Unlocking the Mysteries of Low Testosterone Your Essential Guide to Mens Health

Low Testosterone

By Dr. David Samadi

Discussing men’s health topics such as sex, prostate health, and hormonal imbalances with a doctor can be uncomfortable for many men. However, understanding these issues and their impact on overall health is essential. That’s why one of the most intriguing topics men ask about most is low testosterone or low T. 

Here’s a look at answers to common questions men have about this condition.

What is Low Testosterone?

Low testosterone, or hypogonadism, occurs when the testicles fail to produce adequate amounts of the male sex hormone testosterone. This condition affects about 1 in 4 men over 30 in the United States, impacting roughly 13 million men.

Testosterone is crucial for various bodily functions, including reproductive health, muscle mass, and bone density. It naturally fluctuates throughout a man’s life. Newborn boys have high testosterone levels, which are necessary for male development in utero. From age two until puberty, testosterone levels remain naturally low. During puberty, levels surge, leading to the development of underarm hair, growth spurts, and sexual maturation. In adult males, testosterone levels should range between 270 and 1000, peaking around age 20 before gradually declining with age. In younger men, the average level is around 650. Levels below 300 are typically considered indicative of low testosterone in adult males.

Symptoms of Low Testosterone

Common signs of low testosterone include:

  • Low sex drive
  • Erectile dysfunction
  • Low sperm count or ejaculate volume
  • Depressed mood
  • Fatigue and lethargy
  • Decreased muscle mass
  • Loss of pubic, facial, and underarm hair

These symptoms can have various causes, making it vital men should consult with their doctor for an accurate diagnosis and treatment.

Testing for Low Testosterone

If you exhibit symptoms of low testosterone, a blood test can measure your levels. Testosterone levels can vary over the course of a day, and peak in the early morning. Thus, scheduling a morning blood draw is essential, especially for younger men.

A testosterone level above 350 is considered average, with no significant benefits observed at levels significantly higher than this. Treatment options are typically considered when levels fall below 300.

Treating Low Testosterone

Low testosterone is often treated with hormone replacement therapy (HRT). Typical forms of testosterone supplements include gels, patches, and injections. Gels are popular due to their ease of use and ability to maintain stable hormone levels.

Oral testosterone supplements are generally avoided due to their associated risks, including heart disease and liver disorders.

The Truth About Testosterone “Boosters”

Despite the marketing hype, “testosterone boosters” are essentially expensive multivitamins that do not significantly impact testosterone levels. The perceived benefits often result from accompanying diet and exercise guides promoting healthier lifestyles.

Adopting health-promoting lifestyle habits, such as improving diet and increasing physical activity, can naturally enhance energy levels and overall health. Combined with HRT, these changes can help manage low testosterone effectively.


Understanding and addressing low testosterone is vital for maintaining men’s health. By recognizing symptoms, consulting with healthcare providers, and considering appropriate treatments, men can improve their quality of life and overall well-being.

Dr. David Samadi is the Director of Men’s Health and Urologic Oncology at St. Francis Hospital in Long Island. He’s a renowned and highly successful board certified Urologic Oncologist Expert and Robotic Surgeon in New York City, regarded as one of the leading prostate surgeons in the U.S., with a vast expertise in prostate cancer treatment and Robotic-Assisted Laparoscopic Prostatectomy.  Dr. Samadi is a medical contributor to NewsMax TV and is also the author of The Ultimate MANual, Dr. Samadi’s Guide to Men’s Health and Wellness, available online both on Amazon and Barnes & Noble. Visit Dr. Samadi’s websites at robotic oncolo gy and prostate cancer 911. 

Unlocking the Mysteries of Low Testosterone Your Essential Guide to Mens Health
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Dr. David Samadi