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Conditions

Men's hormonal health

Reviewed by Carmen Farrugia — Advanced Diploma of Naturopathy, and an AHPRA-registered midwife (NMW0001034617)

Last updated

Men’s hormonal health gets far less airtime than women’s, and the presentations are just as real: persistent low energy, low libido, mood and motivation changes, losing muscle while gaining weight around the middle, and poor recovery from training.

Testosterone declines gradually with age. A sharp change, or a young man with these symptoms, is worth investigating rather than accepting.

What’s worth testing

Symptoms alone don’t separate low testosterone from the several other things that look identical — sleep debt, iron deficiency, thyroid disease, depression and sleep apnoea among them.

Blood testing through your GP is the standard, taken in the morning when levels are highest, and repeated before anything is concluded from one result. A saliva kit is a reasonable screening measurement rather than a diagnosis; there’s a self-testing kit here if that’s where you’d like to start.

What your naturopath works on

Sleep, and sleep apnoea in particular, which suppresses testosterone and is badly under-diagnosed in Australian men.

Body composition. Abdominal fat converts testosterone to oestrogen, so it works against you in both directions and is one of the more effective levers.

Resistance training, which changes hormonal profile as well as muscle.

Alcohol, which affects the whole axis at the volumes many men consider ordinary.

Nutrient status — zinc, vitamin D and magnesium — corrected where a deficiency actually exists rather than supplemented on principle.

Stress, which competes directly with the same hormonal pathways.

Blood sugar and cardiovascular risk, which travel with this picture often enough to belong in it.

⚠ What needs a doctor

Clinically low testosterone is diagnosed and treated medically, and replacement therapy is a medical decision with real consequences either way.

Get assessed rather than supplemented for: erectile difficulties, which can be an early cardiovascular sign; testicular lumps, pain or swelling; urinary changes; breast tissue changes; and unexplained weight loss. Where specialist care is the next step, we’ll provide a detailed letter setting out the findings and recommendations.

Related: stress and energy, chronic fatigue and brain fog, insulin resistance and metabolic health, sleep and insomnia, saliva hormone testing.

Frequently asked questions

Is my testosterone low, or am I just tired?

That's exactly what testing is for, and it's worth doing before assuming either. Low testosterone and simple sleep debt produce a very similar picture, as do iron deficiency, thyroid disease and depression — so the useful first step is finding out which one you're dealing with.

What actually raises testosterone?

Sleep, resistance training, losing excess abdominal fat, correcting a zinc or vitamin D deficiency where one exists, and cutting heavy alcohol use. They're unglamorous and they're what the evidence supports. Most supplements marketed for this do far less than the marketing suggests.

Should I do an at-home hormone test?

A saliva kit is a reasonable screening measurement and it's not a diagnosis. Where the result or the symptoms warrant it, blood testing through your GP is the standard, and clinically low testosterone is diagnosed and treated medically.

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