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A Decline in Testosterone May Give Rise to Many Ills (Especially In Married Men)
Wall Street Journal ^ | 17 January 2008 | BENJAMIN BREWER, M.D

Posted on 01/17/2008 1:28:24 PM PST by shrinkermd

Testosterone levels start to drop for most men in middle age. For those wanting to start their testosterone decline sooner than that, getting married may help.

Married men have lower testosterone levels than single guys. A recent study among the Ariaal people in Kenya showed that unmarried men had higher testosterone levels than men with a single wife. And men with two or more wives had even lower testosterone than those with one.

It's estimated that two million to four million American men have a significant testosterone deficiency and that less than 5% of them are getting treatment.

Low testosterone may lead to loss of body hair, sleep disturbance, sweats, depression, impaired thinking, lower bone mass and strength, fatigue and weak bones. Some signs are more subtle. Decreases in sex drive, energy, motivation, initiative, aggressiveness and self-confidence are other signals. Testosterone levels can be measured with a blood test.

I discovered one of my patients was low on testosterone after he fell during a minor mishap and unexpectedly broke his forearm. He turned out to have osteoporosis due to low testosterone. He developed type 2 diabetes around the same time. Adult onset diabetes in men is also associated with low testosterone.

Carrying extra weight around the middle and a drop in muscle mass were warning signals that became clear after the fact. Low testosterone levels are increasingly prevalent and often under diagnosed by the medical community. It's one of those chronic things that can drag on for years without much beyond vague symptoms that a guy might wonder about but not come in over. Doctors often overlook it because other important and more pressing health problems.

(Excerpt) Read more at online.wsj.com ...


TOPICS: Culture/Society; Unclassified
KEYWORDS: aging; males; marriage; testosterone

1 posted on 01/17/2008 1:28:25 PM PST by shrinkermd
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To: shrinkermd

Funny how their testosterone levels go up when a mistress is available.


2 posted on 01/17/2008 1:30:29 PM PST by Sacajaweau ("The Cracker" will be renamed "The Crapper")
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To: shrinkermd

Time for Hillary to open her Lock Box.


3 posted on 01/17/2008 1:30:37 PM PST by Question Liberal Authority (Carbon Dioxide is NOT POLLUTION. It is PLANT FOOD, necessary for all life on Earth.)
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To: shrinkermd

It’s undiagnosed because the nanny state teaches us that testosterone and steroids are bad.

(A law brought to us by RINO GBush I)


4 posted on 01/17/2008 1:30:49 PM PST by TheThirdRuffian (This evangelical Christian is not fooled by Jimmah Carter Huckabee.)
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To: shrinkermd
"And men with two or more wives had even lower testosterone than those with one."

HUH???? No wonder the Islamofacists are so crazy....

5 posted on 01/17/2008 1:31:36 PM PST by goodnesswins (Being Challenged Builds Character! Being Coddled Destroys Character!)
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To: Sacajaweau
Funny how their testosterone levels go up when a mistress is available.

Well, there's your answer. To avert this crisis, the government should pay for Universal Mistress Coverage for all middle-aged men.
6 posted on 01/17/2008 1:31:45 PM PST by Question Liberal Authority (Carbon Dioxide is NOT POLLUTION. It is PLANT FOOD, necessary for all life on Earth.)
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To: Question Liberal Authority
To avert this crisis, the government should pay for Universal Mistress Coverage for all middle-aged men.

Scary

Wanda is available.

7 posted on 01/17/2008 1:34:19 PM PST by dragonblustar (Once abolish the God, and the government becomes the God - G. K. Chesterton)
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To: shrinkermd

General Jack D. Ripper: Mandrake, do you realize that in addition to fluoridating water, why, there are studies underway to fluoridate salt, flour, fruit juices, soup, sugar, milk... ice cream. Ice cream, Mandrake, children’s ice cream.

Group Capt. Lionel Mandrake: Lord, Jack.

General Jack D. Ripper: You know when fluoridation first began?

Group Capt. Lionel Mandrake: I... no, no. I don’t, Jack.

General Jack D. Ripper: Nineteen hundred and forty-six. Nineteen forty-six, Mandrake. How does that coincide with your post-war Commie conspiracy, huh? It’s incredibly obvious, isn’t it? A foreign substance is introduced into our precious bodily fluids without the knowledge of the individual. Certainly without any choice. That’s the way your hard-core Commie works.

Group Capt. Lionel Mandrake: Uh, Jack, Jack, listen, tell me, tell me, Jack. When did you first... become... well, develop this theory?

General Jack D. Ripper: Well, I, uh... I... I... first became aware of it, Mandrake, during the physical act of love.

Group Capt. Lionel Mandrake: Hmm.

General Jack D. Ripper: Yes, a uh, a profound sense of fatigue... a feeling of emptiness followed. Luckily I... I was able to interpret these feelings correctly. Loss of essence.

Group Capt. Lionel Mandrake: Hmm.

General Jack D. Ripper: I can assure you it has not recurred, Mandrake. Women uh... women sense my power and they seek the life essence. I, uh... I do not avoid women, Mandrake.

Group Capt. Lionel Mandrake: No.

General Jack D. Ripper: But I... I do deny them my essence.


8 posted on 01/17/2008 1:35:09 PM PST by rlmorel (Liberals: If the Truth would help them, they would use it.)
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To: rlmorel

8 posts? 8 posts? Guys we’re slipping. It took 8 posts for the first Dr. Strangelove reference!


9 posted on 01/17/2008 1:39:01 PM PST by live+let_live
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To: live+let_live

LOL! I expected to see it at number 2...:)


10 posted on 01/17/2008 1:40:38 PM PST by rlmorel (Liberals: If the Truth would help them, they would use it.)
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To: TheThirdRuffian

I agree entirely.

I read just today how rock stars are taking HGH (now labeled a steroid, by the way...) can give you a healthy complexion and good muscle tone late into life. And then I wonder why the hell we are promoting hatred of this stuff????


11 posted on 01/17/2008 1:42:03 PM PST by ConservativeDude
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To: shrinkermd
Sounds like P.D. James's The Children of Men (what Hollywood made of it in the movie was something else altogether).
12 posted on 01/17/2008 1:43:00 PM PST by x
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To: shrinkermd

>>Decreases in sex drive, energy, motivation, initiative, aggressiveness and self-confidence are other signals.<<

Nothing that can’t be fixed by hard liquor!


13 posted on 01/17/2008 1:43:19 PM PST by ItsOurTimeNow ("Never get involved in a land war in Asia.")
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To: shrinkermd
Some signs are more subtle. Decreases in sex drive, energy, motivation, initiative, aggressiveness and self-confidence are other signals.

Guess I don't have to worry yet. I have noticed no decrease in my sex drive and neither has the wife, if anything I have an increase.
My energy, motivation, initiative, and aggressivness is also near record levels, just ask my coworkers.
My self confidence has not been a problem since I was 22.

I must be a testosterone pump since I'm now almost 50.

14 posted on 01/17/2008 1:44:11 PM PST by Just another Joe (Warning: FReeping can be addictive and helpful to your mental health)
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To: shrinkermd

Would the same be true for females? Does the estrogen level decline after engaging in the act of marriage?


15 posted on 01/17/2008 1:44:28 PM PST by indylindy (Duncan Hunter is the best hope we have on both fronts.)
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To: Question Liberal Authority

NASTY!

I don’t know what that did to my testsoterone level, but it sure took away my will to live.


16 posted on 01/17/2008 1:44:57 PM PST by CougarGA7 (Wisdom comes with age, but sometimes age comes alone.)
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To: shrinkermd

The key to the city here is having a lass in the neighborhood who waits until the lad has gone to bed before she enters the bedroom and prepares for the night on her own behalf. I’m fifty-eight and never tire of the ritual. I’m sure the wife, barely by junior, thinks I’m a lech; but, it says right here, she would destroy me with sarcasm if she ever thought my interest flagged in the slightest. So far it hasn’t.


17 posted on 01/17/2008 1:46:21 PM PST by stevem
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To: shrinkermd
"Married men have lower testosterone levels than single guys"

Where's John Edwards when we need him? (He could bring a Class Action suit against wives for causing lowering of husbands' testorsterone levels!)

Should be worth zillions, I would think.....

LOL /sarc

18 posted on 01/17/2008 1:49:06 PM PST by traditional1 (Thompson/Hunter '08)
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To: dragonblustar

Thanks for the pic. Just turned my ‘sex drive’ into a ‘sex stall and roll backward down the hill.’


19 posted on 01/17/2008 1:49:38 PM PST by DancesWithBolsheviks (If someone is 'turning his life around' you best stay away.)
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To: ConservativeDude

Because it doesn’t work and it causes all kinds of other health problems.


20 posted on 01/17/2008 1:52:22 PM PST by ichabod1 ("Self defense is not only our right, it is our duty." President Ronald Reagan)
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To: Just another Joe
My energy, motivation, initiative, and aggressivness is also near record levels, just ask my coworkers.

We all hate you.

21 posted on 01/17/2008 1:54:06 PM PST by webheart
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To: ItsOurTimeNow

Decreases in sex drive, energy, motivation, initiative, aggressiveness and self-confidence are other signals.<<

Nothing that can’t be fixed by hard liquor!

I have found that vast quanititeis of the bourbon Knob Creek sure fixes me up right quick in overcoming those above described ailments. It also lowers blood sugar thus helping type 2 diabetes. Or was it the sex that lowers blood sugar? Oh well, I enjoy both.


22 posted on 01/17/2008 1:56:01 PM PST by dirtymac (Now is the time for all good men to come to the aid of their country)
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To: CougarGA7

I agree. My office staff just caught me trying to gouge out my eyes with a Bic pen


23 posted on 01/17/2008 1:57:00 PM PST by Cyman
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To: shrinkermd

The effects of low testosterone were measured by intense medical monitoring of GOP Senators....


24 posted on 01/17/2008 1:58:47 PM PST by steve-b (Sin lies only in hurting others unnecessarily. All other "sins" are invented nonsense. --RAH)
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To: shrinkermd
Finally...documentation I can show my wife so I dont have to do it anymore.

Besides...all that snorting and screaming "faster you big stallion, faster!!" wakes the kids.

25 posted on 01/17/2008 2:03:59 PM PST by DainBramage
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To: TheThirdRuffian
It’s undiagnosed because the nanny state teaches us that testosterone and steroids are bad.

(A law brought to us by RINO GBush I)

Sad to say but there is a lot of truth in that statement.

26 posted on 01/17/2008 2:05:15 PM PST by org.whodat (What's the difference between a Democrat and a republican????)
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To: indylindy
“Would the same be true for females? Does the estrogen level decline after engaging in the act of marriage?”

From what I have observed, a female’s testerone, increases as they get older....

27 posted on 01/17/2008 2:07:15 PM PST by thinking
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To: thinking

ROTFLMAO! That is probably true!

Damn right, as males testosterone declines, female testosterone rises.


28 posted on 01/17/2008 2:11:17 PM PST by indylindy (Duncan Hunter is the best hope we have on both fronts.)
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To: Sacajaweau
Funny how their testosterone levels go up when a mistress is available.

Trick is to get the doctor to write a note.

29 posted on 01/17/2008 2:11:48 PM PST by Plutarch
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To: webheart
We all hate you.

So do my coworkers. ;^)

30 posted on 01/17/2008 2:14:11 PM PST by Just another Joe (Warning: FReeping can be addictive and helpful to your mental health)
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To: thinking
From what I have observed, a female’s testerone, increases as they get older...

From what my non-medically-trained self understands, an older woman does not gain testosterone so much as she loses estrogen, and so the ratio of testosterone:estrogen increases, allowing the testosterone to work its magic.
31 posted on 01/17/2008 2:41:28 PM PST by fr_freak
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To: shrinkermd

I had it...saw a P.A. and she blew me off said I was too young. I told her to humor me and check, she did and I’ve been steadily improving with my health all around. I tried the gel on the skin, worthless...got the injections, noticed improvements within 2 weeks.


32 posted on 01/17/2008 3:08:04 PM PST by tpanther
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To: shrinkermd
A recent study among the Ariaal people in Kenya showed that unmarried men had higher testosterone levels than men with a single wife.
33 posted on 01/17/2008 3:08:39 PM PST by Paleo Conservative
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To: Just another Joe
"Guess I don't have to worry yet. I have noticed no decrease in my sex drive and neither has the wife, if anything I have an increase. My energy, motivation, initiative, and aggressivness is also near record levels, just ask my coworkers."

Don't bet on that. Sex drive is NOT necessarily the first thing to "go". One unmentioned symptom is that low testosterone can cause irregular heartbeat, which is what I had. Get a blood test, and you will KNOW. And for those whose levels ARE low---the preferred treatment is Androgel (other forms of testosterone used for treatment are NOT detected by blood test, so you're "flying blind" in treatment). With Androgel, you know and can control precisely what your "free testosterone blood level" is.

34 posted on 01/17/2008 3:18:16 PM PST by Wonder Warthog (The Hog of Steel-NRA)
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To: ichabod1
"Because it doesn’t work and it causes all kinds of other health problems."

Excuse me, but it most certainly DOES work. And I think the jury is still out as to whether it causes any health problems or not. A lot of physicians take it themselves. I don't, because I'm still looking at the data.

35 posted on 01/17/2008 3:20:30 PM PST by Wonder Warthog (The Hog of Steel-NRA)
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To: tpanther
"I tried the gel on the skin, worthless...got the injections, noticed improvements within 2 weeks."

When you "tried the gel on the skin", was it "Androgel", and did you have follow-up blood tests to see what the actual blood levels were??? You may simply have not been getting enough to do the trick. The stuff used in injections doesn't show up in blood tests (methyl derivative, not "real" testosterone), so your only diagnostic is "how you feel".

36 posted on 01/17/2008 3:24:00 PM PST by Wonder Warthog (The Hog of Steel-NRA)
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To: shrinkermd

This is precisely the condition that the doctor claimed he was treating in Chris Benoit.


37 posted on 01/17/2008 3:31:11 PM PST by JustaDumbBlonde
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To: Wonder Warthog

“With Androgel, you know and can control precisely what your “free testosterone blood level” is.”

And you can put it on your wife and her sex drive goes through the roof.

Which is great until she grows a beard.


38 posted on 01/17/2008 3:49:04 PM PST by TheThirdRuffian (This evangelical Christian is not fooled by Jimmah Carter Huckabee.)
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To: indylindy

“Would the same be true for females? Does the estrogen level decline after engaging in the act of marriage?”

No, but once married, a womens’ jaws atrophy in a pecular manner, making it very difficult for them to to suck on . . popcicles.


39 posted on 01/17/2008 3:54:08 PM PST by MeanWestTexan (Kol Hakavod Fred Thompson)
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To: MeanWestTexan

LOL, you jerk. But you are funny!


40 posted on 01/17/2008 3:57:34 PM PST by indylindy (Duncan Hunter is the best hope we have on both fronts.)
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To: Wonder Warthog

Yup....kept going up and up on the androgel, and not getting the results, both in blood levels and lesser symptoms (mainly lethargy, depression).

Bot once I took injections, I started out at I think it was .5 ccs...eventually up to 1 cc and blood levels went up and symptoms improved. (BTW, I got testosterone cypionate, and the Doc checked my testosterone levels regularly. Along with I might add, liver function tests, because that has to be monitored as well.)

I’m off it now, have been for months, but I might need to get checked. But since I suffer from seasonal depressive disorder...it’s hard to say.

Then again that may be a misdiagnosis in and of itself because of misdiagnosed (or more properly missed) “hypogonadism” as it’s called.

Which is another misnomer, cause people think of testicular shrinkage, which isn’t the case... it’s less testosterone production.


41 posted on 01/17/2008 4:00:35 PM PST by tpanther
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To: Wonder Warthog
Sex drive is NOT necessarily the first thing to "go".

OK, but I have none of the other symptoms and I have a full physical done every year, including stress test with EKG.

42 posted on 01/17/2008 5:48:41 PM PST by Just another Joe (Warning: FReeping can be addictive and helpful to your mental health)
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To: TheThirdRuffian
"And you can put it on your wife and her sex drive goes through the roof."

The wife doesn't need it.

43 posted on 01/18/2008 5:07:09 AM PST by Wonder Warthog (The Hog of Steel-NRA)
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To: tpanther
"Bot once I took injections, I started out at I think it was .5 ccs...eventually up to 1 cc and blood levels went up and symptoms improved. (BTW, I got testosterone cypionate, and the Doc checked my testosterone levels regularly. Along with I might add, liver function tests, because that has to be monitored as well.)"

Interesting. The derivatives I was taking by injection and later by "dissolve under the tongue" lozenges, didn't show up on blood tests. I think it both cases that was methyltestosterone. I already get regular liver checks due to taking statins.

At any rate, the Androgel works for me, and I would suggest that anyone considering supplementation be sure to seek out a testosterone derivative that CAN be adjusted by blood test.

44 posted on 01/18/2008 5:11:08 AM PST by Wonder Warthog (The Hog of Steel-NRA)
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To: Just another Joe
"OK, but I have none of the other symptoms and I have a full physical done every year, including stress test with EKG."

Which undoubtedly means you don't need it. I was only pointing out that there are other symptoms involved than the stereotype "loss of sex drive" that may be indicative of the problem. A blood test will tell you for certain.

45 posted on 01/18/2008 5:13:01 AM PST by Wonder Warthog (The Hog of Steel-NRA)
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To: fr_freak
“allowing the testosterone to work its magic.”

Sorry, but I don’t see it as magic...in essence, I have noted an increase in aggressiveness....

46 posted on 01/18/2008 7:13:01 AM PST by thinking
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To: thinking
Sorry, but I don’t see it as magic...in essence, I have noted an increase in aggressiveness....

Ah yes. That's part of the glorious magic.
47 posted on 01/18/2008 9:22:41 AM PST by fr_freak
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