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What Causes Low Testosterone in Young Males


Low testosterone is a medical condition in which men’s testicles don’t produce enough testosterone. In medical jargon, this condition is known as male hypogonadism. According to the American Urology Association, low testosterone affects around 2 in every 100 men. (R)

There can be many possible reasons for low testosterone, such as injuries in the testicles, hypothalamus, or pituitary glands. It can also be caused by obesity and deficiency of Vitamin D.  But the good news is it is treatable with testosterone replacement therapy.  

Let’s give a detailed look into the common causes of low testosterone in young men, its symptoms, side effects, and different types of treatment for low testosterone.

What are the signs of low testosterone in young males? 

The common symptoms of low testosterone in young males include:

  • Low Sexual Libido
  • Erectile Dysfunction
  • Absence or regression of male secondary characteristics
  • Wasting of Muscle Mass
  • Low Energy
  • Depression
  • Abdominal Adiposity
  • Difficulty during orgasm
  • Loss of bone mass
  • Difficulty concentrating
  • Shrinking Testicles
  • Decrease in endurance

Types of Low Testosterone in Young Males

There are two main types of low testosterone in young males. They are:

1. Primary Hypogonadism

2. Secondary Hypogonadism

1. Primary Hypogonadism

Primary hypogonadism is caused due to testicular injuries. Some of the most common causes for primary hypogonadism are given below. 
Common Causes For Primary Hypogonadism 

  • Problem in testicles
  • Klinefelter’s Syndrome
  • Undescended Testicles
  • Hemochromatosis
  • Testicular Injury
  • Chemotherapy
  •  Radiation

2. Secondary Hypogonadism

In secondary hypogonadism, the testicles don’t produce enough testosterone due to problems in the hypothalamus or pituitary glands in the brain.

1. Obesity

The most common cause of secondary hypogonadism is obesity. The excess level of fat suppresses the production of testosterone in the body.  According to the source, the prevalence rate of secondary hypogonadism in obese people ranges between 45 to 57%. 

2. Medications that cause secondary hypogonadism

Certain medications are also associated with low testosterone in young males. These medications include:

  • Ketoconazole
  • Cimetidine
  • Glucocorticoids

3. Vitamin D Levels

Abnormal levels of vitamin D also contribute to low testosterone in young males. According to the study, low vitamin D levels are associated with low testosterone levels in the body. However, the connection between vitamin D and testosterone levels in the body is still unclear, and further scientific research is needed to prove such claims. 

4. Life Styles

The lifestyles we adopt also have specific effects on our testosterone levels. Drinking too much alcohol, smoking, and no or less exercise also sometimes cause low testosterone in young males. Similarly, not getting enough sleep can also cause low testosterone. 

5. Processed Sugar

Excessive use of sugar may turn off genes responsible for testosterone production. (R)

6. Thyroid Deficiency 

Similarly, hypothyroidism and low serum TSH levels below 10 mIU/L are responsible for low testosterone production in young males.

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What are the side effects of low testosterone in young males? 

Some of the common side effects of low testosterone in young males include: 

  • Reduced Sex Drive
  • Shrinking Testicles
  • Erectile Dysfunction
  • Infertility
  • Bone Loss
  • Fatigue
  • Muscle Loss
  • Decrease Sperm Count
  • Enlarged Prostate
  • Thinning Body hair
  • Emotional Changes
  • High Red Blood Cells Count
  • Fatigue
  • Depression

What are the different Treatments for low testosterone in young males?

There are two main approaches to treating low testosterone in young males:

1. Natural

2. Medical

Natural Treatment for Low Testosterone in Young Males

1. Lifestyle Modifications

These are often the first-line treatment for low testosterone, particularly if the cause is suspected to be related to lifestyle factors. They can be very effective and have the benefit of being natural and non-invasive. (R)

2. Diet

Focus on a healthy diet rich in fruits, vegetables, whole grains, and lean protein. Limit processed foods, saturated fats, and added sugars, as these can negatively impact testosterone production.

3. Weight Management:

Losing weight can significantly improve testosterone levels if you’re overweight or obese. Aim for gradual, healthy weight loss through diet and exercise.

4. Exercise

Regular physical activity, especially strength training, can boost testosterone production. Aim for at least 20 minutes of moderate-intensity exercise most days of the week.

5. Sleep 

Getting enough quality sleep is crucial for testosterone production. Aim for 7-8 hours of sleep per night and practice good sleep hygiene.

6. Stress Management

Chronic stress can lower testosterone levels. Techniques like meditation, yoga, or deep breathing can help manage stress.

7. Limit Alcohol and Smoking

Excessive alcohol consumption and smoking can both contribute to lower testosterone levels. Moderation or quitting may help in increasing testosterone levels. 

Medical Treatment for Low Testosterone in Young Males

Testosterone Replacement Therapy

The most widely used treatment for male hypogonadism is testosterone replacement therapy. The most commonly used testosterone replacement therapy include:

  1. Pellets
  2. Oral Tablets
  3. Gel 
  4. Injections
  5. Buccal

Read more about Testosterone Replacement Therapy for Men

Best Testosterone Replacement Therapy In Wyoming

PrometheuzHRT provides one of the best testosterone replacement therapy in Wyoming. We have an expert medical team with years of experience. To date, we have hundreds of happy customers and are welcoming more!

Apply Now and get your personalized testosterone replacement therapy. 

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What should you do if you think you have low T?

If you think you might have low testosterone levels, you should book an appointment with a doctor. The doctor may test your blood to determine your testosterone level. If the doctor finds low testosterone, he may advise additional tests. Based on your tests and medical history, the doctor will make your treatment plan.

Is it normal to have low testosterone in your 20s?

As mentioned above, testosterone levels decline naturally after the age of 30. However, suppose you have low testosterone levels in your 20s. In that case, you should consult a qualified medical doctor because having low testosterone levels at an early age is a sign of a medical condition. 

What deficiency causes low testosterone?

Low levels of luteinizing hormone (LH) and follicle-stimulating hormone commonly cause low testosterone production. 

What food raises testosterone?

The food that can help in raising the testosterone production include: 

  • Oysters
  • Leafy Greens
  • Fatty Fish
  • Olive Oil

Does 3 eggs every day increase testosterone?

Yes, eating three eggs a day may help increase testosterone levels. Eggs contain protein, cholesterol, vitamin D, and omega-3s, which can help increase testosterone production. 

Is there a pill to increase testosterone?

Yes, PrometheuzHRT Alpha Testos pills have the potential to help increase testosterone levels. 

Is it OK to live with low testosterone?

No, living with low testosterone levels is not okay because it can negatively affect your overall well-being. 

How do I know if my testosterone is OK?

Testosterone levels are generally tested through blood tests. According to the source, most doctors agree that “normal” reading ranges between 300 to 1,000 nanograms per deciliter (ng/dL).  ®

What happens if low testosterone goes untreated?

If low testosterone goes untreated, it may cause osteoporosis and lowered red blood cell production. 

Final Thoughts 

Previously, low testosterone levels were associated with age. But now this condition is alarmingly increasing in young people too. The common causes of low testosterone in young males include testicular injuries, destructive lifestyles, excessive smoking, and drinking alcohol. Low testosterone levels can have adverse effects on an individual life. If you ever feel you have low testosterone levels, you should consult a qualified medical doctor for proper treatment.

Disclaimer: The Information shared on PrometheuzHRT is just for informational purposes. 

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