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Dr. David
Dr. David, Board Certified Physician
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I've had hot flashes and sweats for years but now there

Customer Question

I've had hot flashes and sweats for years but now there getting worse.
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. David replied 1 year ago.

This is Dr. David

what medications are you taking?

you could be having decline of your testosterone levels which can cauase hot flashes and sweats in men.

have you had your testosterone levels checked?

Expert:  DrRussMD replied 1 year ago.


Almost all men have enough testosterone to prevent flushing, and it would be very rare for the steady age related drop in testosterone to cause hot flushes.

In addition, a spot testosterone level alone is not going to be revealing, and the hormonal work up is far more complicated.

The exception is androgen deprivation therapy for prostate cancer, or other meds that lower testosterone, which can act suddenly. Let me know what you are on. If you are being treated for prostate cancer, and have adjusted your meds, this still does not rule out all possible problems.

What is more concerning here is the sudden increase in flushing at age 85.

This can be for a variety of reasons.

Hidden chronic infection.

Hidden cancer.


Adrenal tumor.

Kidney disease/liver disease


This is not something to sit around and put up with.

Rather, you need to see your internal medicine doctor [I am a board certified internist by the way...see my profile] as soon as possible.

I am doctor thomas. I am here daily. Find me in medical by request for fast, correct, safe and comprehensive answers.

Please click a positive rating on this answer page [how we are paid].

Come back as needed.

Expert:  Dr. David replied 1 year ago.

This is Dr. David

in some men who have primary or secondary hypogonadism with decreased testosterone production for years, this can lead to hot flashes and sweats for years

the lower the testosterone levels, the worse hot flash symptoms can get

blood testing for testosterone and LH and FSH levels is a good start to check the testicle and pituitary functions to see if they are normal.

testosterone replacement therapy could help decrease your symptoms.

also medications like effexor or paxil can help some men with hot flash symptoms from low testosterone level

let me know if you have other questions.

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