More Men Pursuing Testosterone Therapy, But Is It the Solution?

Increasing numbers of men are utilizing testosterone, but experts caution that enhancing this hormone might not address the underlying issues.

“Many signs of low testosterone can be very broad and might originate from other sources, either alongside or independently of low testosterone,” Dr. Justin Dubin noted.

One reason for the surge in testosterone prescriptions is the ease of obtaining them. Companies are increasingly providing hormone therapy through completely online services.

This convenience can lead men to start testosterone treatment without genuinely needing it. In fact, research indicates that only 12% of men with a testosterone prescription actually had low testosterone levels.

Low Sex Drive

While low sex drive may seem like a clear indicator of low testosterone, it can often stem from mental health challenges, such as depression or anxiety, or could even be a side effect of medications.

Issues with mood can significantly reduce interest and energy for enjoyable activities, and certain medications—like those for high blood pressure or depression—can also diminish libido.

The only reliable way to determine whether low testosterone or another issue is the culprit is to consult a healthcare professional who can evaluate the overall situation.

“Men need to realize that sexual health is a part of overall health. Issues in this area might signal other health concerns,” Dubin emphasized. “We aren’t just focusing on testosterone; we consider total health.”

Low Energy

“Low energy is another symptom associated with low testosterone, but it can also result from inadequate sleep, sleep apnea, hypothyroidism, mental health conditions, anemia, and other lifestyle factors,” Dubin explained.

Sleep apnea, a condition characterized by interrupted breathing during sleep, can lead to severe complications if not treated. It might manifest through loud snoring or sudden awakenings.

Identifying the root cause can be challenging since low testosterone is linked to many such symptoms. Additionally, hypothyroidism can suppress testosterone production, while testosterone helps generate red blood cells—which contributes to anemia.

“It’s common for men to experience multiple intersecting issues. Sadly, there’s still a stigma around men’s health, so many suffer in silence,” Dubin stated.

Interestingly, a survey from the Cleveland Clinic found that 72% of men would prefer to tackle chores than visit a doctor.

“It’s crucial for any man facing health problems to see a doctor. It could be low testosterone, something else entirely, or perhaps a combination of factors. We can only figure that out through evaluation,” he added.

Erectile Dysfunction

Erectile dysfunction (ED) can hint at low testosterone but is also indicative of various other health concerns.

ED may be an early warning sign of heart disease or vascular issues, as the heart struggles to supply blood for an erection. Ignoring heart problems can ultimately lead to serious consequences, including heart attacks or strokes.

Additionally, about 75% of men with diabetes experience ED, as high blood sugar can damage essential blood vessels. Left unchecked, diabetes can lead to severe complications.

Smoking further impairs blood circulation. Also, men who have had pelvic treatments, like radiation for prostate cancer, may experience ED, as noted by Dubin.

Awareness of Coexisting Health Issues

Men might suspect low testosterone, but concurrent health issues can complicate the effectiveness of testosterone replacement therapy.

Conditions such as a cancer history, long-term illnesses, or obesity increase the chances of low testosterone, Dubin noted.

“Often, symptoms can result from a mix of low testosterone and other health challenges,” he explained.

He shared that he frequently sees men seeking help for low testosterone but, upon closer examination, find they are grappling with additional, often stigmatized, concerns.

“I have met many younger, healthy men who report low desire and erectile dysfunction—many have normal testosterone levels but are dealing with mental health issues, stress, or relationship challenges impacting their sexual health,” he reflected.