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Mattie Healey, 20
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While testosterone therapy can be an option, it has disadvantages as well. Testosterone levels naturally decline as you age. If you are not in menopause, your estrogen levels should range from 30 to 400 picograms per milliliter. In women, especially those who haven’t yet gone through menopause, the most common cause of excess testosterone is PCOS. Estrogen levels also rise during a healthy pregnancy. These fluctuations, while less cyclical than in women, can still significantly affect mood, energy levels, and physical health. These hormones, along with testosterone, are constantly interacting and influencing various bodily functions. Yes, men do experience hormone fluctuations, though perhaps not in the same predictable, monthly cycles as women. When it rises, testosterone falls. Stress causes your levels of cortisol to rise. A consistent lack of good-quality sleep can also lead to weight gain, which can reduce your testosterone production. Research shows peak production happens after 3 hours of deep sleep, so make sure you get enough uninterrupted sleep to take advantage of this natural boost. The question of whether protein increases testosterone is a bit murkier. Aging 10 years increases your odds of having low testosterone by 36%, but a 4-inch increase in waist size may increase your chances by up to 75%. It depends on who you ask and how they define it, says Richards, noting that there's no clear consensus on what "low testosterone" actually means. Plenty of men with low T have no problem getting an erection — and treating testosterone alone rarely fixes ED. Low testosterone and ED can coexist, but there’s no one-to-one connection. The key here is "ask." "We don’t universally screen for low testosterone," says Dr. Alexander Turchin, director of informatics research at the division of endocrinology at Brigham and Women's Hospital in Boston. And unlike women, men "theoretically, should be able to reproduce throughout their adult lives," says Richards. "Typically, for men, testosterone seems to peak in the late 20s and decreases one, maybe two percent a year," Richards says. Actual menopause marks the point when a woman’s periods have stopped for 12 months — the official end of fertility. "All these things can help prevent chronic diseases and also help with testosterone levels," Ghayda says. Although there is a conceptual link to menopause in females, it’s important to note that this age-related hormonal change in men is very different from what happens in female menopause. It can also sometimes be called andropause, age-related androgen decline, late onset hypogonadism, low testosterone, or testosterone deficiency, he explains. If you’re experiencing depression, your doctor may prescribe antidepressants, therapy, and lifestyle changes. Many MAABs are too intimidated or shy to discuss sexual topics with their doctors. Then they increase as you sexually mature.
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