At First Point MD, we recognize that hormonal balance plays a critical role in overall men’s health and well-being. One of the most important hormones influencing men’s vitality, energy, and physical function is testosterone. When levels of this key hormone fall below normal, it can lead to a range of symptoms—from fatigue and mood changes to decreased muscle mass and sexual dysfunction.
Understanding when to get tested for low testosterone and how to interpret the results can empower you to take control of your health. In this comprehensive guide, we’ll discuss what testosterone is, signs of low testosterone, how and when testing should be done, and what your results really mean.
What Is Testosterone and Why It Matters
Testosterone is the primary male sex hormone, although it’s also present in smaller amounts in women. Produced mainly in the testes, testosterone plays a vital role in:
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Regulating sex drive (libido)
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Supporting muscle and bone strength
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Promoting sperm production
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Maintaining energy levels and mood stability
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Supporting red blood cell production
Testosterone levels peak during early adulthood and gradually decline—typically by 1% per year after age 30. While some decline is natural, excessively low levels can cause symptoms that significantly affect quality of life.
Understanding Low Testosterone (Hypogonadism)
Low testosterone, also known as male hypogonadism, occurs when the body doesn’t produce enough of this crucial hormone. This can happen due to issues in the testes (primary hypogonadism) or the brain’s signaling centers—the pituitary gland and hypothalamus (secondary hypogonadism).
Common Causes of Low Testosterone
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Aging (natural decline)
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Obesity
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Chronic illness (like diabetes or kidney disease)
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Testicular injury or infection
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Medications (such as opioids or steroids)
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Hormonal disorders
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Excessive alcohol consumption or stress
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Sleep deprivation
Recognizing when to get tested is essential because low testosterone is often underdiagnosed and undertreated—many men attribute symptoms to stress or aging when a hormonal imbalance could be the root cause.
When to Get Tested for Low Testosterone
There’s no single age or condition that triggers the need for testing. However, certain physical, emotional, and sexual symptoms may indicate that your testosterone levels are below normal.
Key Symptoms of Low Testosterone
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Persistent fatigue or low energy
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Depressed mood or irritability
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Reduced sex drive (low libido)
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Erectile dysfunction or poor sexual performance
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Loss of muscle mass or increased body fat
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Decreased bone density or risk of osteoporosis
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Difficulty concentrating or brain fog
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Hair loss or reduced beard growth
If you experience several of these symptoms—especially over a prolonged period—it’s wise to discuss hormone testing with your healthcare provider.
At First Point MD, our physicians take a comprehensive approach to men’s health, combining blood testing with symptom assessment and lifestyle evaluation to determine whether low testosterone is a concern.
How Testosterone Testing Is Done
Testing for testosterone is simple and non-invasive—it only requires a blood sample. However, accuracy depends heavily on timing and preparation.
Timing of the Test
Testosterone levels fluctuate throughout the day, peaking in the early morning. Therefore, blood tests are best performed between 7:00 a.m. and 10:00 a.m. for the most accurate results.
If levels are borderline low, your doctor may recommend retesting on a different day to confirm results since daily variations can affect readings.
Types of Testosterone Measured
There are three main forms of testosterone measured in blood tests:
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Total Testosterone: Measures all testosterone in the blood—both bound and unbound. This is the most common test.
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Free Testosterone: Represents the small fraction (about 2–3%) not bound to proteins, which is biologically active and usable by the body.
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Bioavailable Testosterone: Includes free testosterone plus the portion loosely bound to albumin.
At First Point MD, we often assess both total and free testosterone to get a more complete picture of your hormone status.
Preparing for the Test
To ensure accuracy:
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Avoid heavy exercise or alcohol the day before testing.
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Get adequate sleep the night prior.
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Inform your doctor of any medications or supplements, as some can affect results (e.g., steroids, opioids, thyroid meds).
Normal Testosterone Levels: What the Numbers Mean
Testosterone is measured in nanograms per deciliter (ng/dL). Normal ranges can vary slightly between labs, but generally:
| Category | Testosterone Level (ng/dL) |
|---|---|
| Normal | 300 – 1,000 |
| Borderline Low | 250 – 300 |
| Low (Hypogonadism) | Below 250 |
However, these numbers don’t tell the whole story. A man with a level of 320 ng/dL but severe symptoms may still be considered clinically low and benefit from treatment. Conversely, someone with similar numbers and no symptoms might not need therapy.
That’s why at First Point MD, we emphasize personalized evaluation—considering both lab results and how you actually feel.
Interpreting Your Results
When your results come back, your doctor will discuss:
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Total vs. free testosterone balance
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Other hormone levels (like LH and FSH, which control testosterone production)
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Lifestyle factors (diet, stress, sleep, exercise)
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Possible underlying conditions (thyroid disorders, diabetes, or obesity)
If your testosterone is low, further tests may be ordered to determine whether the cause is primary (testicular) or secondary (pituitary/hypothalamic) in nature. This helps guide appropriate treatment options.
Health Risks of Low Testosterone
Left untreated, chronically low testosterone can affect more than energy and libido—it can contribute to serious long-term health problems.
Cardiovascular Health
Low testosterone is linked to increased body fat, higher cholesterol, and insulin resistance, which raise the risk of heart disease.
Bone Health
Testosterone supports bone density. Deficiency increases the risk of osteoporosis and fractures, even in men under 50.
Metabolic and Mental Health
Low levels can contribute to metabolic syndrome, depression, and reduced cognitive function, making early detection essential.
At First Point MD, we stress the importance of identifying and treating hormonal imbalances early to prevent these complications.
Treatment Options for Low Testosterone
If testing confirms low testosterone, your provider will discuss treatment options based on your age, health status, and underlying cause.
Lifestyle Modifications
Before jumping to medication, certain changes can naturally boost testosterone:
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Regular strength training and exercise
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Balanced diet rich in protein, healthy fats, and zinc
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Weight loss (especially reducing belly fat)
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Adequate sleep and stress management
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Limiting alcohol and quitting smoking
Even modest lifestyle improvements can significantly raise testosterone levels in many men.
Testosterone Replacement Therapy (TRT)
When lifestyle changes aren’t enough, TRT can restore normal hormone levels. Forms include:
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Topical gels or creams
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Injections (intramuscular or subcutaneous)
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Skin patches
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Pellet implants
TRT helps alleviate symptoms like fatigue, low libido, and muscle weakness. However, it should only be used under medical supervision, as improper use may cause side effects such as acne, elevated red blood cells, or reduced sperm production.
At First Point MD, we monitor each patient closely—tracking testosterone levels, blood counts, and prostate health throughout treatment to ensure safe and effective outcomes.
Can Testosterone Levels Be Too High?
While low testosterone is more common, excessively high levels—whether from supplementation or medical conditions—can also cause problems, including:
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Acne or oily skin
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Mood swings or aggression
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Sleep apnea
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Infertility due to suppressed sperm production
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Prostate enlargement or risk of complications
That’s why regular monitoring is essential when undergoing any hormone therapy. Our team at First Point MD ensures that your hormone levels remain within a healthy, balanced range.
The Link Between Testosterone and Aging
It’s normal for testosterone to decline with age, but not every drop requires treatment. The key is identifying when levels fall below what’s healthy for your body and lifestyle.
For men in their 40s, 50s, and beyond, routine hormone screening can be an important part of preventive care—especially if symptoms are affecting daily life. Early diagnosis can help maintain muscle strength, sexual health, and emotional well-being for years to come.
When to See a Doctor
If you’re experiencing multiple symptoms of low testosterone—such as persistent fatigue, weight gain, or sexual issues—it’s time to speak with a qualified healthcare provider.
At First Point MD, we offer comprehensive men’s health evaluations that include hormone testing, lifestyle assessment, and personalized treatment planning. Our goal is to restore balance safely and effectively, so you can feel like yourself again.
Conclusion: Take Charge of Your Hormonal Health
Low testosterone can impact every aspect of your health—from physical stamina to emotional balance and sexual performance. Knowing when to get tested and how to interpret your results is the first step toward reclaiming your vitality.
At First Point MD, we believe in empowering men through knowledge, advanced diagnostics, and personalized care. Whether you’re concerned about symptoms or simply want to stay proactive about your health, our medical team is here to guide you with expert insight and compassionate care.
Your hormones may change with time—but with the right support, your health, energy, and confidence can remain strong for life.