. While this Testosterone drop isn't enough to contribute to night sweats on its own, men that display more risk factors for Low-T are more likely to develop hot sweats and night flashes during this period.

Why Does Low-T Increase the Incidence of Night Sweats and Hot Flashes?

While there is a strong correlation between Testosterone Deficiency and the increased incidence of hot flashes, researchers haven't quite figured out how Low-T triggers night sweats. What we do know is that the Hypothalamus is almost certainly a central aspect of this process, because the Hypothalamus is responsible for bioregulation, which includes controlling the body's temperature.

Upon registering that the internal temperature of the body is too high, the Hypothalamus coordinates the dilation of blood vessels which speeds up blood flow to the skin. The transfer of this heat to the skin is followed by the release of sweat which helps cool the body down. Of course, even though the end goal of this process is a cooler body, it is interpreted by the mind as an increase in heat followed by the clammy chill of a night sweat.

It's hypothesized that Low-T triggers the hypothalamus to release the signal for night sweats during sleep, even when temperature regulation isn't an issue, causing men to wake up cold, sweaty, and uncomfortable. For men with Testosterone Deficiency, night sweats are one of the more common symptoms, and patients do report significant reduction in night sweats while taking Testosterone Replacement Therapy for relief from Low-T.

Testosterone Deficiency Relief with Hormone Replacement Therapy

Though night sweats don't pose any dangers to health, they are annoying and frustrating, and may be a sign of other issues. If you're experiencing night sweats in combination with fatigue and low libido, this is a powerful sign that you are currently suffering from Testosterone Deficiency. Our Board-Certified American Hormone Clinic can help you determine if Hormone Imbalance is contributing to your declining quality of life and we can determine whether Testosterone Replacement can help you overcome night sweats, increase strength and energy, and restore sexual desire and function.

Our Fully-Licensed HRT Clinic has helped hundreds of guys throughout the country feel better about their lives. Generations of research and refinement have vastly increased the safety and effectiveness of Bio-Identical Testosterone Therapy. If you'd like additional information about starting a quality Testosterone Regimen with a trusted Hormone Provider, our HRT Specialists are available to respond to your questions and concerns!


WHY IS IT SO HARD TO LOSE WEIGHT AND KEEP IT OFF?


Written by Dr. Welsh, Article reviewed and edited by Dr. Fine M.D..
Published on 01 June 2018

Most people in America today have been concerned about their weight at least once in their lives. Millions of men and women have turned to diet and exercise to lose weight, frequently with success. The biggest issue that folks have when trying to maintain a new goal weight is that the human physiology makes it difficult to maintain weight loss.

This is the reason why modern humans have such issues with Weight Cycling—also known as Yo-Yo Dieting. Through effort and conscientiousness, it's a challenge to lose weight, but not impossible. While most people can lose weight, the hardest part is maintaining a healthier weight after reaching a goal weight.

Metabolism Slows Down In Response to Weight Loss

At first, losing weight isn't that hard. Your body reacts to increased activity levels and dietary restriction by burning calories as a response. Over time, however, the body will recognize continued weight loss and register it as a potential threat. In response to that threat, the body slows down metabolism to maintain existing stores of body fat. This also means that if you return to your old habits, you will gain the weight back more quickly. Often, people will achieve their weight loss goals only to return to their former weight, even adding on a couple of extra pounds. How frustrating!

That's because the human body is obsessed with homeostasis. If you've been overweight for a long time, your body is fine-tuned to operate under those conditions. Losing weight causes a strain on that balance, and your body will react against it, attempting to gain the weight back and return to its prior state of (unhealthy) balance. Your body can eventually adapt to your new weight, but it puts up a fight which causes most diets to ultimately be unsuccessful.

Our bodies are designed to store fat and ward off starvation. For millions of years, human beings and their ancestors have dealt with food scarcity, and evolution has not prepared us for the life of nutritional excess that we have achieved in the 21st century. Our bodies are designed to operate under a feast or famine cycle. The human metabolism treats body fat as if it is highly precious because it once was. That's what makes dieting such a struggle—we're literally fighting millions of years of evolutionary programming.

Weight Loss Triggers Hormonal Changes

As you likely know, our Hormones are largely responsible for maintaining physiological balance. As metabolism slows down, it triggers a cascade of hormonal changes. It triggers changes in Digestive Hormones which encourage increased intake of calories. While Serotonin and other hormones play a role in digestion, the two biggest culprits are Leptin and Ghrelin. Leptin is responsible for triggering the feeling of satiation, while Ghrelin activates hunger response. If you've recently lost weight, your body will not produce as much Leptin, which leaves you susceptible to overeating.

Weight Loss also leads to increase production of Ghrelin, which causes you to get hungry more often, and to experience stronger feelings of hunger. There is even evidence that losing weight makes you respond to the sensations of eating more positively. Food just tends to taste better, which further encourages you to overeat and cancel out all that you've achieved with your diet.

Achieving Weight Loss Goals Often Leads to Lax Habits

By their nature, humans are goal-oriented, which is beneficial to weight loss. The problem is that, once we've achieved a goal, the inspiration often fades, which can have consequences for maintaining positive change. It's a lot of work to lose weight, and as we said, the human body doesn't like change. The combination of lack of motivation, slowed metabolism, and hormone imbalance is incredibly difficult to overcome, which has disappointed millions of men and women across the world.

Once you achieve your weight loss goals, your brain remembers your old habits and wants to return to the past, comfortable ways. Maintaining a new goal weight requires hard work and diligence. The National Weight Control Registry follows the lives of individuals that achieved and maintained significant weight loss for more than a year.

By studying the habits of successful dieters, we can help more people achieve their long-term goal of maintaining a healthy weight. Researchers discovered that keeping the weight off actually required more work than losing it in the first place!

What Steps Can I Take To Preserve My Weight Loss Results?

It's important to recognize that good habits and hard work don't end once you've achieved your goal weight. The fight never ends. Acknowledging that fact will arm you for the road ahead. It's essential to maintain an atmosphere of encouragement and support. Let your friends and family hold you accountable for your weight loss. Your loved ones want you to be healthy, and it doesn't take a lot of effort for them to show their support.

You can also look for outside clinical and social support. There are weight loss clinics nationwide that work with patients just like you, as well as nutritionists and dietitians. Consider joining a weight loss support group! Surrounding yourself with other people with the same goals works wonders for long-term success.

Understand that the diet doesn't end when you've lost the weight. Continue to make the concerted effort to live a healthy and conscientious life, and you'll find that keeping the weight off is easier than it seems. It's all about education, psychology, and perseverance!


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