Low libido, decreased energy, poor concentration, and depression.

The new epidemic among US men that nobody is talking about

Aug 16, 2023

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Today At A Glance:

Testosterone deficiency (<300 ng/dL) can cause low libido, decreased energy, poor concentration, and depression. Nearly 20-50% of US men have testosterone deficiency and this is getting worse each year, this means that a 65-year-old man in 2002 would have testosterone levels approximately 15 percent lower than a 65-year-old man in 1987.

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Neuro Athletes,

Testosterone, the quintessential male hormone, has been at the forefront of medical and scientific discussions in recent decades. A concerning trend has emerged: a consistent and significant decline in testosterone levels among U.S. men since the 1980s. This decline is not merely a function of aging, as one might expect, but appears to be a broader phenomenon affecting men across various age groups.

Figure 4. Prevalence of low levels of total and bioavailable testosterone according to decade of life. (Rhoden and Morgentaler, 2004)

A groundbreaking study led by Dr. Thomas Travison from the New England Research Institutes in Watertown, Massachusetts, has shed light on this issue. The research found that average testosterone levels in men have been dropping by about 1 percent annually. To put this in perspective, a 65-year-old man in 2002 would have testosterone levels approximately 15 percent lower than a 65-year-old man in 1987. This shift means that a larger segment of the male population in 2002 had testosterone levels considered below the normal range compared to their counterparts in the late '80s.

Dr. Travison remarked on the findings, stating, “The entire population is shifting somewhat downward we think.” He emphasized the need for further studies to corroborate these findings.

The data for this study was sourced from the Massachusetts Male Aging Study, a comprehensive longitudinal study focusing on aging patterns in around 1,700 men from the Boston area. The data spans three distinct time intervals: 1987-1989, 1995-1997, and 2002-2004. While it's a well-established fact that testosterone levels decrease naturally as a man ages, the rate of decline observed in this study surpassed what would typically be attributed to aging alone.

The Underlying Causes

Obesity and Sedentary Lifestyles: The rise in obesity rates is a significant factor in the decline of testosterone levels. Increased BMI has been linked to lower testosterone levels, with one study indicating that a 4-5 point increase in BMI corresponds to the testosterone level of someone a decade older [2]. The digital age has contributed to more sedentary lifestyles, with many jobs now being desk-bound and less physically demanding than in the past. This shift in work nature and lifestyle has been associated with lower testosterone levels [12].
External Toxins: The production of plastics has surged since the 70s, and with it, the exposure to endocrine-disrupting chemicals (EDCs) [13]. These chemicals, found in everyday items like plastic bottles and detergents, can interfere with hormonal balance. Research has linked EDC exposure to reduced testosterone and semen quality [15].
Fewer Smokers: While smoking has many adverse health effects, some studies suggest that it might marginally increase testosterone levels [16,17]. With the decline in smoking rates over the decades, this could be a contributing factor to the overall drop in testosterone levels.
Stress and Mental Health: Chronic stress, both physical and psychological, can lead to reduced testosterone levels [19,20]. The modern world, with its constant connectivity and digital distractions, might be contributing to increased stress levels. The implications of smartphone use, especially from a young age, are still being studied, but there are concerns about its impact on mental health and well-being [21,22].
Other Causes: There are other theories, such as the use of tighter underwear and increased indoor temperatures, that have been proposed as potential reasons for the decline [25]. Conditions like diabetes, which have become more prevalent, are also associated with lower testosterone levels [26].

The Significance of Testosterone

Testosterone is crucial for men, playing a vital role in muscle development, hair growth, and sperm production. A deficiency can lead to symptoms like fatigue and reduced libido. While the average testosterone levels might be declining, they haven't reached a point of concern for the general population. However, the trend does raise questions about the future of men's health and reproductive capabilities.

Should You Be Concerned?

While the decline is gradual, it's essential to be aware of the potential implications. Testosterone replacement therapy (TRT) prescriptions have seen a significant increase in recent years, indicating a genuine rise in testosterone deficiency cases [29].

If you suspect you might have low testosterone levels, it's advisable to consult a doctor. They can provide guidance on testing and interpreting the results in the context of your symptoms. Home testing kits, like the Testosterone Blood Test, offer a convenient way to check your levels [30].

Final Thoughts

The decline in testosterone levels is a multifaceted issue, with various potential causes ranging from lifestyle changes to environmental factors. While the trend is concerning, it's essential to approach the topic with a balanced perspective, considering both the scientific evidence and individual circumstances. Regular check-ups and being informed can help men navigate this complex issue and ensure optimal health.

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For More In-Depth Information on Testosterone, Check This Episode Out.

References

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