It is important for a man's sexual desire and physical appearance. Certain conditions, medications, or injuries can lead to low testosterone levels. The level of testosterone also naturally decreases with age. Low testosterone can affect sex drive, mood, and changes in muscle and fat. Treatment with testosterone therapy can help reduce symptoms. Alternative names Male menopause; Andropause; Testosterone deficiency; Low testosterone; Androgen deficiency in man as he ages; Late-onset hypogonadism How Testosterone Affects Your Health Testosterone makes a man look and feel like a man. In men, this hormone helps: Keep bones and muscles strong Determine hair growth and location of fat on the body Produces sperm Maintain sexual desire and erections Produces red blood cells Increase energy and improve mood Causes of low testosterone Beginning in your 30s to 40s, your testosterone level can slowly begin to decline. This happens naturally. Other causes for low testosterone include: Side effects of medications, such as chemotherapy Injury to the testicles or testicular cancer Problems with the glands in the brain (hypothalamus and pituitary) that control hormone production Poor thyroid function An excess of body fat (obesity) Other disorders, illnesses, medical treatments, or infections Symptoms Some men who have low testosterone levels do not have any symptoms. Others may present: Lack of sexual desire Trouble getting an erection Low sperm count Sleep problems, such as insomnia Decreased strength and size of muscles Bone loss Increase in body fat Depression Trouble concentrating Some symptoms can be a normal part of aging. For example, it is normal to feel less interested in sex as you get older.
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