Testosterone

The role of testosterone in the body

Testosterone is the main male sex hormone (androgen), although it is also present in women. It plays a key role in:

For men:

  • Development of primary and secondary sexual characteristics (growth of the genitals, male-type hair, low voice).
  • Spermatogenesis (formation of spermatozoa).
  • Increase in muscle mass and strength.
  • Fat distribution (less subcutaneous fat).
  • Maintaining libido and erectile function.
  • Influence on mood, energy, and cognitive functions.
  • Strengthening of bone tissue.

For women:

  • Maintaining libido.
  • Regulation of muscle mass and strength.
  • Influence on mood and energy.
  • Participation in ovarian function.

Symptoms of testosterone deficiency (hypogonadism)

For men:

  • Decreased libido and erectile dysfunction.
  • Reduced muscle mass and strength.
  • Increased body fat (especially in the abdominal area).
  • Fatigue, depression, irritability.
  • Reducing the growth of facial and body hair.
  • Gynecomastia (breast augmentation).
  • Osteoporosis (reduced bone density).
  • Hot flashes, sweating.
  • Reduced testicular volume.

For women:

  • Decreased sexual desire.
  • Chronic fatigue.
  • Depression, mood swings.
  • Reduced muscle tone.

Symptoms of excess testosterone

For men:

  • Increased aggressiveness, irritability.
  • Acne.
  • Male pattern baldness.
  • Increased hematocrit (risk of thrombosis).
  • Enlarged prostate (risk of adenoma).
  • Infertility (due to suppression of spermatogenesis at high doses).

For women:

  • Hirsutism (excessive hair growth on the face and body).
  • Acne, oily skin.
  • Violation of the menstrual cycle.
  • Voice coarsening.
  • Clitoral enlargement.
  • Androgenetic alopecia (male pattern baldness).

The norm of testosterone in the blood

GroupTotal Testosterone (nmol / l)Free Testosterone (pmol / l)
Men8,64 – 29,050 – 210
Women0,29 – 1,671 – 10

Note: The reference values may vary depending on the laboratory.

Important points:

  • In men, the level of testosterone decreases with age (after 30 years-about 1% per year).
  • In women, the level changes during the cycle (maximum at ovulation).
  • It is better to take the analysis in the morning (peak secretion – 7-9 am).

If an imbalance is suspected, you should also check LH, FSH, prolactin, SHBG, and estradiol.