The Most Effective Hormone Replacement Therapies
Testosterone is the most important male hormone. Women’s bodies also make and need testosterone. Which means that both men and women can and do suffer from low testosterone, a condition also known as “Low-T.”
Both men and women produce less testosterone the older they get. In some people, age-related testosterone decline is well-tolerated. In others, it can lead to the many debilitating systems of low testosterone.
If you are a man or woman over 40, and are feeling sluggish, worn-out, putting on weight, having cognitive difficulties, and/or are putting on weight – you may be suffering from low testosterone.
The only way to know for sure is to have you testosterone levels checked. The most accurate way to determine your testosterone levels is with a simple blood test.
The so-called “normal” testosterone levels for men and women changes as you age. Also, depending on age, weight, overall fitness and lifestyle, what is considered a normal testosterone level for one man, could be low for another. However that having all been said, the normal range of testosterone levels for adult men is from about 270 to 1070 nanograms per deciliter (ng/dL).
The normal range for women of age 19 and up, is from 8 to 60 ng/dL.
The following graphic illustrates the decline in testosterone levels in men as they age.
It is important that men and women both learn to identify the signs of low testosterone.
The signs & symptoms of Low T may include:
What is considered to be the normal testosterone level for men and women changes as you age.
If your doctor suspects that you have low testosterone, he or she will most likely run a blood test that tests for your total testosterone. The normal testosterone ranges mentioned above are based on your total testosterone level. Most of the testosterone in your bloodstream is what is known as “bound” testosterone, and a smaller percentage exists in the blood stream as “free” testosterone. “Total testosterone” refers to all of the testosterone in your blood at a given time.
The following chart illustrates the normal total testosterone levels for men and women by “Tanner Stage” and age. The Tanner Scale breaks down the observable signs of puberty into 5 stages, running from Stage I from about age 10 to Stage V at 15 for boys, and about age 8 to 15 for girls.
|
Tanner Stage
|
Male Testosterone (ng/dL)
|
FemaleTestosterone (ng/dL)
|
|
I
|
< 3
|
< 3−6
|
|
II
|
< 3−432
|
< 3−10
|
|
III
|
65−778
|
< 3−24
|
|
IV
|
180−763
|
< 3-27
|
|
V
|
188−882
|
5−38
|
|
–
|
Adult Male
|
Adult Female
|
|
–
|
18 y: 264-916
|
20 to 49 y: 8−48
|
|
–
|
–
|
> 49 y: 3−41
|
Source: LabCorp
By way of comparison, the following chart gives the so-called “normal” testosterone levels by another quality testing lab – Quest Diagnostics. Quest does not use the Tanner Scale, but rather indicates the normal ranges for males and females by age.
However, by comparing to the chart above, you can see how the “normal” ranges differ.
This all speaks to just how complex determining what a normal total testosterone level in adults is, and is exactly why we do not look at your age and gender alone, and decide what should be the normal range, rather we take everything into account – your age, gender, diet, symptoms, and lifestyle – to determine what should be the “normal” range for you. Once we determine what your unique optimal level is, we can tailor treatments that will get you in that zone, so you can perform at your personal best, regardless of your age.
|
1-5 Years
|
≤5
|
≤8
|
|
6 – 7 Years
|
≤ 25
|
≤ 20
|
|
8 – 10 Years
|
≤ 42
|
≤ 35
|
|
11 Years
|
≤ 260
|
≤ 40
|
|
12-13 Years
|
≤ 420
|
≤ 40
|
|
14-17.9 Years
|
≤ 1000
|
≤ 40
|
|
≥ 18 Years
|
250 – 1100
|
2 – 45
|
Source: Quest Diagnostics
Most of the testosterone in your blood attaches to 2 proteins: albumin and sex hormone binding globulin (SHBG). Some testosterone is not attached to proteins, or free. Free testosterone and albumin-bound testosterone are also referred to as bioavailable testosterone. This is the testosterone that is easily used by your body.
If your healthcare provider thinks that you have low or high testosterone, he or she will first test total testosterone levels as above. This looks at all 3 types of testosterone. The free testosterone test may help give more information when total testosterone is low.
As with the total testosterone levels described above, your levels of free testosterone will vary due to age.
The following table illustrates the range of normal “free” testosterone for men and women by age.
|
Gender/Age (y)
|
Range (pg/mL)
|
|
Male
|
|
|
0 to 19
|
Not established
|
|
20 to 29
|
9.3−26.5
|
|
30 to 39
|
8.7−25.1
|
|
40 to 49
|
6.8−21.5
|
|
50 to 59
|
7.2−24.0
|
|
59
|
6.6−18.1
|
|
Female
|
|
|
0 to 19
|
Not established
|
|
19
|
0.0−4.2
|
Source: LabCorp
When we are testing for and diagnosing someone with low testosterone, it is always our goal to find what it the “optimal” or “normal” range for their individual needs, goals and lifestyle. As you can see from the charts above, even a respected testing lab such as LabCorp can say that for a 60 year old man, a level of 6.6 pg/mL of free testosterone can be “normal,” and yet our doctors know that we see patients in that range that feel far from normal. Over the years of treating a variety of men between the ages of 35 and 65 with the symptoms of low testosterone, our doctors have discovered what we believe to be the “optimal” and not necessarily the “normal” level of free testosterone in the blood. We strive to get most patients — regardless of age — into a range of from 20 – 25 pg/mL, and find that most men can enjoy a great quality of life, free from the symptoms of low testosterone at that level.
Most of the testosterone in your bloodstream is what is known as “bound” testosterone, and a smaller percentage exists in the blood stream as “free” testosterone.
There is no special preparation required for either a total testosterone test, or a free testosterone test, however you may be asked to refrain from taking supplements of Biotin(also known as vitamin B7, B8,vitamin H, or coenzyme R), for 72 hrs prior to taking the test.
If the results of your testosterone blood tests indicate that your testosterone levels are below the normal ranges for your age, weight and gender, you may be a candidate for testosterone replacement therapy.
If the results of your testosterone testing indicate that you have Low-T, depending on your presenting symptoms and medical history, your doctor may prescribe testosterone injections. While testosterone therapy can be given in other forms, our doctors have found that testosterone injections are the safest and most effective form of testosterone therapy.
If the results of your testosterone blood tests indicate that your testosterone levels are below the normal ranges for your age, weight and gender, you may be a candidate for testosterone replacement therapy.
