Men experiencing persistent fatigue, reduced libido, or difficulty with muscle gains may be facing low testosterone levels rather than just the effects of age or stress. Dr. Shandra Wilson, a board-certified urologist and medical director of urologic oncology at Intermountain Health, stated that testosterone is essential for maintaining libido, energy, muscle strength, and bone health.
Five key indicators of low testosterone
Dr. Wilson identified five specific indicators that may warrant a discussion with a healthcare provider. First, persistent low energy or a lack of motivation can be a sign, particularly when it feels different from occasional tiredness. Second, a noticeable drop in sex drive is often one of the clearest indicators.
Third, difficulties with getting or maintaining an erection can be connected to low testosterone, though Dr. Wilson noted that issues like blood flow and other health conditions also play a role. Fourth, men may notice that workouts are no longer producing the same muscle-building results. Finally, weakened bones or increased risks of osteoporosis can occur because testosterone helps maintain bone strength.
Diagnostic testing for hormone levels
To identify the cause of these symptoms, providers often use a total testosterone test involving a morning blood draw. Dr. Wilson advised men to get their numbers to determine if low testosterone is the underlying issue or if other factors are at play.
Causes and timing of decline
While testosterone levels naturally decline as men age, symptoms can appear in men in their 30s and 40s following significant life stressors, surgery, or major illness. Dr. Wilson described these changes as sometimes being gradual and sometimes reactionary.
Impact of lifestyle on hormones
Lifestyle habits such as nutrition, exercise, sleep, and weight management significantly impact hormone levels. Dr. Wilson noted that excess body fat can cause the body to convert testosterone into estrogen, while regular strength training may help support healthy levels naturally.
Available treatment and management options
Treatment options vary based on individual health goals and symptoms, ranging from lifestyle modifications to medication or testosterone replacement therapy.
