Can Low Testosterone Cause Anxiety?​

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Afeefa Rafath
Practicing Psychologist | EAP Counsellor | Content Writer
16 Oct 20244 min read
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Low testosterone levels can be more than a concern for physical health - if left unchecked, they might also influence mental well-being, specifically anxiety levels. Understanding the connection between low testosterone and anxiety disorder is complex, as research outcomes vary. Individual factors significantly shape how this relationship manifests, suggesting a nuanced interplay between hormonal balance and psychological health.

Understanding Anxiety and Low Testosterone

Low Testosterone: A condition where the body doesn't produce enough testosterone (male sex hormone).

Anxiety: Characterised by excessive worry, tension, and physical symptoms such as increased heart rate and sweating. It often manifests in various forms, including Generalized Anxiety Disorder (GAD), panic attacks, and social anxiety disorder. Anxiety can be a normal reaction to stress but becomes problematic when it interferes with daily life.

Can Low Testosterone Cause Anxiety?

Yes, low testosterone can cause anxiety. Low testosterone levels can lead to several physical symptoms, including fatigue, decreased muscle mass, and erectile dysfunction. These symptoms can cause mental turmoil, which can lead to anxiety or depression.

Furthermore, the hormonal imbalance may disrupt neurotransmitter function, exacerbating feelings of worry and restlessness. Addressing low testosterone through medical intervention or lifestyle changes can help alleviate anxiety symptoms and improve overall mental well-being.

Research Findings on the Connection Between Anxiety and Low Testosterone

Research suggests a close association between anxiety and low testosterone, and several findings support this connection: 

Testosterone exposure during brain development: Experimental studies (2018) show that exposure to testosterone during brain development can increase anxiety in males. 

Low testosterone in adulthood: Low testosterone levels can cause or worsen anxiety and depression symptoms in adults. 

Low prenatal testosterone: A 2018 study reported low testosterone levels in utero may be associated with anxiety in adulthood. 

Stress during gestation: A 2015 study reported stress during gestation can result in reduced testosterone and increased anxiety in the adult offspring. Testosterone supplementation can normalise anxiety levels in rhesus monkeys. 

Factors Influencing the Connection of Anxiety and Low Testosterone

Will low testosterone cause anxiety? Yes, hormonal imbalances affect mood regulation, increasing the risk of anxiety and depression. Stress elevates cortisol, further lowering testosterone and intensifying anxiety. Physical symptoms like muscle loss, bone weakness, and weight gain can undermine self-confidence, worsening anxiety. Sexual dysfunction, such as erectile dysfunction, may also lead to anxiety. Other contributing factors include medication side effects, testicle injury, thyroid issues, and obesity.

Symptoms of Anxiety to check. This will help you understand when to seek help:

Symptoms of anxiety can vary widely among individuals and may include both psychological and physical manifestations:

Psychological Symptoms:

•⁠  ⁠Excessive Worry: Persistent concerns about everyday issues.

•⁠  ⁠Restlessness: Feeling on edge or unable to relax.

•⁠  ⁠Difficulty Concentrating: Trouble focusing on tasks or making decisions.

•⁠  ⁠Irritability: Increased sensitivity or frustration.

•⁠  ⁠Sleep Disturbances: Difficulty falling asleep or staying asleep.

Physical Symptoms:

•⁠  ⁠Panic Attacks: Sudden episodes of intense fear that may include heart palpitations, shortness of breath, sweating, trembling, or feelings of impending doom.

•⁠  ⁠Muscle Tension: Chronic tightness in muscles leading to discomfort.

•⁠  ⁠Gastrointestinal Issues: Nausea or stomachaches.

•⁠  ⁠Hyperventilation: Rapid breathing that may lead to dizziness or light-headedness.

•⁠  ⁠Cold or Sweaty Extremities: Numbness or tingling sensations in hands or feet.

These symptoms can be debilitating and often lead individuals to avoid situations that trigger their anxiety. If untreated, anxiety disorders can significantly impact quality of life and overall well-being.

It’s essential to consult your healthcare provider for personalised guidance tailored to your needs. Additionally, consider exploring the Mave Health Program for a customised approach to mental well-being. 

Managing Anxiety and Low Testosterone

Managing anxiety and low testosterone involves addressing both hormonal and psychological factors. Treatment options include testosterone replacement therapy, stress management techniques, regular exercise, and a balanced diet. Therapy and counselling can also help manage anxiety, while lifestyle changes like better sleep and reducing alcohol intake may improve hormone levels.

Do Read More About Anxiety

  1. How to Help Someone with Anxiety: A Guide for Supportive Friends and Family
  2. Reduce Anxiety immediately with other 12 Effective ways along with 333 Rule
  3. How to Treat Anxiety Without Medication?
  4. How Do Psychiatrists Treat Anxiety Disorders?
  5. 5-4-3-2-1 Grounding Technique Exercise
  6. tDCS Device For Anxiety
  7. Foods to Fight Anxiety

Conclusion

The connection between low testosterone and anxiety is complex, requiring a personalised approach to treatment. If you suspect low testosterone may be affecting your mental well-being, consult your healthcare provider for tailored advice.

Citation

  1. Can Low Testosterone Cause Anxiety? (n.d.). Retrieved 14 October 2024, from Baptist Health website: https://www.baptisthealth.com/blog/behavioral-health/can-low-testosterone-cause-anxiety
  2. Celec, P., Ostatníková, D., & Hodosy, J. (2015). On the effects of testosterone on brain behavioral functions. Frontiers in Neuroscience, 9, 12. doi:10.3389/fnins.2015.00012
  3. Domonkos, E., Hodosy, J., Ostatníková, D., & Celec, P. (2018). On the role of testosterone in anxiety-like behavior across life in experimental rodents. Frontiers in Endocrinology, 9, 441. doi:10.3389/fendo.2018.00441
  4. Low testosterone (low T): Causes, symptoms & treatment. (n.d.). Retrieved 14 October 2024, from Cleveland Clinic website: https://my.clevelandclinic.org/health/diseases/15603-low-testosterone-male-hypogonadism
  5. Maner, J. K., Miller, S. L., Schmidt, N. B., & Eckel, L. A. (2008). Submitting to defeat: social anxiety, dominance threat, and decrements in testosterone. Psychological Science, 19(8), 764–768. doi:10.1111/j.1467-9280.2008.02154.x
  6. Image Designed by Freepik
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