Testosterone deficiency and depression in aging men: A comprehensive review.
It is unknown how hypogonadism affects the mood of aging men. However, the prevalence of testosterone deficiency syndrome increases with age, and epidemiological data suggest that TRT may have beneficial effects on mood and depressive symptoms in hypogonadal men.

It is unknown how hypogonadism affects the mood of aging men.
It is unknown how hypogonadism affects the mood of aging men. The best way to measure testosterone levels is with a blood test, but it is not always easy to get your doctor to order it. However, most doctors will agree to administer a saliva test for free if you ask them politely (and pay for the kit yourself).
Doctors are hesitant to give testosterone replacement therapy because they do not want their patients moving back and forth between states of mania and depression. In some cases, this may be warranted; however, many men have been misdiagnosed as having bipolar disorder with low T-level levels. In such cases, treatment with supplemental hormones can be very effective in improving moods and thus preventing future episodes of depression or mania from reoccurring again later on down the road after discontinuing treatment altogether due to side effects experienced during initial therapy trials."
Hypogonadism affects not only sexual function but also several metabolic parameters in men.
Testosterone deficiency is associated with several physical and psychological symptoms, which have been discussed in this article.
As you can see, low testosterone levels have various adverse effects on the body. The following are some of them:
Increased risk for metabolic syndrome
Reduced bone strength (osteoporosis)
Higher risk for cognitive impairment and dementia in aging men; reduced cognitive function (memory) in younger men with low testosterone levels
The prevalence of testosterone deficiency syndrome increases with age.
Testosterone deficiency syndrome is a common problem among aging men. As men age, their testosterone levels decline significantly. According to the National Institute on Aging, beginning at about age 40 and continuing throughout life, men experience a gradual decline in testosterone production that can reach as low as 10% of peak levels by the sixth decade.
Testosterone replacement therapy (TRT) effectively improves mood and depressive symptoms in hypogonadal men.
Testosterone replacement therapy (TRT) effectively improves mood and depressive symptoms in hypogonadal men. However, the effect of testosterone on anxiety, sexual function, and quality of life is less clear.
The majority of studies have shown an improvement in mood with TRT. The effects on depression have been mixed, but some evidence is that testosterone may be beneficial for treating major depressive disorder (MDD). Several studies have investigated whether TRT can reduce symptoms associated with anxiety disorders such as generalized anxiety disorder (GAD), obsessive-compulsive disorder (OCD), or post-traumatic stress disorder (PTSD). Although many studies have reported positive results, it remains unclear whether this is due to a direct effect of testosterone on these conditions or a secondary outcome related to changes in libido or sexual desire that may occur during treatment.
The prevalence of depression and anxiety increases with age.
Depression and anxiety are common in older people. Depression affects approximately 5% to 18% of older adults, and anxiety disorder is more prevalent than depression among this population.2 In fact, the prevalence of depression increases with age until age 79 years, when it decreases slightly before rising again at age 80 years and beyond.3 The rate of depression is two times higher in men than women in all age groups; however, there are no differences between genders for anxiety disorders.
Epidemiological data suggest that TRT may benefit mood and depressive symptoms in hypogonadal men.
TRT is effective in improving mood and depressive symptoms in hypogonadal men. The beneficial effects of TRT on mood may be caused by an increase in testosterone levels, which has been shown to improve sexual function (fertility), anxiety, depression, hypogonadism, and smoking habits.
TRT also improves general health and well-being by reducing or eliminating the symptoms of low testosterone. Increased energy levels are expected among men undergoing TRT treatment; a reduction in fatigue is often reported after six months of TRT therapy.
Post-treatment studies have shown that men treated with TRT had significantly less stress than those not treated with hormone replacement therapy (HRT).
Sex hormones play a modulatory role in developing and maintaining depressive symptoms and anxiety disorders.
Testosterone is a steroid hormone that plays a crucial role in normal brain function. Its production involves the interplay between the hypothalamus, pituitary, and testis. Testosterone is also essential for normal sexual development in men. Testosterone helps to maintain muscle strength and mass, bone density, hair growth, and sperm production.
Here are some ways that testosterone can affect people's moods as they get older
Testosterone is a hormone that plays a crucial role in maintaining physical and mental health. With age, however, testosterone levels decrease, which can lead to symptoms of depression.
Some men may undergo testosterone replacement therapy (TRT) to combat this phenomenon. TRT involves taking supplemental doses of the hormone through injections or gels—a process that has been shown to improve moods in older men with low T levels.
Conclusion
As we have seen, testosterone deficiency and depression are common in aging men. Hypogonadism affects not only sexual function but also several metabolic parameters in men. The prevalence of testosterone deficiency syndrome increases with age, accounting for more than 5% of the male population aged over 60 years old. Epidemiological data suggest that TRT may benefit mood and depressive symptoms in hypogonadal men. In conclusion, there is sufficient evidence to demonstrate that testosterone may play a role in developing and maintaining depressive symptoms and anxiety disorders.