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Low testosterone

Also called: Low testosterone, low T, hypogonadism

Testosterone lower than normal, which can cause low sex drive, erection problems, tiredness, low mood, and less muscle. Levels drop slowly with age; treatment is for confirmed low levels with symptoms.

TestMorning blood test, done twice
Common linksObesity, diabetes, sleep apnea, some medicines
TreatmentTestosterone if confirmed

Overview

Weight loss, better sleep, and treating sleep apnea can raise levels.

Testosterone therapy lowers sperm count and isn't for men trying to have children.

Symptoms

Common signs:

  • Low sex drive

Less common

  • Tiredness
  • Erection problems
  • Less muscle

When to get medical care

Call 911This isn't an emergency by itself. Call 911 for trouble breathing, chest pain, or fainting.
Get care todayChest pain or leg swelling while on testosterone.
See a doctor soonOngoing symptoms.

Causes

Aging, obesity, diabetes, opioids, pituitary or testicle problems.

Does it spread or run in families?

  • It isn't contagious. You can't catch it from someone else.

Who is more likely to get it

  • Obesity
  • Type 2 diabetes
  • Opioid use

Possible complications

Diagnosis

Blood tests confirm it.

Questions you may be asked

  • Sex drive, erections, medicines, opioids

The exam

Exam of muscle, hair, and testicles.

Tests

Tests, if needed:

  • Morning testosterone: Two tests.
  • LH, FSH: Finds the cause.

Treatment

Healthy habits help.

Self-care

  • Lose extra weight
  • Sleep 7 to 9 hours
  • Exercise, including strength training
  • Limit alcohol

Medicines

Medicines that may help:

MedicineHelps withGood to know
Testosterone therapy
Confirmed low TNeeds blood count and prostate checks; keep gels away from children and women.

OwieClear doesn't give doses: follow the label or your healthcare professional. Medicine names here are examples, not a full list.

Prevention

  • Healthy weight

Which doctor treats this

  • Start with your primary care provider (family doctor or internist).
  • They may send you to a urologist (urinary tract doctor).

Outlook

Treatable when truly low.

Getting ready for your visit

Bring a list of your symptoms and medicines.

Questions to ask

  • Will treatment affect fertility?

Research studies

Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.

Search ClinicalTrials.gov for studies on Low testosterone

Sources

Last updated 2026-11-12.