8 Common Symptoms of Low Testosterone in Men

Marshall Medical Group • May 19, 2025

Here are 10 common symptoms of low testosterone (low T) in men, which can significantly impact both physical and mental health:

1. Low Sex Drive (Libido)

  • One of the most noticeable signs; men may lose interest in sex or have reduced sexual thoughts and fantasies.

2. Erectile Dysfunction

  • Difficulty getting or maintaining an erection, especially morning erections, may signal low testosterone levels.

3. Fatigue and Low Energy

  • Persistent tiredness and lack of motivation despite rest can be related to hormonal imbalances.

4. Loss of Muscle Mass and Strength

  • Testosterone plays a key role in building and maintaining muscle; men may notice weaker muscles or slower recovery from workouts.

5. Increased Body Fat

  • Especially in the abdominal area or development of gynecomastia (enlarged breast tissue).

6. Mood Changes

  • Symptoms may include irritability, depression, anxiety, or difficulty concentrating ("brain fog").

7. Decreased Bone Density

  • Over time, low T can lead to osteopenia or osteoporosis, increasing fracture risk.
  • Thinning of beard growth, chest hair, or overall body hair may occur gradually.

8. Poor Sleep or Insomnia

  • Some men with low T experience trouble falling asleep or restless sleep, which can worsen fatigue and mood issues.
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