Testosterone is a major male sex hormone that controls male physical appearance, mood, energy, and overall quality of life. According to Evan Bass Men’s Clinic, originating mainly in the testes, it plays an important role in the development of male reproductive organs and influences health conditions throughout their lives. It is responsible for the formation of their reproductive system, sperm production, while also maintaining muscle mass, libido, bone density, and sexual desire.
While a balance in testosterone level is crucial, men with too low or too high T-level experiences a variety of physical and psychological issues. Understanding the differences between low and high testosterone, along with their symptoms, causes, and potential treatments, is key to maintaining hormonal health.
Symptoms of Low and High Testosterone
Low testosterone (Low T) results in:
- Decreased libido
- Low energy or fatigue
- Depression and mood swings
- Loss of muscle mass
- Poor bone density
- Increased body fat
- Erectile dysfunction
- Difficulty concentrating
Although less common, high-T levels can similarly affect a male’s life, showing symptoms such as:
- Aggression, irritability, and increased anger
- Excess bodily hair
- Oily skin with acne
- Increased muscle mass
- Enhanced libido
- Sleep disturbances
- Enlarged prostate alongside infertility (in acute cases)
Depending on age, lifestyle, and medical history, the symptoms often vary and are likely to lead to other health conditions, making it essential to consider physician evaluation and medical intervention.
Prevalence with Statistics
The occurrence of low testosterone levels surpasses that of high testosterone levels among men, particularly as they age. The American Urological Association reports that testosterone levels fall below normal in 20% of men over 60, 30% of men over 70, and nearly 50% of men over 80.
Among males aged 15 to 39, approximately 10–15% experience testosterone deficiency, which typically results from lifestyle factors or medical conditions instead of age-related causes.
Scientific investigation of high testosterone levels remains limited, while it is frequently associated with external influences such as anabolic steroid use. Athletes and bodybuilders who take testosterone supplements or steroids often experience hormone levels beyond normal limits, which threaten their long-term health. The occurrence of elevated testosterone levels in women is linked to polycystic ovary syndrome (PCOS), a condition that impacts 8–13% of women of reproductive age across the world.
Causes of Imbalanced Testosterone
Low Testosterone
Aging (natural decline starting around age 30), chronic conditions like diabetes, and issues like obesity, stress, alcohol or drug abuse, testicular injury or infection, disorder of the pituitary gland caused by chemotherapy, etc.
High Testosterone
Overuse of anabolic steroids, ineffective testosterone replacement therapy, tumors in the testes, adrenal glands, Congenital adrenal hyperplasia (CAH), and more.
Solutions and Treatment Options
For Low Testosterone:
Lifestyle changes: Losing weight, exercising regularly, moderate alcohol consumption, and improved sleep may be enough to restore the levels naturally.
Medical treatments: Considering Testosterone Replacement Therapy (TRT) from recognized medical facilities like Evan Bass Men’s Clinic and use of gels, patches, injections, may be prescribed when lifestyle modifications are not sufficient.
Dietary changes: Intake of foods rich in zinc, vitamin D, and magnesium is associated with enhanced testosterone production.
For High Testosterone:
Stop steroids: Stopping the steroids or supplements immediately is a vital turning point.
Medical treatment: Anti-androgen medication can be employed to prevent the excessive effects of testosterone.
Surgical treatment: Surgery could be necessary to eliminate hormone-secreting tumors.
Also, bringing change in lifestyle and nutritional support is necessary.
Testosterone imbalances—whether low or high—can significantly affect physical health, mental well-being, and quality of life. While low testosterone is more commonly diagnosed, both require careful assessment and treatment by healthcare professionals.