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What are the warning signs of low testosterone?

What are the symptoms of low testosterone? Reduced sex drive. Erectile dysfunction. Loss of armpit and pubic hair. Shrinking testicles. Hot flashes. Low or zero sperm count (azoospermia), which causes male infertility.

my.clevelandclinic.org - Low Testosterone (Low T): Causes, Symptoms & Treatment

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Overview

Symptoms of low testosterone can vary considerably, particularly by age and how severe it is.

What is low testosterone (male hypogonadism)?

Low testosterone (male hypogonadism) is a condition in which your testicles don’t produce enough testosterone (the male sex hormone). Testicles are the gonads (sex organs) in people assigned male at birth (AMAB). More specifically, the Leydig cells in your testicles make testosterone. Low testosterone causes different symptoms at different ages. Testosterone levels in adults AMAB naturally decline as they age. This includes cisgender men, non-binary people AMAB and transgender women who aren’t undergoing feminizing hormone therapy.

Other names for low testosterone and male hypogonadism include:

Testosterone deficiency syndrome.

Testosterone deficiency.

Primary hypogonadism.

Secondary hypogonadism.

Hypergonadotropic hypogonadism.

Hypogonadotropic hypogonadism.

What does testosterone do?

Testosterone is the main androgen. It stimulates the development of male characteristics and is essential for sperm production (spermatogenesis). Levels of testosterone are naturally much higher in people assigned AMAB than in people assigned female at birth (AFAB).

In people assigned AMAB, testosterone helps maintain and develop:

Sex organs and genitalia.

Muscle mass.

Bone density.

Sense of well-being.

Sexual and reproductive function.

Your body usually tightly controls the levels of testosterone in your blood. Levels are typically highest in the morning and decline through the day. Your hypothalamus and pituitary gland normally control the amount of testosterone your testicles produce and release. Your hypothalamus releases gonadotropin-releasing hormone (GnRH), which triggers your pituitary gland to release luteinizing hormone (LH). 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. Any issue with your testicles, hypothalamus or pituitary gland can cause low testosterone (male hypogonadism).

What is a low testosterone level?

The American Urology Association (AUA) considers low blood testosterone to be less than 300 nanograms per deciliter (ng/dL) for adults. However, some researchers and healthcare providers disagree with this and feel that levels below 250 ng/dL are low. Providers also take symptoms into consideration when diagnosing low testosterone.

Who does low testosterone (male hypogonadism) affect?

Male hypogonadism is a medical condition that can affect people with testicles at any age from birth through adulthood.

Low testosterone is more likely to affect people who:

How common is low testosterone?

It’s difficult for researchers to estimate how common low testosterone is since different studies have different definitions for low testosterone. Data suggest that about 2% of people AMAB may have low testosterone. And other studies have estimated that more than 8% of people AMAB aged 50 to 79 years have low testosterone.

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Does weightlifting increase testosterone?

All Types of Exercise Count. Endurance training and resistance training (such as weight lifting) both boost testosterone levels briefly, Schroeder says. Lifting weights or doing other strength-training workouts has a bigger effect on your testosterone, Schroeder says.

webmd.com - Does Working Out Affect Testosterone Levels? - WebMD

If you’re a man with low testosterone, exercise may help.

Doctors and fitness professionals still have a lot to learn about exercise and its effects on testosterone. Several factors besides your workout are involved. But one thing is clear: You need to make exercise a habit in order to get the benefits.

After exercise, testosterone levels rise -- but not for long.

"Sometimes it’s 15 minutes after exercise that testosterone is elevated. Sometimes it can be up to an hour,” says Todd Schroeder, PhD, who studies exercise and hormones in older men at the University of Southern California. It's not yet clear what health effects, if any, these temporary boosts may have. Of course, exercise has many other well-known health perks. For men who have low testosterone, exercise alone probably won’t raise their levels enough to make a difference in how they feel, says endocrinologist Scott Isaacs, MD, of Emory University. But he says for men whose testosterone level is on the borderline between normal and low, “I think it’s going to have a much more potent effect.”

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