At what age is a man's testosterone highest?

Testosterone production peaks in your teen years and remains high until your mid-thirties, when your testosterone levels start to decline, at the rate of one to two percent per year. A combination of age, genetics, and pre-existing medical conditions determines your testosterone levels.

honehealth.com - What Are Normal Testosterone Levels By Age? - Hone Health

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Is a T Level of 200 ng/dL Too Low?

If you feel fine, the number itself is not an issue. But the likelihood is you’ll have other symptoms, which would indicate it’s definitely time to consult with a doctor. Make sure your doctor is qualified to talk about hormone testing and treatment, as a lot of primary care doctors aren’t heavily trained in this topic in medical school and prefer not to address it with patients. Hone’s team of doctors are all specialists with a deep understanding of hormones—and how hormone replacement therapy—works.

Why Do Testosterone Levels Change With Age?

“Think about women going through menopause,” says McDevitt. “Their ovaries are slowing down. The same thing happens to men; it’s called andropause.” It’s normal for your hormone levels to decrease. “The organ producing them says ‘I did my job. I gave you the hormones to become an adult and to reproduce’ and they start to slow down,” says McDevitt. But you don’t have to experience the negative symptoms that come with hormone declines. You can optimize your hormones and feel good, McDevitt says.

What Is Considered Low T?

Clinically, hypogonadism—or low T—is defined by having two tests where testosterone levels are 200 ng/dL or less. “What I’ve noticed in my patients,” says McDevitt, “is that anyone in the 400s will start to exhibit symptoms of low T.”

Those symptoms can include:

“Honestly, a low libido is one of the least heard symptoms,” McDevitt says. “The main things I hear are patients saying they’re not sleeping well, their brain feels foggy, and their stamina is down. They used to come home and want to hang out and do things, and now they just want to sit on the couch or they fall asleep. Their mojo is gone.” Accompanying the weight gain is muscle loss, and the inability to perform workouts to the same levels as before, but also seeing fewer results from the same workouts. Lastly, anxiety can be a surprising symptom. “Guys tell me they feel a little anxious, which is completely new,” says McDevitt. “Testosterone has a mood stabilizing effect, so as it decreases, anxiety can arise.”

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What is a normal testosterone level by age?

Age-specific middle tertile levels were 409-558 ng/dL (20-24 years old), 413-575 ng/dL (25-29 years old), 359-498 ng/dL (30-34 years old), 352-478 ng/dL (35-39 years old), and 350-473 ng/dL (40-44 years old). Age-specific cutoffs for low testosterone levels were 409, 413, 359, 352, and 350 ng/dL, respectively.

auajournals.org - What Is a Normal Testosterone Level for Young Men? Rethinking the 300 ...

Abstract

Purpose:

There is an age-related decline in male testosterone production. It is therefore surprising that young men are evaluated for testosterone deficiency with the same cutoff of 300 ng/dL that was developed from samples of older men. Our aim is to describe normative total testosterone levels and age-specific cutoffs for low testosterone levels in men 20 to 44 years old.

Materials and Methods:

We analyzed the 2011-2016 National Health and Nutrition Examination Surveys, which survey nationally representative samples of United States residents. Men 20 to 44 years old with testosterone levels were included. Men on hormonal medications, with a history of testicular cancer or orchiectomy, and with afternoon/evening laboratory values were excluded. We separated men into 5-year intervals and evaluated the testosterone levels of each age group, and for all men 20 to 44 years old. We used the American Urological Association definition of a “normal testosterone level” (the “middle tertile”) to calculate age-specific cutoffs for low testosterone levels.

Results:

Our final analytic cohort contained 1,486 men. Age-specific middle tertile levels were 409-558 ng/dL (20-24 years old), 413-575 ng/dL (25-29 years old), 359-498 ng/dL (30-34 years old), 352-478 ng/dL (35-39 years old), and 350-473 ng/dL (40-44 years old). Age-specific cutoffs for low testosterone levels were 409, 413, 359, 352, and 350 ng/dL, respectively.

Conclusions:

Diagnosis of testosterone deficiency has traditionally been performed in an age-indiscriminate manner. However, young men have different testosterone reference ranges than older men. Accordingly, age-specific normative values and cutoffs should be integrated into the evaluation of young men presenting with testosterone deficiency.

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