low testosterone

Testosterone, often referred to as the “male hormone,” plays a crucial role in various aspects of men’s health, including muscle mass, bone density, libido, and overall well-being. However, a decline in testosterone levels can occur as men age, leading to a condition known as low testosterone or hypogonadism. At Alliance Urology, we are here to unravel the essentials surrounding low testosterone, its symptoms, causes, and potential treatments.

Understanding Testosterone

Testosterone is a hormone produced primarily in the testicles and, to a lesser extent, in the adrenal glands. It plays a pivotal role in the development of male reproductive tissues and the maintenance of male characteristics. Testosterone levels typically peak during adolescence and early adulthood, gradually declining as men age.

Symptoms Of Low Testosterone

Reduced Libido

One of the most common symptoms of low testosterone is a decreased interest in sex. Men may experience a decline in sexual desire and find it more challenging to maintain an erection.

Fatigue And Decreased Energy

Low testosterone levels can contribute to feelings of fatigue and a significant drop in energy levels. Men may find themselves lacking the stamina and vitality they once had.

Loss Of Muscle Mass

Testosterone plays a crucial role in muscle development and maintenance. Low levels can lead to a reduction in muscle mass and strength, making it more difficult for men to engage in physical activities.

Increased Body Fat

Low testosterone is associated with an increase in body fat, particularly around the abdomen. This change in body composition can contribute to a decline in overall health.

Mood Changes

Hormones have a significant impact on mood regulation. Men with low testosterone may experience mood swings, irritability, and even depression. Addressing hormonal imbalances can positively influence mental well-being.

Erectile Dysfunction

Testosterone is crucial for achieving and maintaining an erection. Low levels can contribute to difficulties in achieving or sustaining erections, impacting sexual performance.

Decreased Bone Density

Testosterone plays a role in maintaining bone density. Low levels can lead to a decrease in bone mass, increasing the risk of fractures and osteoporosis.

Causes Of Low Testosterone:


The natural aging process is a significant contributor to declining testosterone levels. However, not all men will experience low testosterone as they age, and the severity of the decline varies among individuals. Reduced testosterone happens in over a third of men over age 45, having levels below what is considered normal for their age.

Medical Conditions

Certain medical conditions, such as obesity, diabetes, and hormonal disorders, can contribute to low testosterone levels. Chronic illnesses and infections affecting the testicles or pituitary gland can also play a role.

Medications And Treatments

Some medications, such as corticosteroids and opioids, can impact testosterone production. Additionally, treatments like chemotherapy or radiation therapy for cancer can lead to low testosterone levels.

Testicular Injury Or Dysfunction

Trauma to the testicles or certain congenital conditions can affect testosterone production. Surgery, such as the removal of one or both testicles, may also result in low testosterone.

Lifestyle Factors

Unhealthy lifestyle choices, including a sedentary lifestyle, poor nutrition, excessive alcohol consumption, and smoking, can contribute to low testosterone levels.

Treatment Options:

Testosterone Replacement Therapy (TRT)

Testosterone replacement therapy is a common and effective treatment for low testosterone. It involves administering testosterone through an injection, pill, implant, patch, or topical gel.

Lifestyle Changes

Adopting a healthy lifestyle can have a positive impact on testosterone levels. Regular exercise, a balanced diet rich in nutrients, and sufficient sleep contribute to overall well-being and hormonal balance.

Addressing Underlying Health Conditions

Treating underlying medical conditions contributing to low testosterone, such as obesity or diabetes, is crucial. Managing these conditions can help restore hormonal balance.

Low testosterone is a common condition that can significantly impact men’s health and well-being. For individuals experiencing any symptoms indicative of low testosterone, consulting with a healthcare professional is the crucial first step toward a diagnosis and tailored treatment plan. Alliance Urology Specialists is home to an expert team of urologists who are committed to providing comprehensive care to adults with urologic disorders as well as other men’s health issues. Contact us today at (336) 274-1114 to make an appointment.