40–50 years: 8%
50–60 years: 10%
60–70 years: 20%
Hypogonadism (Low Testosterone)
Diagnosis and Personalized treatment (TRT) in Mallorca
At Andrología Mallorca, we are specialists in the diagnosis and treatment of hypogonadism (low testosterone). We evaluate your symptoms, confirm the diagnosis with proper blood tests, and design a safe, personalized Testosterone Replacement Therapy (TRT) plan adapted to your needs.
What is hypogonadism or testosterone deficiency?
Male hypogonadism occurs when the testes produce insufficient testosterone or when there is a regulatory dysfunction that causes low blood levels. It can be:
Primary (testicular)
Impaired testicular production.
Secondary (hypothalamic-pituitary)
Failure of the hormonal signals that stimulate the testes.
Functional
Associated with obesity, diabetes or chronic diseases.
Diagnosis requires specialist clinical assessment and two morning blood tests, plus evaluation of reversible causes and comorbidities.
How common is hypogonadism or low testosterone?
Hypogonadism is more common than expected, increasing with age and comorbidities:
70–80 years: 30%
80 years: 45%
In men with obesity, type 2 diabetes or metabolic syndrome, prevalence can be 2–3 times higher.
This is a frequent and underdiagnosed condition that requires specialized management to restore quality of life and prevent complications.
Symptoms of hypogonadism (low testosterone)
Según las guías europeas, para confirmar el diagnóstico se requieren síntomas sexuales y analítica repetida. Algunos de estos síntomas más comunes son:
Sexual
Reduced libido, erectile dysfunction.
Physical
Loss of muscle mass, visceral fat gain, fatigue, low energy, osteoporosis.
Psychological
Irritability, low mood, poor concentration.
Metabolic
Increased visceral fat.
Causes and risk factors
Although the exact causes of this deficiency are unknown, some of the risk factors that influence it are:
Aging, obesity, metabolic syndrome.
Untreated sleep apnea.
Congenital or acquired hypogonadism.
Previous chemotherapy, radiotherapy, chronic diseases.
Drugs (opioids, steroids, anabolic agents).
Chronic stress and poor sleep habits.
How do we diagnose hypogonadism?
At our Andrology Clinic in Andrologia Mallorca, we carry out a personalized process for the detection of hypogonadism in our patients.
Clinical history and symptom questionnaires.
Morning blood tests (08:00–11:00), repeated twice:
- Total testosterone.
- SHBG and albumin to calculate free testosterone.
- LH, FSH, prolactin, thyroid and metabolic profile.
Study of reversible causes.
At Andrología Mallorca we don’t treat numbers, we treat people: symptoms, labs and personal goals.
How is hypogonadism treated?
The gold standard is Testosterone Replacement Therapy (TRT), restoring normal hormonal levels and improving energy, sexual function, muscle mass and quality of life.
Options available
- Transdermal gels.
- Intramuscular or subcutaneous injections.
- Subcutaneous pellets.
For men who wish to preserve fertility, alternatives like SERMs, HCG or aromatase inhibitors can be considered, either alone or combined with TRT.