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Low Testosterone Low T: Causes, Symptoms & Treatment

Low Testosterone Low T: Causes, Symptoms & Treatment

LOH and low testosterone are more common in men who have Type 2 diabetes, overweight and/or obesity. Symptoms of low testosterone can vary considerably, particularly by age. Make a gift to our 2025 Drive to Cure Cancer and transform the way cancer is treated and defeated.

That’s why it’s so important to have regular follow-up visits with a health care professional, who will monitor the testosterone levels in your blood. If you’re taking hormone replacement therapy, regular follow-up appointments with a healthcare provider are important. The mortality of men with testosterone deficiency is significantly higher than among men with normal testosterone levels. But, it is unclear whether replacing testosterone to a normal level reduces that increased mortality. Treatment is largely focused on the treatment of symptoms, not the specific testosterone level.

Low testosterone (male hypogonadism) is a condition in which your testicles don’t produce enough testosterone. It has several possible causes, including conditions or injuries affecting your testicles, pituitary gland or hypothalamus. Another name for primary hypogonadism is hypergonadotropic hypogonadism. The high levels of these hormones would normally tell your testicles to produce more testosterone and sperm. However, if you have damaged (most commonly related to prior chemotherapy) or missing testicles, they can’t respond to the increased levels of gonadotropins. As a result, your testicles make too little or no testosterone and sperm.

Testosterone taken by mouth, also called oral, isn’t often used for treatment of hypogonadism. Your hypothalamus and pituitary gland normally control the amount of testosterone your testicles produce and release. Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition. If a pituitary problem is the cause, pituitary hormones can be given to help the body make more sperm and restore fertility.

However, consistent hormone replacement therapy helps improve sex drive, ease symptoms of depression and increase energy levels for those experiencing low testosterone. Sometimes in primary hypogonadism testosterone levels are within the normal range and gonadotropins are high. Your specialist will help you understand if you need treatment, even with normal testosterone levels. Anyone taking testosterone replacement should have a medical checkup and blood tests several times during the first year of treatment and yearly after that. This is to see how well the treatment works and to watch for side effects.

LH then travels to your gonads (testicles or ovaries) and stimulates the production and release of testosterone. Your pituitary also releases follicle-stimulating hormone (FSH) to cause sperm production. Risks from testosterone therapy are most often due to doses that are too high. Many of these side effects go away when the dose is lowered.

Finding the cause of hypogonadism is an important first step to getting appropriate treatment. Low testosterone (male hypogonadism) is a condition in which your testicles don’t produce enough testosterone (the male sex hormone). More specifically, the Leydig cells in your testicles make testosterone. You can be born with male hypogonadism, or it can develop later in life, often from injury or infection. The effects — and what you can do about them — depend on the cause and at what point in your life male hypogonadism occurs. Some types of male hypogonadism can a woman grow a beard with testosterone be treated with testosterone replacement therapy. For congenital hypogonadism, testosterone replacement therapy often helps prevent problems related to delayed puberty.

In one study, 30% of men who were overweight had low testosterone, compared to only 6% of those with weight in the normal range. In another study, 25% of men with Type 2 diabetes had low testosterone, compared to 13% of those without diabetes. Data suggest that about 2% of men may have low testosterone.