Testosterone plays a vital role in men’s overall health, influencing everything from physical strength to emotional well-being. While often associated with muscle mass and libido, testosterone also affects energy levels, mood stability, bone density, and cognitive function. As men age, testosterone levels naturally decline—but when levels drop too low, the impact can be significant.
Dr. Matthew Goldenberg D.O. believes that understanding hormone health is an essential part of proactive, preventive care. This article explores what testosterone does, how low levels can affect men, and what options are available to restore balance safely and effectively.
What Is Testosterone and Why Is It Important?
Testosterone is the primary male sex hormone, produced mainly in the testes and regulated by the brain. It plays a key role in:
- Muscle growth and strength
- Energy production and stamina
- Mood regulation and mental clarity
- Sex drive and erectile function
- Fat distribution and metabolism
- Bone density and overall physical resilience
Healthy testosterone levels help men feel strong, motivated, focused, and emotionally balanced.
Signs and Symptoms of Low Testosterone
Low testosterone—sometimes referred to as “Low T” or hypogonadism—can present with a wide range of symptoms that often develop gradually. Common signs include:
- Persistent fatigue or low energy
- Loss of muscle mass or strength
- Increased body fat, especially around the abdomen
- Decreased libido or sexual performance issues
- Mood changes, including irritability, anxiety, or depression
- Brain fog, difficulty concentrating, or memory issues
- Reduced motivation or confidence
Because these symptoms can overlap with stress, aging, or other medical conditions, proper testing and evaluation are essential.
Testosterone, Mood, and Mental Health
Testosterone has a direct effect on neurotransmitters in the brain, including serotonin and dopamine—chemicals that regulate mood and motivation. Low testosterone levels have been linked to:
- Depressive symptoms
- Increased anxiety
- Reduced stress tolerance
- Emotional flatness or lack of drive
Addressing hormone imbalances may significantly improve emotional well-being and quality of life when done under medical supervision.
Testosterone and Muscle Health
Testosterone supports protein synthesis, which is critical for building and maintaining muscle. When levels decline, men may notice:
- Loss of muscle tone
- Decreased strength despite exercise
- Slower recovery from workouts or injuries
Optimizing testosterone levels can help preserve lean muscle mass, support physical performance, and enhance overall vitality.
How Testosterone Levels Are Evaluated
As an experienced and well trained psychiatrist, Matthew Goldenberg D.O.’s evaluation begins with a detailed psychiatric evaluation and comprehensive blood testing. This may include:
- Total and free testosterone levels
- Overall metabolic and cardiovascular health markers
Testing allows for a personalized approach rather than one-size-fits-all treatment.
Treatment Options for Low Testosterone
Treatment plans are customized based on symptoms, lab results, and overall health. Options may include:
- Lifestyle modifications (nutrition, sleep, stress management)
- Addressing underlying medical conditions
- Referral to medically supervised testosterone therapy when appropriate
The goal is to restore balance safely while minimizing risks and supporting long-term health.
Comprehensive Q&A: Testosterone in Men
Q: Is low testosterone a normal part of aging?
A: Testosterone levels naturally decline with age, but significant drops that cause symptoms are not something men have to accept. Treatment may be appropriate depending on symptoms and lab results.
Q: Can low testosterone affect weight gain?
A: Yes. Low testosterone is associated with increased fat storage and reduced muscle mass, which can slow metabolism and contribute to weight gain.
Q: Does testosterone therapy increase energy?
A: Many men report improved energy and stamina once testosterone levels are optimized, though results vary based on overall health and lifestyle.
Q: Is testosterone therapy safe?
A: When properly prescribed and monitored by a qualified physician, testosterone therapy can be safe and effective. Regular follow-up and lab testing are essential.
Q: Will testosterone therapy affect fertility?
A: Certain forms of testosterone therapy can reduce sperm production. Fertility goals should always be discussed before starting treatment.
Q: How long does it take to notice results?
A: Some men notice improvements in energy and mood within weeks, while muscle and body composition changes may take several months.
Q: Do I need treatment if my testosterone is “low-normal”?
A: Treatment decisions are based on both lab values and symptoms. Men with low-normal levels but significant symptoms may still benefit from intervention.
Take Control of Your Energy, Muscle, and Mood
If you’re experiencing unexplained fatigue, mood changes, or a decline in physical performance, testosterone imbalance may be a contributing factor. A thorough evaluation can help determine the cause and guide appropriate treatment.
Dr. Goldenberg is licensed to work with patients in the states of California, Alaska, Hawaii and Utah by secure telehealth. He is NOT in-network with any insurance plans. However, Dr. Goldenberg is considered to be out of network if you have PPO insurance.
If you are interested in discussing becoming a new patient and if his practice is a good fit for your needs and goals, book a free screening phone call here.
Contact Information
Matthew Goldenberg D.O.
Santa Monica, CA 90403
📞 Phone: (424) 276-0777
🌐 Website: docgoldenberg.com
📅 Book An Appointment through the website