Most men and women begin to lose testosterone between twenty-five and thirty-five. Many start at much younger ages. It is not uncommon for some to never make enough testosterone and suffer from TD all their lives. Most men and women begin to have symptoms between thirty-five and forty-five. In many, however, symptoms first appear at much younger ages, even in the late teens.
The earliest symptoms of TD are common to both sexes and involve the physical, mental, and sexual.
Fatigue, physical weakness, and the appearance of abdominal fat occur in both sexes. Women suffer another loss of shape as rears begin to flatten.
The onset of depression, unexplained anxiety, muddled thinking, and a loss of self-confidence and self-esteem are common early symptoms of the progressive loss of testosterone. The quality of life deteriorates, even to the point that studies have shown that TD depression can be so severe that it can lead to suicide.
Testosterone is the primary source of sexuality for both men and women, stimulating their desire for sex (libido). The continuing loss of the hormone leads to a progressive disinterest in sexual activity. In women this process can begin as increasing difficulty attaining sexual satisfaction, while men usually start to experience erectile dysfunction. Eventually, essentially all interest in sex gradually disappears.
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