Why do Testosterone Levels Decline?

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The body’s production of testosterone can decrease for a variety of reasons as individuals age, and sometimes due to other factors. Here are some common factors that can lead to a decline in optimal testosterone levels:


One of the primary factors contributing to declining testosterone levels is age. Testosterone production typically peaks in early adulthood and starts to decline gradually after the age of 30. This natural decline is often referred to as “andropause” or “late-onset hypogonadism.”


Unhealthy lifestyle choices, such as poor diet, lack of exercise, excess alcohol consumption, smoking, and chronic stress, can contribute to lower testosterone levels. Inadequate intake of certain nutrients, such as zinc and vitamin D, can also lead to lower testosterone levels. As part of your lifestyle, are you getting enough sleep? Poor sleep quality or insufficient sleep can disrupt hormone production, including testosterone. Pay attention to your lifestyle, and always opt for healthy lifestyle choices like proper diet, exercise, lower stress levels, taking proper nutrients and get enough sleep. Maintaining a healthy lifestyle can help support optimal hormone levels.


Certain medical conditions, such as obesity, diabetes, metabolic syndrome, and chronic illnesses, can impact testosterone production. Additionally, conditions that affect the hypothalamus, pituitary gland, or testes themselves can lead to hormonal imbalances.


Some medications, like corticosteroids and opioids, can interfere with testosterone production. If you suspect that a medication is affecting your hormone levels, it’s important to consult your healthcare provider.
Conditions like hypogonadism, which can be primary (testicular) or secondary (due to problems with the pituitary or hypothalamus), can result in reduced testosterone production. Physical damage to the testes, infections, or conditions such as mumps orchitis can impact testosterone production.


Your genetic factors can also play a role in determining an individual’s baseline testosterone levels and how they change over time. Your environment can also play a role in lowering your testosterone levels. Exposure to endocrine-disrupting chemicals found in plastics, pesticides, and other pollutants may also contribute to hormonal imbalances.


It’s important to note that some decline in testosterone levels with age is natural and not necessarily problematic. However, if you’re experiencing symptoms of low testosterone (such as reduced libido, fatigue, mood changes, or decreased muscle mass), it’s advisable to consult a healthcare professional. They can perform appropriate tests and recommend treatments, if necessary, to address any underlying issues and help you maintain optimal hormonal balance.

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Dr. Kenneth Argote is a board-certified, doctorally prepared Family Nurse Practitioner with more than 12 years of experience. He began his career at the University of South Florida, earning his Bachelor of Science in Nursing with honors before working in the Emergency Department and cardiac unit. His time caring for acutely ill patients sparked a realization: many hospitalizations could have been prevented with better primary care.

Motivated by this vision, he returned to USF to complete his Master of Science in Nursing with a focus on Family Primary Care in 2014, followed by his Doctor of Nursing Practice degree in 2019. Over the years, Dr. Argote has provided preventive, acute, and chronic care for patients of all ages while growing increasingly frustrated with how traditional insurance models limit patient outcomes.

In 2021, he founded Vital Advanced Medical Center to create a better way forward through Direct Primary Care—removing barriers, putting patients first, and providing care that is both high-quality and affordable. Today, he continues to lead the practice with a focus on whole-person health and long-term relationships.