Causes of low testosterone in married men and the best natural and medical treatment methods

Have you started feeling like your energy isn't what it used to be? Or that your sexual desire has decreased? The problem might be low testosterone – the key hormone responsible for men's physical and sexual health. This issue has become quite common, especially after the age of 40, and it can affect your mood, muscle mass, and sexual performance In this article, we’ll explore the symptoms of low testosterone, its causes, and treatment options – whether through medication or natural methods. We’ll also answer an important question: Are testosterone treatments safe?Stay with us on Dalili Medical till the end to discover everything you need to know about testosterone in a clear and simple way.

Are Testosterone Replacement Therapies Safe for Men?

Testosterone replacement therapy (TRT) can have a significant effect on improving sexual performance in men, especially after the age of 40. Many men have reported feeling younger and more energetic after starting treatment.
However, it's very important to note that these medications should never be taken without consulting a doctor. They can have serious side effects if used randomly or without proper medical tests.

What Is Low Testosterone or Hypogonadism in Men?

Low testosterone, also known as "male hypogonadism", is a condition where the testicles produce less testosterone than normal.
The testicles are responsible for producing testosterone, and this process is carried out by special cells inside them called Leydig cells.

This condition can appear at any age, but it’s more common as men get older. Naturally, testosterone levels gradually decline with age, and this affects energy, sexual desire, mood, and even muscle strength.

What’s the Normal Testosterone Level for Men?

In men aged 19 and older, the normal testosterone level ranges from:
240 to 950 nanograms per deciliter (ng/dL) of blood.

If a blood test shows testosterone levels below 300 ng/dL, this is considered low testosterone, according to the American Urological Association (AUA).

What Is Testosterone and Why Is It Important for Men’s Health?

Testosterone, often called the male sex hormone, is mainly responsible for the development of male traits during puberty. It’s primarily produced in the testicles and to a lesser extent in the adrenal glands.
But testosterone isn’t just about physical appearance — it plays a huge role in both the mental and physical health of men.

So, what does testosterone do in the body?

Develops male characteristics:
- Helps the growth of male reproductive organs like the penis and scrotum.
- Triggers body hair growth on the face, chest, and underarms.
- Deepens the voice during puberty.
Boosts fertility:
- Aids in the production of sperm, which is essential for reproduction.
Builds muscle and strength:
- Increases muscle mass and physical strength by stimulating muscle growth.
Supports bone health:
- Maintains bone density and reduces the risk of osteoporosis with age.
Improves mental health:
- Helps stabilize mood and reduce stress and depression.
- Low levels may lead to sadness or anxiety.
Increases sexual desire:
- Acts as the main driver of male libido.
- Low levels can lead to a decrease in sex drive.
Boosts energy levels:
- Enhances vitality and overall energy.
- Low testosterone may cause fatigue and weakness.
Regulates body fat:
- Reduces fat accumulation, especially around the abdomen.
Improves memory and focus:
- Plays a role in brain activity and enhances concentration and memory.
Controls blood sugar levels:
- Increases the body’s sensitivity to insulin, helping maintain normal blood sugar levels.

Symptoms of Low Testosterone

When testosterone levels drop, men may experience:

Low sex drive
Fatigue and lack of energy
Loss of muscle mass
Difficulty concentrating
Depression or mood swings

How to Naturally Boost Testosterone Levels

If you're feeling the symptoms of low testosterone, here are some natural ways that may help increase your levels:

Exercise regularly, especially resistance training like weightlifting
Get enough sleep – at least 7 to 8 hours per night
Eat a healthy, balanced diet rich in protein, vegetables, and fruits
Reduce stress as much as possible

Who Is Most Affected by Low Testosterone?

Low testosterone, or what’s known as hypogonadism, doesn’t affect just one group of people. However, certain individuals are more at risk due to health conditions or age. Let’s break it down:

1. Men Over 40

As men age, testosterone levels naturally begin to decline — usually starting around age 30. But in some cases, the drop is more noticeable and may lead to:

Reduced sexual desire
Constant fatigue
Muscle weakness
Weight gain

This is known as age-related testosterone decline.

2. Men With Chronic Diseases

Certain medical conditions can directly or indirectly lower testosterone levels, such as:

Type 2 diabetes
Heart disease
Obesity
High blood pressure

Men with these conditions often feel tired or weak without realizing it might be linked to low testosterone.

3. Men With Gland or Testicular Issues

Any problem affecting the pituitary or adrenal glands — or direct injury to the testicles — can affect testosterone production. Possible causes include:

Pituitary tumors or dysfunction
Radiation or chemotherapy treatments
Physical trauma to the testicles

4. Men With Obesity

Excess fat not only affects your appearance and general health, but it also messes with your hormones. Fat cells can convert some testosterone into estrogen (a female hormone), leading to lower testosterone levels.

5. Men With Other Hormonal Imbalances

Conditions like high prolactin levels (the milk hormone) or underactive thyroid can disrupt hormonal balance and reduce testosterone production.
So, any hormonal disorder can throw off the body's testosterone regulation.

6. Men With Reproductive Organ Injuries or Surgeries

Injuries to the testicles — from sports, accidents, or surgeries — or procedures affecting the pituitary gland can result in lower testosterone production.
These organs are essential for hormone production, and any damage can affect the whole body.

7. Men With a Family History of Low Testosterone

If someone in your family has had testosterone deficiency or hormonal issues, your risk may be higher too. Some cases are genetic.
That’s why regular check-ups are important, especially if there’s a family history.

8. Men Exposed to Chemicals and Toxins

Daily exposure to certain chemicals may interfere with hormone production, including:

Pesticides
Industrial chemicals
Heavy metals

Long-term exposure to these substances can affect the body’s ability to produce testosterone.

9. Men Suffering From Depression or Chronic Stress

Your mental health has a major impact on hormone levels. Chronic stress or depression increases cortisol (the stress hormone), which lowers testosterone.
So taking care of your emotional well-being isn’t just important for your mind — it’s also essential for your hormonal and physical health.

What Causes Low Testosterone in Men?

Low testosterone isn't always caused by aging — many other factors can affect testosterone levels in the body, leading to physical and psychological issues. Let’s take a closer look at the most common causes:

1. Testicular Injuries

Any direct injury to the testicles — like a hard blow or accident — can reduce blood flow to the area and affect testosterone production.

2. Inflammatory Diseases

Certain conditions such as sarcoidosis or testicular inflammation (orchitis) can interfere with testosterone production.

3. Metabolic Disorders and Iron Overload

Diseases like hemochromatosis, which causes excess iron to build up in the body, may damage the testicles or pituitary gland, leading to low testosterone levels.

4. Hormone Treatments for Certain Diseases

Some hormone therapies, especially those used to treat prostate cancer, can lower testosterone as a side effect.

5. Genetic Syndromes

Some inherited conditions affect the reproductive system and hormone production, such as:

Kallmann Syndrome
Klinefelter Syndrome

6. Obesity or Extreme Thinness

Being significantly overweight or underweight can disrupt hormonal balance and reduce testosterone levels.

7. Chronic Kidney Disease and Other Long-Term Illnesses

Men with chronic illnesses, especially kidney failure, often experience reduced testosterone levels.

8. High Estrogen Levels

When estrogen (a female hormone) increases in a man's body, it can negatively affect testosterone levels.

9. Chemotherapy or Radiation

Cancer treatments like chemotherapy and radiation may temporarily or permanently damage the cells that produce sperm and testosterone.

10. Pituitary Gland Tumors or Dysfunction

The pituitary gland controls testosterone production. Tumors or dysfunction in this gland can cause a sharp drop in testosterone levels.

11. Alcohol Addiction

Alcohol directly interferes with the production of sex hormones and can significantly lower testosterone over time.

12. Certain Medications

Some drugs, such as:

Opioid painkillers
Corticosteroids (e.g., cortisone)

can lower testosterone as a side effect.

13. Liver Disease and Cirrhosis

Liver conditions like cirrhosis can reduce testosterone levels by up to 90%.

14. HIV Infection

Men with HIV often experience low testosterone levels, whether or not they’re receiving treatment.

15. Type 2 Diabetes

Many men with type 2 diabetes have low testosterone due to the disease’s impact on the endocrine system.

16. Underactive Thyroid (Hypothyroidism)

A weak thyroid gland can throw off hormonal balance in the body and reduce testosterone levels.

17. Brain Injuries or Tumors

Injuries or tumors affecting the brain — especially areas related to the pituitary gland — can lower testosterone and cause fertility problems.

Low Testosterone in Married Men: Symptoms and Effects

Low testosterone, or what’s commonly known as the male hormone, is a problem that can greatly impact a married man, whether physically, psychologically, or even in terms of his relationship with his wife. Let’s take a look at what can happen when testosterone levels drop in men:

1. Low Sexual Desire

One of the most noticeable effects of low testosterone is decreased libido. The man may feel less interested in intimacy than before, which can cause tension or emotional distance in the marital relationship.

2. Erectile Dysfunction

Low testosterone can lead to difficulty achieving or maintaining an erection during intercourse. While testosterone isn’t always the sole cause, a significant drop can have a clear impact on sexual performance.

3. Fertility Issues

A married man might face difficulties conceiving, not necessarily because of fertility problems, but due to low libido, erectile dysfunction, or mood swings that negatively affect intimacy.

4. Obvious Physical Symptoms

Muscle weakness
Reduced body hair (such as underarm or pubic hair)
Beard thinning or loss
Constant fatigue
Sleep disturbances
Osteoporosis
Shrinking of the testicles

5. Psychological and Emotional Changes

Low testosterone can cause irritability, depression, or mood swings without a clear reason. These changes affect how a man interacts with his wife and family and may lead to tension at home.

6. Risk of Infertility

In cases of severe and prolonged testosterone deficiency, infertility may occur because this hormone is essential for sperm production.

7. Decreased Sperm Count

Testosterone plays a major role in producing semen and sperm. So when levels drop, the quantity and quality of sperm decline, leading to potential reproductive issues.

Impact of Low Testosterone on the Marital Relationship

Low testosterone doesn't just affect the man personally—it also significantly impacts his relationship with his wife. If the issue isn’t addressed, the marriage may suffer due to physical and emotional complications that affect the wife directly.

1. Wife’s Loss of Attraction

With decreased masculine traits like muscle mass, body hair, or a deep voice, the wife's perception of her husband's attractiveness might change. Additionally, sexual issues and emotional instability may cause ongoing tension, making the wife feel mentally drained and emotionally distant.

2. Fear for the Future

The wife may become anxious about fertility, especially if the couple hasn't had children yet. Concerns about infertility or sexual failure may cause her to worry about the future of the relationship and starting a family.

3. Frustration and Depression

If the husband's condition persists without improvement and emotional or physical detachment continues, the wife may lose hope and experience frustration or depression. She may even blame herself or feel helpless to fix the situation.

4. Emotional Distance and Disconnection

The husband might experience low self-esteem or shame about his condition, causing him to emotionally withdraw. At the same time, the wife may feel stressed and emotionally exhausted, making communication difficult and leading to emotional disconnection.

5. Tension and Aggression

As problems build up, both partners may become more stressed, leading to constant arguments or aggressive behavior. The wife may feel overwhelmed by the changes in her husband, while he feels unable to satisfy her or maintain his masculine image. This can trap the couple in a cycle of tension and conflict.

Treatment for Low Testosterone in Men

When testosterone levels drop, doctors may use various treatment options, including medical therapies and lifestyle changes. Here are the most common approaches:

1. Medical Testosterone Replacement

Testosterone Injections:
Administered intramuscularly every 10 to 14 days depending on the case.

Testosterone Patches:
Applied daily to areas like the arms, buttocks, or abdomen to provide steady hormone levels.

Testosterone Gel:
Applied to dry skin on the upper back or arms. Care should be taken to avoid transferring it to others.

Testosterone Implants:
Small pellets are implanted under the skin to slowly release testosterone into the bloodstream.

2. Hormone Replacement Therapy (HRT)

The goal is to restore normal testosterone levels through:

Weekly or biweekly injections
Oral or sublingual tablets
Daily gels or skin patches

3. Supportive Medications

Sometimes, additional medications may be prescribed:

Antibiotics for conditions like testicular infections
Sexual stimulants to improve erectile function
Diabetes medications to help control blood sugar, which can improve testosterone levels

4. Pituitary Hormone Therapy

If the pituitary gland is involved, hormone therapy can stimulate the testicles to produce more testosterone and restore fertility.

5. Lifestyle Changes

Lifestyle adjustments are crucial, especially for those with:

Obesity
Uncontrolled type 2 diabetes

Recommended steps include:

Regular exercise
Weight loss
Proper sleep schedule
Healthy diet

6. Dietary Support for Testosterone

Certain nutrients can naturally boost testosterone production:

Zinc: Found in seafood like oysters; essential for testosterone synthesis
Vitamin D: Supports endocrine health; available through sunlight and foods like fatty fish and egg yolks
Healthy fats: Aid hormone production; found in olive oil, avocado, and nuts
Protein: Maintains muscle mass; found in red meat, eggs, and legumes

How the Wife Can Support Her Husband Through Low Testosterone

This can be a challenging experience for the wife, but it requires patience and deep understanding. Here are practical tips to help navigate the situation positively and effectively:

1. Emotional and Psychological Support

Be emotionally present and supportive, especially if your husband is dealing with psychological stress or embarrassment due to his condition. Listen calmly, avoid criticism, and reassure him that you’re by his side. This support boosts his confidence and emotional well-being.

2. Patience and Understanding

Stay patient and try to understand the physical and emotional symptoms he’s experiencing. Fatigue, low energy, or mood swings are common. Your empathy during this time will help him feel secure and loved.

3. Encourage Medical Help

Motivate him to seek treatment, whether through hormone therapy, medications, or dietary changes. Help him take the steps to visit a doctor and stick to the treatment plan. Your encouragement can make a big difference in his recovery and your marital life.

4. Maintain Privacy

This issue is highly sensitive and may be a source of embarrassment. It's important to keep the matter private and not discuss it with family or friends. Respecting his privacy strengthens your bond and builds trust.

5. Open and Honest Communication

Talk openly and calmly with your husband about what he’s going through. Honest conversations help reduce pressure and misunderstandings. When both partners express their feelings and needs clearly, they can work together more effectively to overcome the challenge.

Which Doctor to Consult for Low Testosterone

The right specialist for diagnosing and treating low testosterone is usually an endocrinologist, who is trained in hormone-related conditions.

In some cases, urologists or sexual health specialists may also be involved, especially if symptoms affect sexual function. Additionally, if psychological distress is present, a psychologist or therapist may be consulted.

It’s best for the husband to start with an endocrinologist for accurate diagnosis and then explore suitable treatments—whether hormonal or lifestyle-based.

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