Do you find yourself feeling constantly fatigued and moody? Have you noticed a decrease in your passion, or difficulty maintaining muscle mass despite consistent effort at the gym? If so, these could be signs of hypogonadism, a condition that affects millions of men each year. In short, it is caused by an imbalance of the hormones- resulting in physical symptoms that directly affect reproductive health. Fortunately there are natural supplements available to help restore balance and reverse the negative effects this disorder can have on your body. Read on for more information about hypogonadism and how single-ingredient products such as zinc, DHEA, Tribulus terrestris extract (TTX) can naturally improve your reproductive health.
What is Hypogonadism?
Hypogonadism is a condition that affects both men and women. In men, it is characterized by low male hormones levels, while in women, it is characterized by low estrogen levels. Sex hormones that are essential for normal reproductive and overall health. Hypogonadism can be classified into two main types; primary and secondary hypogonadism.
Primary hypogonadism occurs when the testicles or ovaries fail to produce enough hormones, respectively. This type can be caused by genetic defects, radiation therapy, chemotherapy, autoimmune diseases, and other medical conditions.
Secondary hypogonadism occurs when the pituitary gland or hypothalamus fails to produce enough hormones that stimulate the testicles or ovaries to produce hormones. This type can be caused by various medical conditions such as obesity, diabetes, pituitary tumors, and more.
Male vs. Female Hypogonadism
Male hypogonadism is caused when the body is unable to produce enough male hormones. Symptoms include a decrease in muscle mass, hair growth, and drive. The lowered male hormones levels may also contribute to other problems like dysfunction, infertility, and decreased sperm count. Male hypogonadism can be caused by a variety of factors, including pituitary or hypothalamic tumors, radiation therapy, chemotherapy, and aging.
Female hypogonadism is caused by lower-than-normal estrogen levels in the body. Symptoms include weight gain, irregular periods, dry skin, and decreased drive. Hypogonadism may also lead to osteoporosis and a higher risk of fractures later in life. The condition is often associated with menopause, but it can also be caused by other factors like premature ovarian failure and Turner Syndrome.
Types of Hypogonadism
There are two types of hypogonadism—primary and secondary. These terms refer to the causes behind the hormonal deficiency.
Primary hypogonadism occurs when there is an issue with the testicles that prevents them from producing enough male hormones. Primary hypogonadism can be caused by a range of factors, including injury, infection, radiation, and chemotherapy. Aging is also a common factor that can contribute to primary hypogonadism. Symptoms of primary hypogonadism in men include low drive, dysfunction, and reduced muscle mass and strength. Women with primary hypogonadism may experience irregular periods, infertility, and vaginal dryness.
The second type of hypogonadism is secondary hypogonadism. This type of hypogonadism occurs when there is a problem with the pituitary gland or hypothalamus. These parts of the brain are responsible for regulating hormone production in the body. When there is a problem with these parts of the brain, it can disrupt the body’s hormone production and cause hypogonadism. Symptoms of secondary hypogonadism in men include low drive, dysfunction, and reduced muscle mass and strength. Women with secondary hypogonadism may experience irregular periods, infertility, and reduced breast size.
Another important distinction to make with hypogonadism is the difference between congenital (or primary) and acquired (or secondary) hypogonadism. Congenital hypogonadism is present from birth and is often the result of a genetic condition or other congenital anomaly. Acquired hypogonadism, on the other hand, develops later in life and is often the result of an injury, illness, or other medical condition. Understanding whether someone has congenital or acquired hypogonadism can be essential in determining the appropriate treatment options.
Symptoms of Hypogonadism
Hypogonadism can develop before, during or after puberty. Young patients who have not reached puberty may look much younger than their chronological age, with delayed or incomplete intimacy development.
The symptoms of hypogonadism in men may start during puberty, or later in life. The common symptoms of Hypogonadism include decreased passion, dysfunction, fatigue, and depression. Other common symptoms of hypogonadism include:
- Decreased muscle mass
- Increased body fat, especially in the waist area
- Decreased bone density
- Reduced body hair
- Breast development in men
- Decreased testicle size
- Hot flashes
- Difficulty concentrating
Hypogonadism affects women in a different way than it does men. In women, hypogonadism can happen when the ovaries don’t produce enough estrogen and progesterone.
- Irregular period
- Hot flashes
- Vaginal dryness
- Fatigue
- Infertility
- Low energy
- Decreased drive
In adult-onset hypogonadism, it can cause intimatel and mental health symptoms. Hormonal imbalance can cause dysfunction, low sperm count, low passion, lack of menstrual periods (amenorrhea) and infertility. Hormones also help regulate mood, so patients may have less energy, hot flashes or sleep disturbances like insomnia. The condition can also diminish muscle mass and bone mineral density, leading to osteoporosis.
Causes of Hypogonadism
There are two types of hypogonadism, primary and secondary. The patient may have a problem with the signals between the brain and the testicles (secondary) or it may be a problem with the testicle itself (primary).
Primary Hypogonadism
Primary hypogonadism is a type of hypogonadism that occurs due to problems with the testicles. Testicles play a vital role in producing male hormone, and any problem with them can cause a drop in male hormone. Some of the common causes of primary hypogonadism include undescended testicles, testicular trauma or injury, infections of the testes, and genetic disorders such as Klinefelter syndrome.
Secondary Hypogonadism
Secondary hypogonadism is caused by problems in the hypothalamus or pituitary gland, which controls the production of male hormone in the testicles. These problems can be a result of head trauma, infections, tumors, or radiation therapy. Low levels of male hormone can also occur due to the natural aging process, where the hypothalamus and pituitary gland fail to stimulate the testicles to produce enough male hormone.
Aging
As men and women age, their bodies naturally produce less hormones. This can lead to a condition called andropause (in men) or menopause (in women), which is marked by a range of symptoms including fatigue, mood changes, and decreased drive. While aging is a natural part of life, it is important to monitor your hormone levels as you get older so that you can catch any imbalances early on.
Chronic Illness
Chronic illnesses, such as obesity, Type 2 diabetes, and high blood pressure, can also lead to hypogonadism. These chronic illnesses put severe stress on the body, which can lead to low male hormone levels. Obesity can cause low male hormone levels due to the accumulation of body fat, which can convert hormones. Type 2 diabetes, on the other hand, can damage the nerves and blood vessels that supply the testicles, leading to low male hormone levels. Moreover, HIV/AIDS, pituitary or hypothalamic tumors, and chemotherapy or radiation therapy can also impact hormone production in the body. If you have been diagnosed with a medical condition that increases your risk of hypogonadism, it is important to work with your healthcare provider to establish a treatment plan that addresses your unique needs.
Renal Failure
The exact cause of hypogonadism in renal failure is not entirely known, but it is believed to be linked to several factors. First, the accumulation of waste products in the blood can significantly disrupt the male hormone production process, leading to low levels of male hormone. Additionally, the damage that occurs to the kidneys due to chronic kidney disease leads to an increase in inflammation, which affects hormone production. Furthermore, the hormonal imbalances that occur due to renal failure can also contribute to hypogonadism.
Congenital Adrenal Hyperplasia
Congenital adrenal hyperplasia is a genetic disorder that affects the adrenal glands and can lead to low levels of hormone in men and women. This can cause a range of symptoms such as irregular periods, decreased muscle mass, and decreased passion.
Klinefelter Syndrome
Klinefelter syndrome is a genetic disorder that affects males and is caused by an extra X chromosome. This can disrupt the production of male hormone and lead to symptoms such as decreased muscle mass, decreased passion, and enlarged breast tissue.
Medical Treatments and Hormone Therapies
Certain medical treatments can also increase your risk of developing hypogonadism. For example, chemotherapy and radiation therapy can damage the testes and ovaries and lead to decreased hormone production. Chronic use of opioids or steroids can also disrupt hormone production. If you are undergoing medical treatment, it is important to discuss the potential side effects with your doctor. Some hormone therapies can also cause hypogonadism. Similarly, hormone therapies used to treat prostate cancer can suppress the body’s natural male hormone production. If you are taking any medications or undergoing hormone therapy, it is important to discuss your options with your healthcare provider to ensure that you are receiving the appropriate treatment for your needs.
Lifestyle Factors
Certain lifestyle factors can also lead to hypogonadism, including excessive alcohol consumption, smoking, and a sedentary lifestyle. Heavy alcohol consumption can lead to alcohol-induced liver damage, which can affect the production of male hormone. Smoking can also lead to low male hormone levels as it damages the blood vessels that carry blood to the testicles. A sedentary lifestyle can lead to obesity, which, as we’ve discussed above, can lead to low male hormone levels.
Trauma or Injury
In rare cases, trauma or injury to the testicles can cause hypogonadism. If the testicles are damaged or removed, male hormone production can be affected. In these cases, hormone replacement therapy may be necessary to maintain normal male hormone levels.
Diagnosis for Hypogonadism
Diagnosis techniques differ based on the patient’s age when they develop the condition. If parents notice that their child is delayed in sex characteristics during puberty, they may need a medical exam. It may be more difficult to identify the condition in adults.
Lab Tests and Physical Exams
The first step for hypogonadism diagnosis involves medical or physical examinations, which your doctor will perform after discussing your symptoms in detail. Since hypogonadism can affect various organs or systems in the body, your doctor may request a full physical examination to assess your general health condition. Blood tests are also part of the initial screening process because they provide measurable levels of hormones in the body. The lab test measures the levels of hormones in the bloodstream. The lab results will help the doctors determine what type of treatment a person needs for hypogonadism.
Imaging and Bone Density Tests
Another way doctors can diagnose hypogonadism is through tests such as bone mineral density tests or imaging tests. Bone density tests form part of the evaluation process to look for any bone-related problems. Imaging tests like X-rays or MRI scans can also detect any structural damage or abnormality in the reproductive system and surrounding organs. These tests help the doctor determine the best course of treatment for an individual.
Genetic Testing
If hypogonadism is suspected in babies and young children, then genetic tests are required. Doctors perform this test to rule out any genetic or other related disorders. These tests will confirm the presence of hypogonadism, and the doctors can determine if any other treatment is required.
Hypogonadism Treatment
There are two types of hypogonadism: primary and secondary. Primary hypogonadism occurs when there is a problem with the testes or ovaries themselves, leading to decreased hormone production. Common causes of primary hypogonadism include aging, certain medications, radiation, chemotherapy, and injury to the testicles or ovaries. Secondary hypogonadism, on the other hand, is by problems that affect the pituitary gland or hypothalamus in the brain, which regulate hormone production. Common causes of secondary hypogonadism include pituitary disorders, brain injury, and genetic disorders.
If you have hypogonadism, your doctor may suggest hormone replacement therapy (HRT) as a hypogonadism treatment. HRT involves providing hormone injections, patches, or pellets to help boost hormone levels. HRT has shown to improve symptoms such as decreased drive, dysfunction, and fatigue. However, it’s important to note that HRT has risks and benefits that need to be discussed with your doctor before beginning treatment. Some risks of HRT include an increased risk of prostate cancer, sleep apnea, and blood clots.
Another hypogonadism treatment option is lifestyle changes. Certain lifestyle changes can help alleviate symptoms and improve overall health. These changes include regular exercise, healthy eating habits, and stress management. Exercise has shown to improve mood, decrease fatigue, and increase male hormone levels. Eating a balanced diet that includes plenty of fruits, vegetables, lean protein, and healthy fats can also help improve overall health and energy levels. Finally, managing stress levels through mindfulness, meditation, or other stress-management techniques can also help alleviate symptoms.
Complications
Hypogonadism may cause an increase for the risk for osteoporosis and heart disease. Estrogen therapy may also cause complications, including an increased risk for breast cancer and blood clots. Male hormone does not decline with age as dramatically in male patients as it does in women. Another potential complication of hypogonadism treatment is sleep apnea. This condition occurs when a person’s breathing repeatedly stops and starts while they sleep. Male hormone therapy could worsen this condition by exacerbating breathing problems. However, it can still cause complications, such as weakness, impotence and infertility. Lastly, some studies have suggested that male hormone replacement therapy could increase the risk of prostate cancer among men.
Who Treats Hypogonadism?
Endocrinologists
Endocrinologists are specialists who treat hormone-related disorders. They are experts in the inner workings of the endocrine system, which includes the testes that produce male hormones. Endocrinologists can diagnose hypogonadism using laboratory tests that measure male hormone levels. They may also perform a physical examination and take a complete medical history to determine the root cause of the condition. After making a diagnosis, they may prescribe medication, recommend lifestyle changes, or refer you to another specialist if needed.
Urologists
Urologists are doctors who specialize in diseases of the urinary tract and male reproductive system. They are to diagnose and treat male dysfunction, including hypogonadism. Urologists may order blood tests to check male hormone levels and perform a physical examination to look for any physical abnormalities. They may also recommend hormone replacement therapy, which involves replacing the male hormone that the body is not producing.
Primary Care Physicians
Primary care physicians are doctors who provide general medical care. They are often the first point of contact for patients who are experiencing symptoms of hypogonadism. They can order tests to check hormone levels, perform a physical examination, and refer you to a specialist if necessary. Depending on the severity of your condition, they may provide treatment, prescribe medications, or recommend lifestyle changes, such as exercise, a healthy diet, and weight loss.
Hypogonadism and Dysfunction
The management of hypogonadism and ED depends on the underlying cause and severity of the condition. For hypogonadism, male hormone replacement therapy (TRT) may receive a prescription to increase hormone levels. TRT can improve many of the symptoms associated with hypogonadism. Additionally, lifestyle changes, such as weight loss and regular exercise, can help improve symptoms of these conditions.
For erectile dysfunction, there are several treatment options available, including medications such as sildenafil (Viagra) and tadalafil (Cialis), vacuum pumps, penile injections, and penile implants. Additionally, behavioral therapy, such as counseling, may be helpful in addressing underlying psychological causes of ED.
Can Hypogonadism Be Cured Naturally?
Hypogonadism is a condition that can receive treatment naturally without hormone replacement therapy. Engaging in regular exercise, eating a healthy diet, getting enough restful sleep, managing stress, and taking essential supplements are all natural ways to cure hypogonadism. A healthy lifestyle change is necessary for optimal male hormone production levels. By adopting these lifestyle changes, you can restore your male hormone levels naturally, and reap the benefits of a healthy and fulfilling life.
Supplements for Hypogonadism
Patients may also use dietary supplements to support their reproductive health and possibly address reproductive disorders. However, they are not a proper treatment for hypogonadism or any other medical condition. Instead, they aim to strengthen overall health. Consult a doctor before taking any supplements for reproduction.
Vitamin D
Vitamin D is a fat-soluble vitamin that is essential for bone health, immune system function, and male hormone production. Research showed that men with low vitamin D levels often have low male hormone levels, too. You can get vitamin D from sunlight, fatty fish, egg yolks, and fortified foods and supplements. The recommended daily dose of vitamin D is 1,000-2,000 IU per day.
L-Arginine
L-arginine is an amino acid that helps build protein for immune function, heart health and athletic performance. Additionally, studies also show a positive effect on hormone response in physically active individuals who supplement with L-arginine. Researchers also claim that it can improve fertility in both men and women. The recommended serving size for L-arginine base powder is 500 mg one to three times a day on an empty stomach. The standard dosage for L-arginine base capsules is one capsule three times a day on an empty stomach, unless a doctor advises a different dosage.
Ashwagandha
In traditional Indian medicine, people believe that ashwagandha may be an effective aphrodisiac that may help with infertility and male impotence. It can also help patients deal with stress, which is a major factor in function. As a dietary supplement, the recommended serving size for ashwagandha extract powder is 450 mg.
D-Aspartic Acid
Athletes often use aspartic acid to enhance their physical performance because it can help increase muscle mass. Studies show that DAA supplements can improve male hormone levels by 30-60% in infertile and hypogonadal men. Aside from that, it may also increase passion and help patients with low drive. The suggested dosage for D-aspartic acid (DAA) is 2,500 to 3,500 mg once a day with the first meal of the day.
Magnesium
Magnesium is an essential mineral for the body, and it can also play a role in the production of hormones. One study found that men who supplemented with magnesium for four weeks saw an increase in male hormone levels. Magnesium supplements can also improve sleep quality, which is crucial for hormone production.
Fenugreek
Fenugreek is an herb that is often used in traditional medicine to treat low male hormone levels and boost passion. Research showed that fenugreek supplements could increase male hormone levels, sperm count, and semen volume. Fenugreek is also high in fiber and can improve digestion and reduce inflammation. The recommended dose of fenugreek seed extract is 500-600 mg per day.
Zinc
Zinc is an essential mineral that is crucial for the production of male hormone. It helps to regulate the function of enzymes that are in the process of male hormone production. Additionally, zinc helps to reduce oxidative stress in the body which can damage tissues and cells including the testes. Studies have shown that men who suffer from hypogonadism have low levels of zinc in their body. However, supplementing with zinc has been shown to improve male hormone levels in men.
DHEA
DHEA (dehydroepiandrosterone) is a hormone that is produced by the adrenal gland. It is a precursor to both hormones. As men age, their DHEA levels decline which can lead to low male hormone levels. Supplementing with DHEA has been shown to increase male hormone levels in men with low levels of the hormone. However, it is important to note that DHEA supplements should only be taken under the guidance of a healthcare provider as they may cause adverse side effects in some individuals.
Tribulus Terrestris Extract (TTX)
Tribulus terrestris is a small plant that grows in warm, tropical areas. It supports bladder health, possibly treating urinary tract infections and fights inflammation in the body. Tribulus terrestris may also act as an effective aphrodisiac, boosting passion. TTX is a plant extract that has been used for centuries to improve function and fertility. It is believed to work by increasing levels of luteinizing hormone (LH) in the body. LH is responsible for signaling the testes to produce male hormone. Studies have shown that supplementing with TTX can improve male hormone levels in men with hypogonadism. However, we need more research to determine the long-term safety and effectiveness of TTX supplements.
The recommended dosage for tribulus terrestris as a dietary supplement is 600 to 1,000 mg per day with food.
The Bottom Line
Hypogonadism is a condition that affects gonad function because of an imbalance in hormones in the body. Patients can develop this condition from direct damage to the gonads or damage to the parts of the brain that control hormones. Symptoms include delayed intimacy development, low drive, low sperm count and lack of menstrual periods. The causes may be primary or secondary and may include infections, genetic disorders or opiate use.
Treatment often includes hormone replacement therapy to balance hormones and alleviate symptoms. This condition is treatable, but it can cause complications, such as infertility. Patients may also use herbal supplements to support their reproductive health. However, they do not aim to treat this condition or any other, but seek to improve the patient’s health. It is best to consult a doctor before starting a supplement regimen.
Supplements can be a safe and effective way to treat hypogonadism or low male hormone levels. Zinc, vitamin D, D-aspartic acid, fenugreek, and ashwagandha are some of the supplements that have shown to improve male hormone production, sperm quality, and passion. As always, it is essential to talk to your doctor before starting any new supplement regimen and to follow the recommended dosages carefully. A healthy lifestyle that includes a balanced diet, regular exercise, and adequate sleep is still the best way to maintain overall health and wellbeing.
These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure or prevent any disease