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Testosterone is the primary male sex hormone, playing a key role in muscle strength, bone density, sexual function, and overall wellbeing in both men and women.
Testosterone is the primary male sex hormone, playing a key role in muscle strength, bone density, sexual function, and overall wellbeing in both men and women.
Testosterone is a steroid hormone belonging to the androgen group and is the most important male sex hormone. It is produced primarily in the testes in men, and in smaller amounts in the ovaries of women and the adrenal cortex of both sexes. Testosterone influences a wide range of physical and psychological functions and is essential for the health of both men and women.
Testosterone performs numerous vital roles in the body:
Testosterone levels are measured via a simple blood test, ideally taken in the early morning when hormone levels are at their peak. Normal ranges vary by age and sex:
From around the age of 30, testosterone levels in men naturally decline by approximately 1–2% per year. This gradual process is often referred to as andropause or late-onset hypogonadism.
A testosterone level that is too low is called hypogonadism. This condition is classified as:
Excess testosterone (hyperandrogenism) is less common but can also cause health issues. In women, it often presents as acne, increased body hair (hirsutism), menstrual irregularities, and infertility – frequently in the context of polycystic ovary syndrome (PCOS). In men, chronically elevated levels, such as those caused by anabolic steroid use, can lead to heart problems, liver damage, and infertility.
Diagnosis involves a blood test measuring total testosterone and, where necessary, free testosterone (the biologically active fraction). Additional tests may include LH (luteinizing hormone), FSH (follicle-stimulating hormone), SHBG (sex hormone-binding globulin), and prolactin to help identify the underlying cause of any imbalance.
When hypogonadism is clinically confirmed, testosterone replacement therapy (TRT) may be prescribed. It is available in several forms:
Treatment should always be medically supervised with regular monitoring. Potential risks include impaired fertility, elevated hematocrit (increased blood thickness), and cardiovascular effects.
Even without medication, testosterone levels can be positively influenced by the following measures:
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