What Effect Does Testosterone Have on the Body

Jan 09, 2024

What does Testosterone do to the body?

Testosterone is a male sex hormone primarily produced in the testes in men and the ovaries and adrenal glands in women. It belongs to a group of hormones called androgens responsible for developing and maintaining male sexual characteristics.


Testosterone plays a crucial role in many bodily functions, including the development of male reproductive tissues, such as the testes and prostate gland, as well as the promotion of secondary sexual characteristics, such as facial and body hair growth, deepening of the voice, and increased muscle mass and bone density. It also affects mood regulation, energy levels, and cognitive function. It is important for both men and women, although women have much lower hormone levels.

Production of Testosterone in the Body

Testosterone is primarily produced in the testes of males and smaller amounts in the ovaries of females. Testosterone production is controlled by a complex system involving the brain's hypothalamus, pituitary gland, and testes.

Here is a brief overview of the production of testosterone in the body:

Hypothalamus: The hypothalamus, a small brain area, produces gonadotropin-releasing hormone (GnRH), which stimulates the pituitary gland.

Pituitary gland: The pituitary gland, located at the base of the brain, produces luteinizing hormone (LH) and follicle-stimulating hormone (FSH), which are released into the bloodstream and stimulate the testes.

Testes: In males, the testes produce testosterone in response to LH and FSH. It is produced in specialized cells called Leydig cells located in the testes.

Circulating Testosterone: The hormone is released into the bloodstream and circulates throughout the body, affecting various organs and tissues.

Testosterone production is a tightly regulated process, with testosterone levels in the bloodstream fluctuating throughout the day. Testosterone production typically peaks in the morning and declines throughout the day.

In addition to the testes, small amounts of testosterone are also produced in the adrenal glands, which are on top of the kidneys. However, the amount of testosterone produced by the adrenal glands is much lower than that produced by the testes.

Functions of Testosterone in the Body


Testosterone is essential for developing male characteristics and regulating various bodily functions. It plays a crucial role in the growth and maintenance of the reproductive system, bone health, red blood cell production, libido, sexual function, mood and cognitive function, metabolism, and cardiovascular health.

Development of Male Characteristics 

Testosterone is responsible for developing male characteristics, such as the deepening of the voice, body and facial hair growth, and increased muscle mass. During puberty, testosterone levels increase, leading to the development of masculine features. Deepening of the voice occurs due to the growth of the larynx, which Testosterone stimulates. It also stimulates the growth of facial and body hair, leading to the growth of a beard, mustache, and body hair. It promotes the growth of muscle mass and strength, which is why men typically have more muscle mass than women.

 

Regulation of the Reproductive System 

Testosterone plays a vital role in regulating the male reproductive system. It is responsible for sperm production, which is necessary for fertilization and reproduction. It also plays a role in maintaining the health of the testes and prostate gland. Low levels of Testosterone can lead to infertility, decreased libido, and erectile dysfunction.

 

Maintenance of Bone Health 

This hormone is essential for maintaining bone health, as it promotes bone density and helps prevent osteoporosis. Studies have shown that low testosterone levels are associated with a higher risk of osteoporosis and fractures in men. Testosterone promotes the production of bone cells and inhibits bone reabsorption, leading to improved bone density and strength.

 

Maintenance of Red Blood Cell Production 

Testosterone stimulates the production of red blood cells in the bone marrow, which helps prevent anemia. Anemia is characterized by a deficiency of red blood cells, leading to fatigue, weakness, and shortness of breath. Testosterone also plays a role in preventing the loss of red blood cells due to their destruction in the spleen.

 

Maintenance of Libido and Sexual Function 

This hormone is essential for maintaining libido and sexual function in men. It regulates sexual desire and arousal and the ability to achieve and maintain an erection. Low levels can lead to a decrease in libido, erectile dysfunction, and reduced sexual satisfaction.

 

Regulation of Mood and Cognitive Function 

It plays a role in regulating mood and cognitive function. Studies have shown that low testosterone levels are associated with depression, anxiety, reduced cognitive function, and spatial memory. Testosterone replacement therapy has been shown to improve mood and cognitive function in men with low testosterone levels.

 

Influence on Metabolism 

This hormone regulates metabolism, including fat distribution, insulin sensitivity, and glucose metabolism. Low testosterone levels are associated with increased body fat and insulin resistance, which can lead to an increased risk of metabolic disorders, such as type 2 diabetes. Testosterone replacement therapy has been shown to improve insulin sensitivity and glucose metabolism in men with low testosterone levels.

 

Support of Cardiovascular Health 

Testosterone supports cardiovascular health by promoting healthy blood pressure and preventing atherosclerosis and cardiovascular disease. Low testosterone levels are associated with increased cardiovascular disease and mortality risk. Testosterone replacement therapy has shown positive cardiovascular health results in men with low testosterone levels.

 

Factors affecting the production of Testosterone 

According to NCBI, several factors can affect testosterone production in the body. Some of these factors include: 

  1.  Age: Testosterone production tends to decrease as men age. Studies have shown that testosterone levels decrease by about 1% annually after age 30.
  2.  Genetics: Genetics can play a role in testosterone production. Some men may naturally have higher or lower testosterone levels due to their genetic makeup.
  3.  Lifestyle factors: Lifestyle factors like diet, exercise, and sleep can affect testosterone production. A diet high in processed foods and low in nutrients can lead to lower testosterone levels. Regular exercise can help boost testosterone production, while lack of sleep can decrease testosterone levels.
  4. Medications: Certain medications, such as opioids and steroids, can interfere with testosterone production. Chemotherapy and radiation therapy can also affect testosterone production.
  5. Medical conditions: Medical conditions such as obesity, diabetes, and thyroid disorders can affect testosterone production. In addition, injuries or trauma to the testicles can affect production.
  6. Environmental factors: Exposure to environmental toxins, such as pesticides and plastics, can also affect testosterone production.

It is important to note that testosterone production is a complex process, and the factors that affect it can be interrelated. Suppose you are experiencing low testosterone symptoms, such as decreased libido, fatigue, and muscle weakness. In that case, speaking with a healthcare provider to determine the underlying cause and explore treatment options is important.

 

Effects of Low Testosterone Levels

Testosterone deficiency, also known as low T, can affect the body differently. The condition is known as male hypogonadism. Testosterone is an essential hormone that helps in body development. When testosterone levels are low, it can lead to several adverse effects, including:

  1. Decreased Libido: Testosterone is essential for maintaining libido and sexual function in both men and women. Low testosterone levels can lead to a decrease in libido and reduced sexual satisfaction.
  2. Erectile Dysfunction: The hormone is necessary for achieving and maintaining an erection. Low levels can lead to erectile dysfunction, making it difficult to achieve or maintain an erection.
  3. Decreased Muscle Mass and Strength: It plays a role in promoting the growth of muscle mass and strength. Low levels can lead to decreased muscle mass and strength, making it difficult to perform physical activities.
  4. Fatigue: It is essential for maintaining energy levels. Low levels can lead to fatigue, weakness, and lack of energy.
  5. Mood Changes: Testosterone plays a role in regulating mood. Mood changes, such as depression, irritability, and anxiety, are the impacts of low levels of Testosterone.
  6. Cognitive Changes: The hormone regulates cognitive functions, including spatial memory. Low testosterone levels can lead to cognitive changes, such as difficulty concentrating and memory problems.
  7. Decreased Bone Density: It is essential for maintaining bone health, as it promotes bone density and helps prevent osteoporosis. Low testosterone levels can lead to a decrease in bone density, making bones more susceptible to fractures.
  8. Increased Body Fat: Testosterone plays a role in regulating fat distribution. Low levels can lead to an increase in body fat, particularly in the abdomen.
  9. Sleep Disturbances: It is necessary for maintaining healthy sleep patterns. Low testosterone levels can lead to sleep disturbances, such as insomnia and sleep apnea.
  10. Decreased Red Blood Cell Production: The hormone stimulates the production of red blood cells in the bone marrow. Low levels can lead to a decrease in red blood cell production, leading to anemia.

 

How to Increase Testosterone Levels

Low and too much testosterone levels can lead to various adverse effects on the body. Fortunately, there are several ways to increase testosterone levels. These include:

  1. Lifestyle Changes

  2. Exercise: Regular exercise, particularly resistance training, can help increase testosterone levels. Exercise also promotes the growth of muscle mass and strength, which can help counteract the effects of low testosterone levels.
  3. Diet: A healthy diet rich in nutrients, particularly zinc and vitamin D, can help increase testosterone levels. Foods high in zinc include oysters, beef, beans, and nuts. Foods high in vitamin D include fatty fish, eggs, and mushrooms.
  4. Sleep: Sleeping is essential for maintaining healthy testosterone levels. NCBI Studies have shown that lack of sleep can lead to a decrease in testosterone levels.

How to diagnose low testosterone levels?

The diagnosis of low testosterone levels, also known as hypogonadism, is typically made through symptoms, physical examination, and blood tests. Here are the steps involved in diagnosing low testosterone:

Symptoms: The first step in diagnosing low testosterone is to recognizes the symptoms. Symptoms may include decreased sex drive, erectile dysfunction, fatigue, depression, muscle mass, and bone density.     

Physical examination: A physical examination can also help diagnose low testosterone. The doctor will examine the size and consistency of the testicles and look for signs of gynecomastia (enlarged breast tissue) or other physical abnormalities.

Blood tests: Blood test is the most common method of diagnosing low testosterone. The doctor will measure the testosterone level in the blood, typically in the morning when testosterone levels are highest. If the testosterone level is below the normal range, the doctor may order additional tests to determine the underlying cause of the low testosterone.

Additional tests: In some cases, additional tests may be needed to diagnose low testosterone. These may include tests to measure levels of other hormones, such as luteinizing hormone (LH) and follicle-stimulating hormone (FSH), which stimulate testosterone production, and tests to rule out other conditions that can cause similar symptoms.

 Side Effects of high levels of testosterone

It plays an important role in developing secondary sex characteristics, such as muscle mass, bone density, and body hair. However, having high testosterone levels can also lead to specific side effects. 

Some of the common side effects of high testosterone levels include:

Acne: High levels of testosterone can cause an increase in sebum production, leading to the development of acne.

Hair loss: While testosterone is responsible for body hair growth, high testosterone levels can also cause male pattern baldness.

Mood swings: Testosterone can affect mood and behavior, and high testosterone levels can cause irritability, aggression, and mood swings.

Increased risk of heart disease: High testosterone levels have been linked to an increased risk of heart disease, particularly in older men.

Prostate problems: High levels of testosterone can cause an enlargement of the prostate gland, leading to urinary problems and an increased risk of prostate cancer.

Infertility: In some cases, high levels of testosterone can cause a decrease in sperm production, leading to infertility.

Sleep apnea: High testosterone levels can also cause sleep apnea, in which breathing is interrupted during sleep.

It is important to note that having a high testosterone level is not always bad, and some people may not experience any adverse side effects. However, if you are experiencing any of these symptoms, you must talk to your doctor to determine the underlying cause and appropriate treatment.

 

  1. Hormone Replacement Therapy
  2. Testosterone replacement therapy (TRT): TRT is a medical testosterone treatment that involves the administration of Testosterone to increase testosterone levels. TRT can be administered in various forms, including injections, patches, gels, and pellets. It is essential to speak with a healthcare provider to determine if TRT is an appropriate treatment option and to monitor testosterone levels regularly. 
  3. Human chorionic Gonadotropin (HCG) therapy: HCG therapy is a medical treatment that involves the administration of HCG to stimulate testosterone production in the body. HCG therapy may be an option for men with low testosterone levels who want to avoid the potential side effects of TRT.

Speaking with a healthcare provider before changing your lifestyle or beginning any medical treatment for low testosterone levels is essential. Hormone replacement therapy can have potential risks and side effects, and it is essential to monitor testosterone levels regularly to ensure safety and effectiveness.

 

Risks and Side Effects of Testosterone Therapy

Testosterone therapy, also known as testosterone replacement therapy (TRT), is a medical treatment that involves the administration of Testosterone to increase testosterone levels in the body. However, TRT carries potential risks and side effects like any medical treatment. Some of the risks and side effects of testosterone therapy include: 

 

  1. Acne: Testosterone therapy can increase oil production, leading to acne breakouts.
  2. Breast Tenderness: Testosterone therapy can increase estrogen levels, which can cause breast tenderness or enlargement.
  3. Sleep Apnea: Testosterone therapy can worsen sleep apnea, in which breathing repeatedly stops and starts during sleep.
  4. Increased Risk of Prostate Cancer: Testosterone therapy may increase the risk of prostate cancer in men with a history of the disease or who have high levels of prostate-specific antigen (PSA) in their blood. It is essential to monitor PSA levels regularly during testosterone therapy.

Other potential risks and side effects of testosterone therapy include:

  • Fluid retention
  • High red blood cell count
  • Infertility
  • Worsening of urinary symptoms in men with an enlarged prostate
  • Liver toxicity
  • Mood changes, including irritability, anxiety, and depression
  • Skin irritation or reaction at the site of application for topical testosterone therapy

 

Final Thoughts

Maintaining healthy testosterone levels is essential for overall health and well-being, particularly for men. If you are experiencing symptoms of low testosterone levels, speak with a healthcare provider to determine the best course of treatment for you. With the appropriate treatment and lifestyle changes, it is possible to increase testosterone levels and improve your overall health and quality of life.