What Is Testosterone?

What exactly is this testosterone stuff I keep hearing about?

Testosterone is the stuff men are made of – it’s what makes men MEN.

Well, sort of. It’s a bit more complicated than that.

Testosterone is the primary male sex hormone and is responsible for multiple aspects of a man’s health and body. This ranges from mood and confidence to strength, libido and general well being.

It is critical to function normally, and optimally, as a man. Without testosterone, men would suffer all kinds of physical and mental health-related issues.

In short, testosterone is men’s primary sex hormone, responsible for many critical aspects of their physical and mental health.

See our other articles for more information on testosterone, such as why men need it, what it does, where it comes from and much more.

UK Guidelines For The Treatment Of Low Testosterone

In the UK, especially with the NHS, it can be extremely difficult to get treatment for low testosterone. Many GPs flat out refuse treatment.

Doctors in the UK can be shockingly clueless about many medical conditions in my experience. Sometimes you just have to do your own homework.

For example, I suffer from a skin condition called Rosacea. I stay up to date with all the latest developments in the treatment of this condition. On arrival in the UK, I heard about a new treatment that had been on the market for about a year. Feedback was positive and it sounded like the treatment would be much better than what I was currently using.

So I went to my GP, and asked him if he could prescribe it for me, so that I could see if it improved my condition.

He hadn’t even heard of it!

He then proceeded to look it up online, glanced over the medical literature, and turned to me and said “Hmmm, sounds good. Let’s give it a try.”

That story highlights the necessity for you to take control and ownership of your own health – because nobody else will, and even if they do, it might not be the best advice or solution.

Getting Treatment For Low Testosterone In The UK

In the UK, especially with the NHS, it can be extremely difficult to get treatment for low testosterone. Many GPs flat out refuse treatment, even when clear symptoms and signs are evident.

As testosterone replacement therapy has been around for quite some time now, many doctors still remain behind with the times and can be very ignorant on the subject.

Even if you have a valid case of low testosterone, many GPs will refuse treatment due to inexperience in this field.

To prevent getting stonewalled by your doctor, it always helps to be prepared. Learning as much as you can about a condition beforehand is essential.

This is your body, your health and your well-being. Therefore the responsibility lies with you, not the GP, to do everything you can to take care of it.

Get The UK Guidelines For Low Testosterone

For low testosterone, the levels you need to be at to qualify for testosterone replacement therapy are already very low (< 12 nmol/l or 350 ng/dl).

Even still, doctors may be hesitant or refuse treatment when your levels are at or below that level, for example 8-12 nmol/l.

Many of you, including myself, have learnt this from experience, as you’ve all probably seen now on my YouTube channel where we talk about this.

You need to come fully prepared. Luckily, there is a set of UK Guidelines which includes a section on low testosterone and treatment. See the image below.

To quote a viewer and friend from my YouTube Channel: “It’s amazing how quickly doctors change their mind when they are sent a copy of the UK guidelines!”

You can download the UK Guidelines on Low Testosterone here, or you can get them straight from the British Society For Sexual Medicine’s website. Simply click the link that says: “Management of sexual problems in men: the role of Androgens”.

This is not a guarantee that you will get treatment, but it certainly bolsters your case if you’re GP is being difficult.

Good luck! If this helped your case, please let us know by sending me a message or leaving a comment on my YouTube Channel.

Stay Strong!

10 Signs You May Have Low Testosterone

How do you tell if you may have low testosterone? Let’s take a look at the most common and accepted approach used by men and professionals today.

A Saint Louis University questionnaire was developed to help men screen for androgen deficiency (an androgen is a male sex hormone, like testosterone).

This questionnaire is known as the ADAM questionnaire (Androgen Deficiency in Aging Male).

It consists of 10 yes/no questions you can ask yourself. Here are the questions:

How many of these did you answer YES to?

1) Do you have decrease in libido/sex drive?
2) Do you lack energy?
3) Have you experienced a decrease in strength and/or endurance?
4) Have you lost height or do you feel shorter?
5) Have you noticed a decrease in your enjoyment of life?
6) Are you sad/grumpy?
7) Are your erections less strong?
8) Have you noticed a recent deterioration in your ability to play sports?
9) Are you falling asleep after dinner?
10) Has your work performance deteriorated recently?

These symptoms may be caused by many other conditions not related to Low T. Use these questions as a starting point and if you identify with many of these statements, go talk to your doctor about having a blood test to see if you have low testosterone or suffer from male hypogonadism (a condition where the body doesn’t produce/synthesize enough testosterone).

There is also an updated version of the ADAM questionnaire which can be used, called the qADAM questionnaire , or quantitative ADAM questionnaire. The qADAM questionnaire is almost identical to the standard ADAM test, but uses a grading system for the questions, instead of a simple Yes/No answer.
For example: 1 (terrible), 2 (poor), 3(average), 4 (good), 5 (excellent)

The qADAM Questionnaire Article Page

More information about these tests and the research can be found here:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2834355/

If you think that you may how low testosterone, please consult your physician to discuss further.  We also have a helpful community with videos on YouTube.

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Awesome Tool For Testosterone Levels And Treatment Suggestions

I found this awesome online tool that helps you to quickly convert testosterone levels into the different arithmetic units. It’s basically a flashy calculator for converting testosterone level units.

The Awesome Testosterone Tool by Nebido
The Awesome Testosterone Tool by Nebido

This is extremely helpful as a lot of labs and doctors use either the one unit (nmol/l) or the other unit (ng/dl).

This handy tool  also shows the different ranges for determining whether your levels are normal, or may require you to seek Testosterone Replacement Therapy treatment.

On top of that, it also includes a Free Testosterone Calculator as well as a Management Tool/Quiz for determining whether you should seek treatment or not. This is great ammunition for making your case to the doctor – especially if they decline treatment despite your levels being in the low range.

If you are having issues with getting treatment for low testosterone, I highly suggest showing this tool to your doctor or endocrinologist. The stronger you can make your case, the better!

Click Here For The Awesome Testosterone Tool on the Nebido website.

Quick Disclaimer: This tool is clearly developed by a producer of testosterone used in TRT, so you would expect there to be a little bias towards treatment in this case. However, I have compared the ranges they recommend to the average levels of men as they age (see the image below), and they seem fair and realistic. 

Testosterone Decline With Age
Testosterone Levels As They Decline With Age

 

For more on Testosterone Levels and what the normal ranges are, check out my video on YouTube called Testosterone Levels – Everything You Need To Know.