Low Testosterone: Symptoms and Treatments

Low testosterone is a medical issue. In it, testes (male reproductive glands) produce less testosterone. In this article, we’ll go over its causes, symptoms, and treatments in depth.

What is low testosterone?

Testosterone is a male sex hormone produced in the testicles. Normal male sexual development and function rely on it.

During puberty, testosterone aids boys. It develops the male body and facial hair, a deeper voice, and muscle strength. To produce sperm, men require testosterone. Testosterone levels decline with age. Older men tend to have low blood testosterone levels. It is a natural part of aging.

Some men have low levels of testosterone. Testosterone Deficiency Syndrome is the medical term for this. A deficiency occurs when the body does not have enough supply of it.

The low level of testosterone in the blood range is less than 300 NG/DL.

Low-T have the following symptoms or conditions:

  • Sex drive is low.
  • Night sweats
  • Tiredness
  • Less lean muscle mass
  • Irritation
  • Impaired erection
  • Depressive disorder
  • Opioid use

What is the prevalence of low testosterone?

According to health information, low testosterone affects 40% of men. That is over the age of 45. Normal testosterone levels are challenging to define. They fluctuate throughout the day. Following conditions influence it:

  • Body mass index (BMI)
  • Nutrition
  • Alcohol consumption
  • Certain medications
  • Age
  • Illness.
  • Low levels of testosterone may cause a risk of heart disease.


Following are the possible causes of low testosterone, such as:

  • Testicular injury (trauma, blood clots) or infection
  • Cancer therapies
  •  Metabolic disorders
  • Pituitary gland dysfunction or tumors
  • Medications, such as opioids and hormones
  • Illness that is either acute (short-term) or chronic (long-term).
  • Abuse of alcoholic beverages
  • Renal failure that is chronic
  • Menopausal symptoms
  • Inflammatory diseases
  • The syndrome of Klinefelter
  • Excess prolactin, a milk-producing hormone
  • Obesity or rapid weight loss
  • Uncontrolled type 2 diabetes mellitus
  • Congenital flaw
  • Sleep apnea (obstructive)
  • Growing Older
  • Excess estrogen
  • Previous use of anabolic steroids
  • Pubertal retardation
  • Terrorism (head injury)
  • Previous brain surgery or radiation exposure


Low Testosterone manifests itself in a variety of ways. Some are more related to Low-T levels than others. Your doctor will assist you in testing your situation or by blood tests.

Specific symptoms are related to TD, such as:

  • Less sex drive
  • Impaired erectile function
  •  Hair loss on the body
  • Reduced beard growth
  • Decreased lean muscle mass
  • Constant feeling of exhaustion (fatigue)
  • Obesity (being overweight)
  • Depression symptoms

Non-specific symptoms include:

  • Reduced energy, endurance, and physical strength
  • Impaired memory
  • Difficulty finding the right words to say
  • Not able to concentrate
  • Not performing well at work
  • Vaginal dryness

Treatment for adult men

Testosterone replacement therapy restores testosterone levels. It is the most used treatment for male hypogonadism. Male hypogonadism traits are as follows:

  • Decreased sexual drive
  • Decreased energy
  • Decreased facial
  • Body hair
  • Loss of muscular mass
  • Bone density

Testosterone can help. The benefits of testosterone therapy for older men are less clear.

The Endocrine Society recommends visiting a doctor for treatment efficacy. It would help if you visited several times during your first year of therapy. After that once a year.

Testosterone replacement therapy is available in many forms.

Oral testosterone preparations are not used to treat hypogonadism. They can cause serious liver problems. They do not maintain consistent testosterone levels.

The lymphatic system absorbs testosterone undecanoate (Jatenzo). It is an FDA-approved oral testosterone replacement product. Other oral testosterone formulations are linked to liver problems.

Other options to consider are:


There are numerous gels and solutions available. Each has its method of application. Massage duration depends on the brand. You massage testosterone into the skin on your upper arm or shoulder. You can apply it to the front and inner thigh.

Testosterone enters the body through the skin. Do not shower or bathe for several hours after using the gel. This will ensure that it is well-absorbed.

Skin irritation is a possible side effect. There is the chance of passing the medication on to others. After applying the gel, avoid skin-to-skin contact. Make sure it has dried, or cover the affected area.


In it, intramuscular or subcutaneous injections of testosterone cypionate (Depo-Testosterone) and testosterone enanthate are used. Your symptoms may vary between doses. It depends on how many times you receive injections.

Once every ten weeks, we use injections of testosterone undecanoate (Aveed) deep into the muscle. It is administered under your healthcare practitioner’s supervision. It has serious side effects.


In it, a testosterone patch (Androderm) is applied to your thighs or torso every night. A severe skin reaction is a possible side effect.

Gums and cheeks (buccal cavity). Gum-and-cheek testosterone replacement is a putty-like substance. It delivers testosterone through natural depression. That is above your top teeth, where your gum meets your upper lip (buccal cavity).
It is taken three times a day. This substance adheres to your gum line. It allows testosterone to be absorbed into your circulation. It has the potential to cause gum irritation.


Natesto is a testosterone gel that can be injected through the nose. This method reduces the chance of medicine transfer. It protects the transfers from person to person via skin contact. The recommended dose of nasal testosterone is three times/day, two times in the nose. This may be more difficult than other methods.

Pellets with the ability to be implanted Testopel (testosterone-containing pellets) are surgically implanted beneath the skin. The dosage is recommended every three to six months. This necessitates a severance.

Testosterone therapy has several drawbacks, including:

  • Red blood cell production has increased.
  • Acne
  • Breast enlargement
  • Sleep disruptions
  • Prostatitis of the prostate
  • Reduced sperm production

If a pituitary problem is a cause, pituitary hormones can be given. It can promote sperm production and restore fertility. A pituitary tumor may necessitate surgical removal, medication, radiation, or hormone replacement.

There is no effective medication for restoring fertility in males with primary hypogonadism. Reproductive technologies may be helpful. This technology includes a wide range of procedures. It is designed to help infertile couples.

Boys' Treatment

For three to six months, testosterone injections can be used. It induces puberty and the development of secondary sex traits such as increased muscle mass, beard and pubic hair growth, and penis enlargement.

Low testosterone can be treated with a broad integrative medicine approach. It combines diet and lifestyle changes with testosterone replacement therapy (TRT), if necessary. According to healthcare data, testosterone therapy in women has not been shown to increase the risk of breast cancer and may lower the risk from estrogen-progestin therapy. Lowest levels of testosterone can reduce the risk of prostate cancer. Estrogen therapy can be a treatment of low testosterone.