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4/29/2020 Common Side Effects of Low Testosterone in Men

Low Testosterone in Men


Medically reviewed by Alana Biggers, MD on February 27, 2019 —
Written by The Healthline Editorial Team and Ana Gotter

Sexual function Physical changes Sleep disturbances


Emotional changes Other causes Treatment Takeaway

Overview
Testosterone is a hormone found in humans. Men have much
higher levels of testosterone than women. Production
increases during puberty and starts to decrease after age 30.

For each year over age 30, the level of testosterone in men
starts to slowly dip at a rate of around 1 percent per year. A
decrease in testosterone level is a natural result of aging.

Testosterone helps maintain a number of important bodily


functions in men, including:

sex drive
sperm production

muscle mass/strength 
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fat distribution

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bone density
red blood cell production

Because testosterone affects so many functions, its decrease


can bring about significant physical and emotional changes.
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Sexual function
Testosterone is the hormone most responsible for sex drives
and high libidos in men. A decrease in testosterone can mean
a decrease in libido. One of the biggest worries faced by men
with declining testosterone levels is the chance that their
sexual desire and performance will be affected.

As men age, they can experience a number of symptoms


related to sexual
A D V E R T I Sfunction
EMENT that may be a result of lowered levels
of this hormone.

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These include:

reduced desire for sex


fewer erections that happen spontaneously, such as
during sleep

infertility

Erectile dysfunction (ED) is not commonly caused by low


testosterone production. In cases where ED accompanies
lower testosterone production, hormone replacement therapy
may help your ED.

These side effects typically don’t happen suddenly. If they do,


lower testosterone levels may not be the only cause.

Physical changes
A number of physical changes can happen to your body if you
have low testosterone levels. Testosterone is sometimes
referred to as the “male” hormone. It helps increase muscle
mass, leads to body hair, and contributes to an overall
masculine form.

Decreases in testosterone can lead to physical changes


including the following:

increased body fat


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decreased strength/mass of muscles

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fragile bones
decreased body hair

swelling/tenderness in the breast tissue

hot flashes

increased fatigue

effects on cholesterol metabolism


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Sleep disturbances
Low testosterone can cause lower energy levels, insomnia and
other changes in your sleep patterns.

Testosterone replacement therapy may contribute to or cause


sleep apnea. Sleep apnea is a serious medical condition that 
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causes your breathing to stop and start repeatedly while you

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sleep. It can disrupt your sleep pattern in the process and raise
your risk for other complications, like having a stroke.

On the other hand, changes in the body that occur as a result


of sleep apnea can lead to low testosterone levels  .

Even if you don’t have sleep apnea, low testosterone can still
contribute to a decrease in the hours of sleep. Researchers
aren’t yet sure why this happens.

Emotional changes
In addition to causing physical changes, having low levels of
testosterone can affect you on an emotional level. The
condition can lead to feelings of sadness or depression. Some
people have trouble with memory and concentration and
experience lowered motivation and self-confidence.

Testosterone is a hormone that affects emotional regulation.


Depression has been linked to men with low testosterone. This
could result from a combination of the irritability, decreased sex
drive, and fatigue that can come with low testosterone.
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Other causes
While each of the symptoms above may be a result of a
lowered testosterone level, they may also be normal side
effects of aging. Other reasons that you might experience
some of these symptoms include:

a thyroid condition
injury to testicles

testicular cancer

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infection

HIV
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type 2 diabetes
side effects of medications

alcohol use
genetic abnormalities that affect the testicles
pituitary gland problems

To determine what’s causing these symptoms for you,


schedule an appointment with your doctor

According to a study published in Clinical Endocrinology, the


testosterone-level goal for men over 65 is approximately 350–
450 ng/dL (nanograms per deciliter). This is the midpoint of the
normal range for the age group.

Treatment
Regardless of the reason you’re experiencing low testosterone,
treatment options are available to increase testosterone or
reduce unwanted side effects.

Testosterone therapy

Testosterone therapy can be delivered in several ways:

injections into the muscle every few weeks



patches
A D V Eor
R T Igels applied to the skin
SEMENT

a patch that is applied inside the mouth

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pellets that are inserted under the skin of the buttocks

Testosterone therapy is not recommended for those who have


experienced or are at a high risk of prostate cancer.

Losing weight and being physically active

Exercising more and losing weight can help slow the decrease
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of testosterone your body is experiencing.

Erectile dysfunction medication

If your most concerning symptom from lower testosterone is


erectile dysfunction, erectile dysfunction medications may help.

Sleeping aids

If you’re unable to get relief from insomnia using relaxation and


natural remedies, sleeping medications may help.
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Takeaway
If you’re experiencing any symptoms of low testosterone, ask
your doctor to test your levels. A diagnosis can be made with a
simple blood test, and there are a variety of treatment options
to reduce unwanted side effects of low T.

Your doctor can also help you determine if there’s an


underlying cause triggering your low testosterone.

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Common Side Effects of Low Testosterone in Men

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