Can Young Men Get Low Testosterone? A Growing Concern

Testosterone is an essential hormone for guys, significantly when growing up and becoming an adult. When you're just a baby, your testosterone levels are pretty low. But as you hit puberty, which is when your body starts changing and you begin to look more like an adult, your testosterone levels shoot up. They reach their highest point when you're about 18 or 19. After that, things level off and stay steady through your 20s.

But once you hit 30, things start to change. Every year after 30, your testosterone levels begin to dip a little bit, by about 1.6%. It might sound like something to worry about, but it's normal. It's just part of getting older. Because of this gradual decrease, older guys are more likely to have lower testosterone levels. So, as men age, it's more common for them to experience what's known as testosterone deficiency, which is just a fancy way of saying they don't have as much testosterone as they used to.

Even though it's more common for older people to have lower testosterone levels, some young guys can have this issue, too. Sometimes, their testosterone levels drop too soon because of unhealthy lifestyle choices or other health problems. Some guys are born with conditions that stop them from making enough testosterone.

But it's rare for young guys, especially those in their 20s, to have this problem – it happens to less than 1% of them. On the other hand, low testosterone is much more common in older men. About 40% of men over 45 have low levels, up to 50% for men over 80. So, while getting older is a big reason why someone might have low testosterone, it's not the only reason.

Two main categories can be used to classify the reasons behind low testosterone levels in younger men - (1) medical conditions that underlie them and (2) factors related to their health or lifestyle.

Some young men have low testosterone because of health issues they were born with or developed later. Certain rare genetic disorders, like Noonan syndrome and Klinefelter syndrome, can cause this by messing up average growth and leading to lifelong issues with testosterone production.

Other times, guys might get low testosterone from problems that happen later in life, affecting either the testicles—where testosterone is made—or parts of the brain that control hormone levels. Here are a few examples:

• Getting an injury to the testicles from an accident.
  
  
• Having a disease or tumour in the pituitary gland is a tiny organ in the brain that helps regulate hormones.
  
  
• Going through cancer treatments can lower testosterone levels.
  
  
• Needing to have one or both testicles removed because of cancer.
  
  
• Having diabetes, which is linked to low testosterone in about 16% of men who have it.
  

Besides medical reasons, other things in your life and health can cause your testosterone levels to drop earlier than usual. Here are some factors that can play a role:

• Being Overweight: If you're carrying extra weight, you're more likely to have low testosterone. A study found that obese men are 4 times more likely to face this issue. This study was on men aged 45 and older, but it's likely true for younger guys, too.
  
  
• High Blood Pressure: The same research showed that men over 45 with high blood pressure were almost twice as likely to have low testosterone. High blood pressure often goes hand in hand with high cholesterol, which is also linked to low testosterone.
  
  
• Drugs And Alcohol: Studies show that using drugs and alcohol too much can lower your testosterone production. So, if you drink a lot of alcohol, misuse steroids, or use recreational drugs, it could lead to low testosterone levels, even in younger men.

Low testosterone can cause many problems, no matter how old you are. These issues can include:

• Feeling tired all the time
  
  
• Not feel much interest in sex
  
  
• Having trouble getting or keeping an erection
  
  
• Losing muscle and gaining fat
  
  
• Bones getting weaker
  
  
• Feeling down or easily annoyed
  
  
• Having a hard time focusing
  
  
• Not doing as well at physical activities
  
  
• Losing body and facial hair
  

However, the symptoms can show up differently depending on whether you're older or younger. Older guys with low testosterone often talk about having less interest in sex or trouble with erections. Younger guys, those under 40, might mainly feel tired and have problems like bad memory and inability to concentrate well.

Figuring out if a young man has low testosterone can be tricky. The symptoms that younger guys have, like feeling tired or unable to focus, can also be caused by other things, like stress or not living a healthy lifestyle. This can make doctors think it's something else, like depression or anxiety, instead of low testosterone.

Testosterone replacement therapy (TRT) is a common way to treat low testosterone, no matter how old you are. This therapy uses exogenous testosterone to boost your levels. It can be given in different ways, like shots, skin patches, tiny pellets under your skin, pills, or gels.

But whether TRT is right for you depends on why you have low testosterone and if you want to have kids in the future. TRT can make it harder to produce sperm, which might not matter much for older guys who already have a family, but it's a big deal for younger men hoping to have children someday.

Before jumping into TRT, doctors often suggest younger males try changing their lifestyle, such as:

• Losing weight if you're overweight
  
  
• Cutting back on drinking too much alcohol and not using drugs for fun
  
  
• Staying away from certain meds that can lower testosterone, like painkillers or some chemicals
  
  
• Getting regular exercise to stay fit and healthy
  
  
• Making sure you get enough sleep, aiming for at least 7 hours a night
  
  
• If these changes don't help boost your testosterone back to a normal level, then TRT might be an option. Luckily, if you're worried about having kids, there's a treatment called HCG that you can use with TRT. HCG helps keep sperm production going and keeps the testicles working.
  

For young males with certain health issues like Klinefelter syndrome, having had testicular cancer, or problems with the pituitary gland, lifestyle changes won't fix their low testosterone. These guys need TRT to get their testosterone levels right.

If you're feeling off and can't figure out why, it might be a good idea to check your testosterone levels, no matter how old you are. Don't think you're "too young" to have low testosterone because it can happen to guys at any age, even teenagers and young adults.

The only sure way to know if your testosterone is low is to get a blood test. This test will tell you for sure and help you get the right treatment if needed. Even if you don't need testosterone replacement therapy (TRT), the test can show if something else in your life or health is messing with your hormones. Plus, having your testosterone levels checked now gives you a starting point. If you encounter similar issues later, you can quickly check if your hormone levels have changed.

If you're looking for support or have concerns about your testosterone levels, don't hesitate to reach out to Androgenix. We're here to help you with any questions or assistance.

Roger D Stanworth and T Hugh Jones. Testosterone for the aging male; current evidence and recommended practice.

Jason M Scovell, Ranjith Ramasamy, Nathan Wilken, Jason R Kovac, Larry I Lipshultz. Hypogonadal symptoms in young men are associated with a serum total testosterone threshold of 400 ng/dL.

Jordan Cohen, Daniel E. Nassau, Premal Patel, Ranjith Ramasamy. Low Testosterone in Adolescents & Young Adults.

Soum D Lokeshwar, Premal Patel, Richard J Fantus, Joshua Halpern, Cecilia Chang. Decline in Serum Testosterone Levels Among Adolescent and Young Adult Men in the USA.

Huang, I-Shen; Mazur, Daniel J.; Kahn, Barbara E.; Kate Keeter, Mary; Desai, Anuj S.; Lewis, Kevin; Tatem, Alexander J.; Hehemann, Marah C.; Brannigan, Robert E.; Bennett, Nelson E Jr. Risk factors for hypogonadism in young men with erectile dysfunction.

S. Horie. Low Testosterone Level in Men and Quality of Life.