A.
Apologies for a long post in advance. Skip the boring bits if you want -
that's cool with me!
Well, I'm sure that your post will generate some replies!
Firstly, I believe your husband is pretty unique in that he did have a T
level reading before and after vasectomy. Even men who have a testicle
removed due to testicular cancer don't always have a baseline test done as
standard. I do wonder why he had the tests - normally you don't get these
tests done unless the doctor is looking for something.
I think you are extremely wise to keep your mind open to possible causes,
and not just
make the assumption it's caused by one thing in isolation. I would agree
that his reading is on the low side, and assume that because these readings
have been taken there are health issues under investigation currently. I
take it he's being treated by a doctor/andrologist? Are you able to share
any information on this?
I'm sure that you will get replies from men who believe that vasectomy
altered
their levels, but what you won't get is anyone here having had a baseline
test.
Do some men have a baseline test? It's not usual pre-vasectomy, so no they
don't unless they are already being treated for other conditions.
Are there studies that have baseline reading before and after vasectomy -
yes.
What follows as an old post of mine that has information on testosterone in
general, and references some studies into vasectomy and if it affects T
levels. As you wil see, post vasectomy testosterone levels (if anything)
stay elevated longer than non-vasectomised men.
David
www.vasectomy-information.com
There is the frequent complaint that any studies into vasectomy and
hormones (excepting ASA'a) usually come back with the result "Within normal
range" despite most studies showing some variation either way. I thought it
might be an idea to examine why this might be.
Firstly, testosterone varies greatly from man to man, from season to season,
time of day (30% higher in the morning compared to the evening), age and a
whole raft of other factors including smoking, alchohol, diet, age, stress,
body mass (obesity), pesticides, female growth hormone in beef (banned in
the EU but used regularly in the US), drugs, marijuana, industrial process,
diabetes - the list goes on.
Any researcher studying changes in testosterone would need to control for
many of the above factors - a very difficult task. Many don't, hence the
results of most studies into vasectomy and testosterone are pretty
inconclusive.
What's normal? According to www.acor.org (an excellent resource for
testicular cancer) "Testosterone is usually measured on a scale of 0-1000.
If you fall within 300-700, you're average and OK - cool, right? Well, maybe
not. Remember these are averages, and therefore not all guys are the same.
So if you didn't have a baseline check done, and you come in at 400, but for
you normal is 700, you could be experiencing some of the low Testosterone
symptoms (see below) but have no basis for knowing where you should be
(Note: testosterone can also be measured on a scale of 0-10 as well,
depending on the denominator - but the same ratios apply). "
Note that if you were plotting a graph using the above, on a scale of 1-10,
3 to 7 inclusive means that the plotted line would take up no less that 50%
of the white space on the graph!
Age factors:- http://www.lef.org/protocols/abstracts/abstr-130.html is a
very good resource on this topic.
Seasonal variation. Believe it or not testosterone levels are seasonal.
Study #1 explains the reasons this may be, and the French study in the
"Vasectomy and hormones" section of the website concurrs. There are other
human studies, and a fair few mammalian ones - anyone interested in more can
use MEDLINE to find more. Any study needs to avoid seasonal variations -
IE if you measure some men in the spring, and some in the autumn (fall for
you over-the-ponders) then the results are probably meaningless.
OK - at this point it should be noted that any study into variations in
hormone levels and other factors (be it vasectomy, smoking, diet, alchohol -
whatever) it's necessary to ensure that the subjects and controls are
matched for age, the measurements are all taken at the same time to avoid
seasonal variation and most importantly baseline checks on all controls and
subjects are recorded, and accounted for in the findings.
How many studies do this?
Diet, exercise, stress, obesity, weight loss and mineral supplements.
http://www.medlean.com/ML_testosteronerestoring.html is an excellent article
detailing how diet, exercise and stress can affect testosterone levels. The
preamble to the section reads "Although the most common reason for decreased
testosterone levels is aging, levels also commonly decrease during acute and
chronic emotional stress, over training, physical inactivity, after the use
of anabolic steroids, excessive use of alcohol, prescription or recreational
medication and certain diseases.
Testosterone levels are also affected by bio-social events. Your
testosterone will go up before a sporting event (whether you are competing
or not) and sexual stimulation (sight or touch). And interestingly, levels
significantly decrease in both the competitors and fans of losers of
athletic events. (So forget about having a strong sex drive if the
cheerleaders don't show up and your team loses the Super Bowl).
Normally testosterone is the 30% higher in the morning than the evening.
This may explain why men are more interested in sex in the morning and is
part of the reason for spontaneous morning erections. In fact, the loss of
morning erections is a sure sign that testosterone is declining.
By eliminating or reducing these factors, improving you diet, beginning or
modifying your exercise program , reducing stress and restoring nutritional
status you can improve your hormonal balance and most importantly
dramatically improve the way you look, feel and perform."
There are many studies into obesity and low testosterone. Anyone interested
in more can find them on MEDLINE. I've picked Study #2 that shows how shows
how testosterone increases as weight reduces. Study #3 demonstrates how
testosterone can vary to give sportsmen a competitive edge. There are other
studies that demonstrate the link between exercise and testosterone, but I
picked this one as it shows just how fast testosterone levels can vary
(within minutes).
There are many aspects of our daily diet that can vary hormone levels.
Again, there are many studies at MEDLINE on this topic, but I've picked one
that shows how eating soya flour as a supplement can lower testosterone.
Study #4:- "CONCLUSIONS: We have shown that soya supplements reduce serum
testosterone and improve markers of oxidative stress. These findings provide
a putative mechanism by which soya supplements could protect against
prostatic disease and atherosclerosis. Further dietary studies with clinical
end points are warranted."
Study #5 demonstrates that lowering cholesterol by the use of a
mediterranian diet and a drug will alter hormone levels (including
testosterone).
There are other elements of diet that can increase testosterone - either in
the form of dietary change or supplement. See
http://www.medlean.com/ML_testosteroneenhancers.html The text details
several vitamins, minerals and herbs that are proven to raise testosterone.
The following is clipped from the section on zinc.
"Of all the minerals in the body zinc is most important in the production of
testosterone. Studies show that without adequate zinc, the testicular cells
lose the ability to convert lipids, concentration of androgen receptors
decrease and levels of aromatase in the liver are inhibited. In clinical
practice, many men have restored healthy testosterone to estrogen ratios
just with zinc replacement.
Studies with young men on restricted zinc diets show testosterone decreased
73% after 20 weeks. While older men with marginal zinc status increased
testosterone 90% when given zinc. And these levels were 50% more than the
young men with decreased zinc.
<snip>
Remember zinc will only increase testosterone if you are deficient in zinc."
What about other factors? Study #6 shows how smoking affects testosterone,
studies #7 and# 8 show the effect of agrichemicals and harmful substances in
the workplace. Again, there are many many studies into this at Medline -
these are just a sample.
So how do the studies on vasectomy and testosterone at the website relate to
the above?
Int J Androl. 1983 Apr;6(2):125-34. Related Articles, Links
Lack of effect of vasectomy on peripheral gonadotrophin and steroid levels.
Sample size 20
baseline taken - yes
age matched sample/controls not stated
weight matched sample/controls not stated
seasonal variation - accounted for due to the bimonthly sampling over two
years
smoking/alchohol not stated
diet/exercise factors not stated
Tests:- LH, FSH, DHT-S before and bi monthly for two years post vasectomy
Conclusion:- "No significant alterations were observed in the levels of any
of the hormones studied. The results are interpreted as indicating that in
the first 2 years following vasectomy in men there is no consistent or
progressive change in the peripheral plasma levels of gonadotrophins or in a
variety of steroids of testicular and/or adrenocortical origin."
******
Fertil Steril. 1988 Feb;49(2):309-15. Related Articles, Links
Annual variation in semen characteristics and plasma hormone levels in men
undergoing vasectomy.
Sample size 260
baseline taken - yes
age matched sample/controls not stated
weight matched sample/controls not stated
seasonal variation - purpose of study
smoking/alchohol not stated
diet/exercise factors not stated
Tests:- LH, FSH, T, estradiol (E2), and 20alpha-dihydroprogesterone
(20alpha-DHP), as well as semen analyses including semen volume, sperm
count, and sperm motility from 260 healthy men were evaluated for annual
changes
Conclusion:- Compared with the prevasectomy group annual mean, that for each
of the endocrine values was unchanged, except for that of LH and T, which
was slightly, yet statistically significantly, elevated. The existence of
prominent annual variation implicates their consideration in the design of
research protocols involving investigation of reproductive phenomena in
humans.
*******
Int J Androl. 1987 Apr;10(2):471-9. Related Articles, Links
Plasma reproductive hormones in normal and vasectomized Chinese males.
Sample size 298 controls, 505 subjects aged 30-73, time since vasectomy 1-25
years
baseline taken - no
age matched sample/controls yes
weight matched sample/controls not stated
seasonal variation - not stated
smoking/alchohol not stated
diet/exercise factors not stated
Tests:- Plasma reproductive hormones (testosterone, LH, FSH and prolactin)
Conclusion:- Study findings revealed a significant increase in plasma
testosterone and follicle-stimulating hormone (FSH) with time since
vasectomy, but no difference was observed between the vasectomized men and
nonvasectomized controls when age effects were controlled. Age-related
increases in LH and FSH but not in testosterone or prolactin were noted in
normal men. No adverse effects of vasectomy were observed apart from a 16%
increase in mean LH levels in the vasectomized compared to non-vasectomized
men of similar ages.
******
J Urol. 1995 Dec;154(6):2065-9. Related Articles, Links
Comment in:
J Urol. 1996 Nov;156(5):1784-5.
Early and late long-term effects of vasectomy on serum testosterone,
dihydrotestosterone, luteinizing hormone and follicle-stimulating hormone
levels. PURPOSE: We investigated whether the association between vasectomy
and prostate cancer has a hormonal basis.
Sample size 182 - 91 controls, 91 subjects 10-20+ years since vasectomy
baseline taken - no
age matched sample/controls yes
weight matched sample/controls not stated
seasonal variation - not stated
smoking/alchohol not stated
diet/exercise factors not stated
Tests:- serum testosterone, dihydrotestosterone, luteinizing hormone and
follicle-stimulating hormone levels by radioimmunoassay on 91 pairs of men
who did and did not undergo vasectomy.
RESULTS: Men who underwent vasectomy 10 to 19 years previously had higher
dihydrotestosterone levels than age matched controls. In men who underwent
vasectomy 20 years or more ago testosterone was higher than in corresponding
controls. No statistically significant difference in luteinizing hormone and
follicle-stimulating hormone levels was noted between the men who had had
vasectomy and controls. CONCLUSIONS: Our results indirectly support the
hypothesis that there is an elevated risk of prostate cancer among men who
underwent vasectomy 20 or more years previously.
********
STUDY #1
J Clin Endocrinol Metab. 2003 Feb;88(2):932-7. Related Articles, Links
Variation in levels of serum inhibin B, testosterone, estradiol, luteinizing
hormone, follicle-stimulating hormone, and sex hormone-binding globulin in
monthly samples from healthy men during a 17-month period: possible effects
of seasons.
Andersson AM, Carlsen E, Petersen JH, Skakkebaek NE.
Department of Growth and Reproduction, Copenhagen University Hospital,
DK-2100 Copenhagen, Denmark. an...@rh.dk
To obtain information on the scale of the intraindividual variation in
testicular hormone, blood samples for inhibin B determination were collected
monthly in 27 healthy male volunteers during a 17-month period. In addition,
the traditional reproductive hormones FSH, LH, testosterone, estradiol, and
SHBG were measured. The intraindividual variation in inhibin B over the
study period was, on the average, 10%, corresponding to the assay variation
of the inhibin B assay, indicating that most of the observed day to day
variation in inhibin B levels in men could be explained by assay variation.
A seasonal variation was observed in LH and testosterone levels, but not in
the levels of the other hormones. The seasonal variation in testosterone
levels could be explained by the variation in LH levels. The seasonal
variation in LH levels seemed to be related to the mean air temperature
during the month before blood sampling, but not to the length of daylight or
the hours of sunshine. In conclusion, our data showed that day to day levels
of inhibin B are relatively constant in men and do not seem to be influenced
by seasonal factors. In contrast, we found a seasonal variation in LH and
testosterone levels in men. The peak levels of both LH and testosterone were
observed during June-July, with minimum levels present during winter-early
spring. Air temperature, rather than light exposure, seems to be a possible
climatic variable explaining the seasonal variation in LH levels.
********
STUDY #2
Obes Res. 2003 Jun;11(6):689-94. Related Articles, Links
Sex hormones and sexual function in obese men losing weight.
Kaukua J, Pekkarinen T, Sane T, Mustajoki P.
Department of Internal Medicine, Helsinki University Central Hospital,
Peijas Hospital, Vantaa, Finland and. Department of Endocrinology, Helsinki
University Central Hospital, Helsinki, Finland.
OBJECTIVE: To study the impact of a weight-loss program on sex hormones and
sexual function among 38 middle-aged obese men (BMI >/=35 kg/m(2)). RESEARCH
METHODS AND PROCEDURES: A randomized controlled clinical trial was
conducted. The treatment group (n = 19) participated in a 4-month
weight-loss program including 10 weeks on a very-low-energy diet (VLED) and
17 behavior modification visits. There was no intervention in the control
group (n = 19). Both groups were followed for 8 months, i.e., 22 weeks after
the active weight loss in the treatment group. The outcome measures (weight,
sex hormones, sexual function, leptin, and metabolic variables) were
obtained at baseline and at three time-points during follow-up. RESULTS: The
mean weight loss in the treatment group was 21 kg at the end of the 10-week
VLED. At the end of follow-up, the maintained weight loss was 17 kg of
baseline weight. The control group was weight stable throughout the study.
In the treatment group, increases in sex hormone-binding globulin,
testosterone, and high-density lipoprotein-cholesterol, as well as decreases
in insulin and leptin, were maintained until the end of follow-up, although
with VLED, the level of several hormones and metabolic variables improved
transiently during the rapid weight loss. There were no significant changes
in the questionnaire scores on sexual function in either group. DISCUSSION:
We conclude that obese men lose weight and increase their serum testosterone
level on a weight-loss program with VLED and behavior modification. However,
they do not change their sexual function scores.
******
STUDY #3
Psychoneuroendocrinology. 2003 Apr;28(3):364-75. Related Articles, Links
Anticipatory cortisol, testosterone and psychological responses to judo
competition in young men.
Salvador A, Suay F, Gonzalez-Bono E, Serrano MA.
Departamento de Psicobiologia y Psicologia Social, Facultad de Psicologia,
Universidad de Valencia, Apartado 22109 Blasco Ibanez, Spain.
alicia....@uv.es
This study compares the anticipatory hormonal and psychological responses of
17 male judo players to an official competition with the data obtained
during eight resting sessions carried out at the same time of day,
throughout an entire sports season. Testosterone (T) and cortisol (C) levels
were determined 1 h and 30 min before competition, and mood, anxiety and
expectancies were also evaluated. C levels and anxiety scores were
concurrently higher before the contest than in resting conditions; however,
non-significant correlations between them were found. The anticipatory T
response was not significant for the whole group. However, one group of
subjects did display T increases, higher C levels, and higher motivation to
win scores than the other group. Furthermore, this group also obtained a
better outcome. Thus, this hormonal pattern and its relationships with
psychological variables suggest an adaptive psychobiological response to a
competition. Results are discussed in the context that neuroendocrine
response to competition is associated with cognitive appraisal.
******
STUDY #4
Eur J Clin Nutr. 2003 Jan;57(1):100-6. Related Articles, Links
Dietary supplements of soya flour lower serum testosterone concentrations
and improve markers of oxidative stress in men.
Gardner-Thorpe D, O'Hagen C, Young I, Lewis SJ.
Department of Medicine, University Hospital of Wales, Cardiff, Wales, UK.
OBJECTIVE: We examined the effects on serum sex steroids, lipids and markers
of oxidative stress of supplementing the diets of healthy male volunteers
with scones made with soya flour. DESIGN: A randomized placebo controlled
cross-over trial. SETTING: University Hospital of Wales. SUBJECTS: Twenty
volunteers recruited by advertisement. INTERVENTIONS: Male volunteers ate
three scones a day in addition to their normal diet for a period of 6 weeks.
The scones were made with either wheat or soya flour (containing 120 mg/day
of isoflavones). Blood was analysed for sex steroids (testosterone,
dihydro-testosterone, oestradiol, oestrone, sex hormone binding globulin,
albumin and the concentration of non-protein bound sex steroids were
calculated), lipid profile (total cholesterol, high density lipoprotein
cholesterol and triglycerides) and measures of oxidative stress
(hydroperoxides, susceptibility of LDL to oxidation with copper and
myeloperoxidase). RESULTS: The volunteers' mean age was 35.6 (s.d. 11.2) y.
Total serum testosterone fell in volunteers taking the soya scones
(19.3-18.2 nmol/l; 95% CI 1.01, 1.12; P=0.03). No significant changes were
seen in the concentrations of the other serum sex steroids, albumin or sex
hormone binding globulin throughout the study. Significant improvements in
two of the three markers of oxidative stress were seen in volunteers taking
soya scones. Lag time for myeloperoxidase rose from 55.0 to 68.0 min (95%
CI -16.0, -3.5; P=0.009) and the presence of hydroperoxides decreased from
2.69 to 2.34 micro mol/l (95% CI 0.12, 0.71; P=0.009). There were no changes
seen in serum triglycerides or cholesterol. CONCLUSIONS: We have shown that
soya supplements reduce serum testosterone and improve markers of oxidative
stress. These findings provide a putative mechanism by which soya
supplements could protect against prostatic disease and atherosclerosis.
Further dietary studies with clinical end points are warranted.
******
STUDY #5
Psychoneuroendocrinology. 2003 Feb;28(2):181-94. Related Articles, Links
Does simvastatin affect mood and steroid hormone levels in
hypercholesterolemic men? A randomized double-blind trial.
Hyyppa MT, Kronholm E, Virtanen A, Leino A, Jula A.
Research and Development Centre of the Social Insurance Institution of
Finland, FIN-20720 Turku, Finland. markku...@kela.memonet.fi
Epidemiological and clinical studies have suggested that powerful
cholesterol lowering may have adverse effects on mood and psychological
well-being. Inhibition of cholesterol biosynthesis by simvastatin (a
hydroxymethyl glutaryl coenzyme A reductase inhibitor) may also reduce
steroid hormone biosynthesis. To explore if mood changes are related with
steroid hormone levels, we designed a randomized double-blind
placebo-controlled crossover trial. The separate and combined effects of a
Mediterranean-type diet intervention and treatment with simvastatin 20
mg/day PO for 12 weeks were studied in 120 hypercholesterolemic but
otherwise healthy middle-aged men. Psychological functioning was assessed
with questionnaires, and steroid hormone levels in blood were assayed
radioimmunologically before and after the treatments. Simvastatin resulted
in a statistically significant increase of depression and somatization
without changes in the anxiety, hostility or aggression scores. Mood changes
seemed to be unrelated with the statistically significant but clinically
insignificant decline in serum testosterone levels and unrelated with the
increase in serum dehydroepiandrosterone levels.
******
STUDY 6
36: Hum Reprod. 2002 Jun;17(6):1554-9. Related Articles, Links
Comment in:
Hum Reprod. 2002 Dec;17(12):3275-6.
The impact of cigarette smoking on human semen parameters and hormones.
Trummer H, Habermann H, Haas J, Pummer K.
Department of Urology, Karl-Franzens University Graz, A-8036 Graz, Austria.
harald....@uni-graz.at
BACKGROUND: In this prospective study, semen parameters and hormone
concentrations of infertile smokers were compared with infertile non- and
ex-smokers. We also determined how many men with idiopathic infertility
would stop smoking in an attempt to improve their fertility. METHODS: 1104
men (517 non-smokers, 109 ex-smokers and 478 smokers) with infertility for
at least 1 year were evaluated. Evaluation included medical history,
physical examination, hormone analysis and two semen analyses. Prior to the
second semen analysis, smokers were urged to quit smoking. RESULTS: Smokers
were significantly younger (P < 0.001), had significantly more round cells
in their ejaculates (P = 0.003), and the percentage of ejaculates with > 1 x
10(6)/ml leukocytes was higher in smokers (P < 0.001). Increased free and
total serum testosterone (P < 0.001) and decreased prolactin levels (P <
0.001) were found in smokers. No differences were found between non-smokers
and ex-smokers. Only 23.1% of the smokers versus 46% non-smokers (P < 0.001)
returned for a second semen analysis, 14 of whom reduced and 15 of whom quit
smoking completely. Testosterone levels were significantly lower in those
who were able to stop or reduce smoking (P < 0.001). CONCLUSIONS: Smoking
does not affect conventional semen parameters, but significantly increases
round cells and leukocytes. Only a few idiopathic infertile smokers were
able to quit smoking.
************
STUDY #7
38: J Toxicol Environ Health A. 2002 Apr 12;65(7):513-21. Related Articles,
Links
Alterations of serum hormone levels in male workers occupationally exposed
to cadmium.
Zeng X, Lin T, Zhou Y, Kong Q.
Department of Occupational Health, Fudan University, Shanghai, China.
In order to investigate the influence of occupational exposure to cadmium
(Cd) on the levels of serum hormone, a cross-sectional study was undertaken
in male workers. Creatinine-adjusted urinary cadmium (UCd) was used as the
indicator of cadmium body burden in workers. The levels of serum
testosterone (T), follicle-stimulating hormone (FSH), and luteinizing
hormone (LH) were determined by radioimmunoassay and enzyme immunoassay,
respectively. The results showed that with cadmium exposure, the levels of
serum testosterone and LH were significantly increased after controlling for
confounding factors such as age, smoking habits, and alcohol consumption.
However, no significant cadmium-associated changes in the levels of serum
FSH were found. At the same time, a significant negative correlation of
serum testosterone levels with age was detected. In contrast, the levels of
serum FSH and LH were significantly elevated with increasing age. When
taking the marital status into consideration, only significantly elevated
FSH levels were noted in married workers after controlling for confounding
factors. These results indicate that occupational cadmium exposure and other
factors such as age and marital status may independently contribute to
alterations in the levels of serum sex hormones in males.
******
STUDY #8
J Toxicol Environ Health A. 2003 Jun 13;66(11):965-86. Related Articles,
Links
Male reproductive hormones and thyroid function in pesticide applicators in
the Red River Valley of Minnesota.
Garry VF, Holland SE, Erickson LL, Burroughs BL.
Pathology Department, University of Minnesota, Minneapolis, Minnesota 55414,
USA. garr...@umn.edu
In the present effort, 144 pesticide applicators and 49 urban control
subjects who reported no chronic disease were studied. Applicators provided
records of the season's pesticides used by product, volumes, dates, and
methods of application. Blood specimens for examination of hormone levels
were obtained in summer and fall. In the herbicide-only applicator group,
significant increases in testosterone levels in fall compared to summer and
also elevated levels of follicle-stimulating hormone (FSH) and luteinizing
hormone (LH) in the fall were noted. With respect to fungicide use, in an
earlier cross-sectional epidemiologic study, data demonstrated that historic
fungicide use was associated with a significant alteration of the sex ratio
of children borne to applicators. As before, among current study subjects it
was noted that historic fungicide use was associated with increased numbers
of girls being born. Lower mean total testosterone concentrations by
quartile were also correlated with increased numbers of live-born female
infants. A downward summer to fall seasonal shift in thyroid-stimulating
hormone (TSH) concentrations occurred among applicators but not among
controls. Farmers who had aerial application of fungicides to their land in
the current season showed a significant shift in TSH values (from 1.75 to
1.11 mU/L). Subclinical hypothyroidism was noted in 5/144 applicators (TSH
values >4.5 mU/L), but not in urban control subjects. Based on current and
past studies, it was concluded that, in addition to pesticide exposure,
individual susceptibility and perhaps economic factors may play a supporting
role in the reported results.
******
Anita,
I am one that had his done before(7 years) during a study for NIH.
There has been no change what-so-ever in mine. As David has already
said there are seasonal variances. Mine is at its highest in the late
winter very early spring.
I have recently been diagnosed with sleep apnea. This disorder can
lower testosterone in some men. Not me much to the chagrin of my wife.
Here is a link to a very good website that deals with sleeping
disorders. Take a few of the online tests and see how he scores, then
talk to your doctor.
http://www.talkaboutsleep.com/sleepdisorders/Snoring_apnea_drwhite.htm
All good medicine,
GREENFEATHER
Wow David, you provided a lot of information and I am still reviewing
the studies, thanks for the info. And just to let you know my hubby
is actually just health conscious sp? and had his t level done with
other labs just for his own information nothing that has been ordered
by a dr. So he has no pre-ex factors, doesn't smoke, not obese etc.
Like I said I am still reviewing all the info you provided.
A.
> Wow David, you provided a lot of information and I am still reviewing
> the studies, thanks for the info. And just to let you know my hubby
> is actually just health conscious sp? and had his t level done with
> other labs just for his own information nothing that has been ordered
> by a dr. So he has no pre-ex factors, doesn't smoke, not obese etc.
> Like I said I am still reviewing all the info you provided.
>
The main point of the info was to illustrate something you are clearly
already aware of - that all sorts of factors can influence testosterone.
Diet, fitness, supplements, environmental factors, stress, just being run
down emotionally or physically.
I'd advise an appointment with an andrologist, as if any way exists to
increase the T level naturally then that would be absolutely brilliant.
Testosterone replacement therapy is not a quick fix - the side effects
(growing breasts, mood swings and increase in prostate cancer inidence
amongst others) sometimes make the "Cure" worse than the disease!
David
www.vasectomy-information.com
I stand corrected! Thanks Rob,
David
www.vasectomy-information.com
I found the following in my archive of things I mean to read someday that
may be of general interest.
http://www.no-scalpelvasectomy.com/mh_articles3.htm
David
www.vasectomy-infotmation.com