What is TestoUltra?

Normal male development is essential for a healthy body. The hormone testosterone has many effects, including the ability to reproduce, sexual function, muscle growth, bone density, and regulation of fat metabolism. The formation of the male reproductive organs is controlled by testosterone in the embryo. Hormones activate sperm production at puberty and increase testosterone production. Secondary male sexual characteristics (e.g. deep voice, facial hair, muscle mass, bone size, etc. ), and sexual maturity occurs.

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Testosterone is the Sex Hormone

The testes’ Leydig cells produce testosterone. The production of testosterone and the formation of sperm (spermatogenesis) are controlled by other hormones, such as luteinizing hormone (LH), follicle-stimulating hormone (FSH), and gonadotropin-releasing hormone (GnRH). These hormones are produced in the hypothalamic-pituitary system. The blood contains testosterone, which is bound to and transported by a blood protein called sexhormone-binding globulin.

What factors affect Testosterone Levels?

Even healthy men have testosterone levels that fluctuate and can vary from one man to the next. The morning and the afternoon are the most productive times for testosterone.

Temporarily low testosterone levels can also be caused by a variety of factors. These are:

• Grave overweight is usually due to inactivity and a poor diet.
• High alcohol consumption, drug and medication abuse
• You can fast for a long time
• Very strenuous physical activity
• Psychological stress
• Chronic diseases and severe infections, such as e.g. Type 2 diabetes

The gradual decline in testosterone levels can also be caused by physical changes as we age. Healthy lifestyles can help prevent testosterone deficiency by reducing the negative effects on testosterone production.

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What are the possible Symptoms?

Many symptoms can be caused by a testosterone deficiency, which can vary in severity. There are three types of symptoms: clinical, sexual and cognitive. The cause of the symptoms can lead to signs that develop gradually over several weeks, months, or even years depending on how severe they are. They can last several weeks, or even longer. Sometimes, symptoms of a testosterone deficiency after puberty or during puberty can manifest in other ways.

The following symptoms are indicative of testosterone deficiency in puberty:

• Failure of the voice (voice change)
• Skin pallor,
• Underdeveloped muscles,
• Infantile penis,
• Small testicles
• There is no evidence of sexual desire or development of erectile function.
• Disorders of Spermatogenesis (formation and maintenance of sperm)

After puberty, symptoms of testosterone deficiency include:

• Loss of sexual desire (declination in sexual desire)
• erectile dysfunction,
• Rectification of sexual activity
• Depressed moods, mood swings and loss of drive.
• Sleep disturbances,
• Reduced musculature
• Reduced size of the testicles
• Increased abdominal fat
• Gynecomastia (male breast enlargement)

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Signs of metabolic syndrome include:

Cognitive disorders, including spatial perception impairment.

Other diseases can also cause the various symptoms of testosterone deficiency, including cognitive, sexual, and physical-organic. The doctor will attempt to diagnose the exact cause.

How does one diagnose?

A medical history, physical exam and laboratory tests are all required to diagnose suspected testosterone deficiency. First, the doctor will determine if there are any clinical signs of testosterone deficiency. The total testosterone level is also determined in the laboratory exam. Because testosterone levels rise in the morning, the blood sample must be taken in morning. A second measurement must confirm the results. Refer to Laboratory value testosterone for more information.

It is important to measure the free testosterone for diagnosis. This is especially true if total testosterone measurements are not clear. The majority of testosterone is found in blood (approx. 97%) to proteins, SHBG and only a small portion (approx. One to three percent of SHBG is free hormone.

Serum levels of SHBG and LH are measured to narrow down the cause. The physician can then determine whether the patient has primary, secondary, or age-related hypogonadism. To diagnose the underlying condition, further examinations may be required. Sonographic examination of the prostate and testes.

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