Top 20 Signs of Low Testosterone in Men Top 20 Signs of Low Testosterone in Men This includes at least 2 separate low testosterone levels and a specific hormone-related symptom that could be reasonably expected to improve with testosterone supplementation. The prognosis is excellent for symptomatic men diagnosed with male hypogonadism who are treated according to guidelines and followed appropriately. While the condition is not usually curable, it is amenable to treatment with clomiphene or testosterone replacement therapy. Optimal results are obtained when proper follow-up is implemented and treatment is modified appropriately to utilize the minimal acceptable dose to relieve symptoms and avoid side effects. Endocrinologists usually use the mid-week median levels, while many urologists typically favor monitoring the peak levels for treatment and dosage guidance. Hormones play a key role in mood regulation, and low T can lead to emotional changes that feel out of character. Here are five signs that could indicate you have a testosterone deficiency, along with actionable steps to help manage them from Michael Rotman, MD. The evidence from studies isn’t clear about whether taking testosterone lowers or increases the risk of heart attack, stroke, or blood clots in the veins. There are no known ways to prevent low testosterone that is caused by genetic conditions or damage to the testes or pituitary gland. If you have low testosterone and the symptoms bother you, a doctor may recommend testosterone replacement therapy. A doctor can check your testosterone level with a simple blood test. “It’s not a psychological thing or situational; it’s just that you don’t feel like going out and doing things anymore,” Dr. Nall says. You might also notice that you don’t recover as quickly from physical activity as you used to or need to take naps to get through the day. Without a steady flow of testosterone, the tissues in your penis, scrotum, and testicles can low testosterone cause lower back pain atrophy, or shrivel, says Dr. Ramin. You may notice your balls shrink, too—they often shrivel to half the size and turn squishy instead of firm, he says. Osteoporosis is a disease where bones become brittle and fragile, making them more susceptible to breaking. This condition can significantly impact quality of life, leading to chronic pain and decreased mobility. Inadequate serum levels of testosterone also interfere with the normal quality of sleep. For example, sleep apnea is a common disorder that is not directly related to hypogonadism but has been reported more frequently in obese or overweight individuals (2, 3). Various clinical studies also indicate that patients with sleep apnea also have concomitant low testosterone levels (and therefore has a dual relationship). Therefore, if you are experiencing sleep disordered breathing, excessive weariness and you snore too much, then you should consult your doctor for possible hypogonadism. Gradual loss of interest in sexual activities is normal with advancing age, but unexpected, abrupt or sudden loss of libido is almost always suggestive of testosterone deficiency. There are safer, more cost-effective options to restore youthful energy –