Recognizing the Signs and Symptoms of Male Hypogonadism, or Low T

The production of testosterone is not only essential to the normal development of the male body, but it is also critical in helping restore sexual function and well-being. Those suffering from male hypogonadism or "Low T" do not produce enough testosterone in their body.

Low testosterone can result in a variety of symptoms, including:

• Reduced sex drive
• Erectile dysfunction
• Reduced penile sensation
• Hot flashes
• Low or zero sperm count, which causes male infertility
• Depressed mood
• Difficulties with concentration
• Increased body fat
• Anemia
• Decrease in muscle strength and bone mass
• Decrease in endurance

Some men are born with hypogonadism, while others develop the condition later in life due to an injury or infection. It is estimated that 2% of males in the United States may have low testosterone, and about 12% of men in their 50s and up to 50% of men in their 80s may develop it.

Unfortunately, many men ignore their symptoms. Only about 5% of men with Low T are being treated. As noted by the Men’s Health Network, it is important to take these symptoms seriously:

“Left unchecked for too long, this condition is linked with significant, long-term health problems, such as loss of muscle mass and even osteoporosis. Fortunately, though, testosterone deficiency is usually very treatable.”

The good news: There are treatments available. If men suffer from any of the symptoms above, it is important to visit a doctor for an exam and blood test that measures testosterone levels. Doctors base a diagnosis of hypogonadism on symptoms and results of blood tests that measure testosterone levels. 

For more information on male hypogonadism or Low T, visit these resources: 

• Men’s Health Network: menshealthnetwork.org/low-testosterone 
• Sexual Medicine Society of North America: smsna.org/patients/conditions/low-testosterone

References:

Kumar P, Kumar N, Thakur DS, Patidar A. Male hypogonadism: Symptoms and treatment. J Adv Pharm Technol Res. 2010 Jul­-Sep; 1(3): 297–301.

Seftel AD. Male hypogonadism. Part I: epidemiology of hypogonadism. Int J Impot Res. 2006;18(2): 115–120.

Hirsch I. Male Hypogonadism. Merck Manual Professional Version. 2023 Feb; https://www.merckmanuals.com/professional/genitourinary-disorders/male-reproductive-endocrinology-and-related-disorders/male-hypogonadism

Carson C. Prevalence, Diagnosis and Treatment of Hypogonadism in Primary Care Practice. Boston University School of Medicine: Sexual Medicine. https://www.bumc.bu.edu/sexualmedicine/publications/prevalence-diagnosis-and-treatment-of-hypogonadism-in-primary-care-practice