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Can Low Testosterone Cause Anxiety?

Can Low Testosterone Cause Anxiety?

May 09, 2024

Can Low Testosterone Cause Anxiety?

Reviewed by Cecile Kehoe

Chief Science Officer

Is there a link between anxiety and testosterone levels? Explore symptoms, solutions, and professional guidance for optimal mental well-being.

Table of Contents

Why You Should Care

Have you ever wondered about the connection between testosterone, anxiety, and cortisol? Testosterone, a hormone crucial for male physiology and psychology, undergoes significant changes as men age. While it's known for its role in shaping physical attributes and behavior, its decline in later years can introduce a host of challenges, from mood swings to decreased self-confidence.

Interestingly, middle-aged men often find themselves grappling with heightened anxiety levels, particularly in the morning. This uptick in anxiety may be linked to elevated cortisol levels, the body's primary stress hormone, which tends to peak during this time. What's more intriguing is the potential link between testosterone levels, cortisol, and anxiety severity, especially during adolescence—a connection that could offer insights into future mental well-being.

Delving into the interplay of these hormones and their impact on emotional health is crucial for understanding men's overall well-being. So, if you've ever pondered whether low testosterone can cause anxiety, exploring this relationship could provide valuable answers.


Understanding Testosterone and its Role

Testosterone, an essential hormone for male development and well-being, plays a significant role in maintaining overall health. When levels of this hormone decrease, it can have detrimental effects on various aspects of a man's anatomy and mental state.

As men age, their testosterone levels naturally decrease, and this is a common issue that many men over the age of 45 face. Having low levels of testosterone can lead to various health problems, including obesity, high blood pressure, high cholesterol, sleep apnea, and type 2 diabetes. These health conditions can further contribute to the decline in testosterone levels.

The symptoms of testosterone deficiency can vary and range from sexual problems like erectile dysfunction and a decreased sex drive to physical symptoms such as osteoporosis, hair loss, and muscle weakness. It's also worth mentioning that low testosterone can cause heightened anxiety levels, which tend to worsen as testosterone levels decline. Therefore, it's not uncommon for men with low T to experience symptoms of anxiety and have other health issues like obesity, diabetes, or heart problems.


Testosterone's Influence on Male Mood

Man sitting up in bed unable to sleep

The influence of testosterone on male mood and behavior is a subject of considerable intrigue and debate. While some may find it surprising that the predominantly male sex hormones could exert such a profound impact on emotional states, the relationship between testosterone levels and mood is far from straightforward, with findings from various studies yielding conflicting results.

On one hand, there is evidence to suggest that testosterone may serve as a potent mood elevator, capable of enhancing overall well-being and vitality. Conversely, other studies have failed to establish a clear and consistent link between testosterone levels and mood, leaving the precise nature of this relationship shrouded in ambiguity. Nevertheless, it's undeniable that disruptions in testosterone production, particularly when coupled with conditions like impotence, can precipitate a cascade of mood-related issues, ranging from mild irritability to profound feelings of despair.


The Relationship Between Low Testosterone and Anxiety

Testosterone, often regarded as a cornerstone of male identity, plays a pivotal role in shaping both psychological and biological characteristics essential to men. Its association with traits like social dominance and competitiveness underscores its significance in understanding male behavior. However, the influence of testosterone extends beyond mere masculinity, as fluctuations in its levels can also impact mood.

The interplay between testosterone and anxiety is complex and multifaceted. While testosterone is known to exert certain mood-altering effects, particularly in relation to depression, its role in anxiety regulation remains less clear. Studies have shown a prevalence of mood disorders, including anxiety, among men with low testosterone levels, hinting at a potential link between the two.

Research into this relationship has gained momentum, particularly in understanding how low testosterone levels may contribute to the development and exacerbation of anxiety symptoms in men. By focusing on specific cohorts, such as individuals diagnosed with generalized anxiety disorder and exhibiting low T levels, researchers aim to unravel the intricacies of this connection.

Exploring Hormonal Influence: Can Testosterone Alleviate Anxiety?

The relationship between testosterone and anxiety becomes even more intriguing when considering the effects of testosterone supplementation in certain populations. For instance, in men with depression and testosterone deficiency, treatment with testosterone has shown promise in improving mood-related symptoms, including anxiety.

Despite these findings, questions persist regarding the precise nature of the relationship between testosterone and anxiety. While it may be tempting to speculate whether high testosterone levels equate to reduced anxiety and improved mood, the reality is more nuanced. You can of course have too much of everything in life - and that includes testosterone excess too. But personality and behavior are shaped by a myriad of factors, and the expression of anxiety cannot be solely attributed to hormone levels.

Navigating the complexities of testosterone's influence on anxiety requires a comprehensive understanding of individual differences and contextual factors. While testosterone undoubtedly plays a role in shaping psychological states, its impact must be considered within the broader framework of human behavior and physiology.

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Symptoms and risk factors

Decades of research show that androgens impact anxiety and brain retrieval in humans, affecting attention, memories, and meta-attention. Serum androgen levels are associated with anxiety symptoms, varying in different stages of sexual life.


Testosterone is a hormone found in humans, as well as in other animals. The testicles primarily make testosterone in men. Women's ovaries also make testosterone, though in much smaller amounts. The production of testosterone starts to increase significantly during puberty and begins to dip after age 30 or so. Low testosterone levels can result from testicular issues or a problem with the pituitary gland or hypothalamus. Symptoms of low T include:

  • Erectile dysfunction

  • Low sex drive

  • Muscle mass loss or weight gain

  • Low fertility

  • Anxiety

  • Irritability

  • Brain fog or poor memory

The condition, known as hypogonadism, can have a significant impact on mental health and well-being. Testosterone is also responsible for overall energy and mood. Testosterone mood swings and depression can also be caused by low testosterone levels. If your mood is consistently low, consider getting your testosterone levels checked.


Anxiety is the body's response to stress and can become debilitating when it persists. Anxiety is a collection of emotions, worry, and fear. It can cause physical symptoms like:

  • Headaches

  • Stomachaches

  • Panic attacks

It is often associated with mental health and anxiety disorders like OCD and depression. Anxiety isn't just about hormones like testosterone; it affects everyone regardless of gender. It's widespread and can come from various sources, not just hormonal imbalance. Sometimes it indicates health issues or is a side effect of medication. Understanding its many causes is important for supporting mental health.


Practical Solutions to Your Problems

Man lifting weights

Given the seriousness of mental health symptoms associated with low testosterone, it's crucial to seek supportive measures. Here are some helpful suggestions you can try today:

1.      Support Healthy Testosterone Levels

There are a variety of strategies you can take to improve your healthy testosterone levels naturally that can in turn support your mental health.


A balanced diet plays a crucial role in supporting healthy testosterone levels. Foods rich in zinc, such as oysters, beef, and pumpkin seeds, aid in testosterone production. Additionally, incorporating foods high in vitamin D, like fatty fish, eggs, and fortified dairy products, can help maintain optimal hormone levels. Consuming healthy fats found in avocados, nuts, and olive oil is also beneficial, as testosterone is synthesized from cholesterol. Adequate protein intake from sources like lean meats, poultry, and legumes provides essential amino acids are also necessary for hormone synthesis.

Regular exercise plays a vital role in maintaining healthy testosterone levels. Physical activity, especially resistance training and high-intensity interval training (HIIT), stimulates the production of testosterone in the body. Additionally, exercise helps to regulate weight, improve insulin sensitivity, and reduce stress levels, all of which can contribute to optimal testosterone levels. Furthermore, consistent exercise promotes better overall health, which can indirectly support hormone balance.

Other than supplements containing vitamin D and omega-3 for supporting healthy testosterone levels, there are also options like maca root and ashwagandha to optimize its efficacy. Additionally, apart from supplements aimed at testosterone support, there are supplements designed to boost energy levels and enhance mood.

  • A meta-analysis in 2019 on ashwagandha's effects in men and women found it improves quality of life, reduces stress, normalizes mental health, and increases serum T levels.

  • Boron is also a great T booster, enhancing levels and regulating the endocrine system. Boron supplementation reduces anxiety and improves libido, strength, mass, and endurance in individuals with low testosterone.

  • CoQ10 is a potent "bio-energizer" for males and females. It benefits testicle tissue and increases energy functioning for vigorous spermatogenesis. T levels increase significantly after 3 months.

  • L-carnitine also boosts libido power and acts as an antioxidant, enhancing the androgenetic pan-system. It reduces stress, fatigue, and low mood in those with low testosterone.

2.      Coping Strategies for Anxiety

Learning to recognize the physical and emotional signs of anxiety is the primary step in dealing with it. Recognizing that you trust these feelings is the first step in managing them. Anxiety raises the activity of the autonomic nervous system, which regulates symptoms, such as sweating, accelerated heart rhythm, or restlessness. The two common treatments are:

  • Cognitive-behavioral therapy

  • Medication

The most common types of medication prescribed first are selective serotonin reuptake inhibitors (SSRIs). There are simple lifestyle changes and self-help exercises that can be managed at home to lower anxiety and help hold it at bay. These strategies can include:

  • Regular exercise - it can boost testosterone and your mood!

  • Practicing relaxation techniques

  • Maintaining a healthy diet

  • Mindfulness practices (meditation and journaling

Incorporating these strategies into daily routine can improve sleep quality and stress management, which are important for individuals with anxiety.

3.      Seeking Professional Help

Seeking professional help is a crucial step in addressing concerns about mental health and low testosterone. If you find it uncomfortable discussing these issues with your family doctor or feel they may not fully understand, consider consulting a mental health professional. They possess the expertise to evaluate your symptoms comprehensively and may refer you to a specialist for further assessment or therapy to manage anxiety, irritability, and persistent worry.

Regarding testosterone therapy, if your healthcare provider suspects low testosterone, they may recommend testosterone replacement therapy. Openly communicate all your symptoms to your healthcare provider, as this enables them to develop an effective treatment plan tailored to your needs. While it's understandable to feel apprehensive about seeking medical assistance for personal matters like low testosterone, addressing these concerns can significantly improve your emotional well-being and symptom management. Remember, professional guidance and treatment options are essential for addressing these conditions effectively.


Key Takeaways

  • Testosterone decline with age can lead to anxiety and other symptoms like mood swings and difficulty concentrating.

  • Low testosterone levels may contribute to anxiety, especially in middle-aged and older men.

  • Supplementation with vitamins like vitamin D and omega 3, and herbs like ashwagandha and maca root, can help improve testosterone levels and alleviate stress symptoms.

  • Consult a healthcare provider if you suspect anxiety due to low testosterone.

  • Coping strategies such as cognitive-behavioral therapy, medication, regular exercise, and mindfulness practices are effective in managing anxiety.

  • Seeking professional help is crucial for addressing low testosterone-related anxiety and improving emotional well-being.

So, while the relationship between testosterone levels in the brain and mood is still not completely understood, it is clear that testosterone has a significant effect on mental well-being. If you think you are experiencing anxiety related to low testosterone, you should be sure to talk to an experienced healthcare provider who will be able to get to the root cause of your concerns before any issues become bigger problems. Keep in mind that anxiety can stem from a whole range of other

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