Testosterone, also known as the man maker is essential for men by all means to perform their biological functions. One of those functions includes the development of male reproductive tissues. The body produces the testosterone levels as it is directed by the brain. It is a complex system built through the brain, testes and other different hormones.

It begins to increase when males reach puberty. They have a peak level of testosterone during adolescence and young adulthood when it plays a vital role in the development of muscles, bone mass, and the growth of body hair.

As men grow old, the body reduces the production of testosterone. It can begin to drop approximately at the age of 30 and further about 1% per year.

How does this complex system work?

Hypothalamus is a small portion of the brain which is responsible for a variety of functions. This secretes a hormone that pulses all day long. The negative feedback loop controls the release of these hormones. When it has reached adequate levels of hormones, the brain receives a signal to slow down the production of testosterone.

Besides age, there can be other factors too causing low testosterone levels in men. To pin down the cause, doctors can simply recommend blood tests.

What are two conditions to identify low testosterone levels in men?

Primary Hypogonadism

It is a primary indication of decreased testosterone. Men diagnosed with Primary Hypogonadism before their puberty usually face difficulty with their growth and sexual development, whereas men diagnosed with it after puberty can develop sexual difficulties and reduced fertility. It usually happens due to the problem in gonads.

Secondary Hypogonadism

Men with a deficient level of testosterone can suffer from Secondary Hypogonadism. Men suffering from this might have sperms missing in their semen. It happens when the brain stops sending signals to testicles, and the root cause of the issue is hypothalamus or pituitary.

In simple words, men with any of the above conditions have fewer sex hormones which are not enough for the body. This diagnosis can only be performed in laboratory conditions and only after the derived result, a doctor can advise you treatment options.


Just like the complex system of testosterone in our body, the treatment to tackle its low levels can be complex. You must see an experienced therapist for diagnosis as well as the treatment.

Medically reviewed by Rishabh Verma, RP

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