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Low Testosterone And Anxiety — A Vicious Circle

Low testosterone and anxiety are inherently connected, which isn’t exactly a surprise to many men who suffer from both.

We’ve all heard the expressions,

“Man up!”

“Grow a pair.”

anxiety (woman with her hands over her mouth looking fearful)

“Be a man about it.”

And while these *coughs* charming phrases may lack dignity or manners, they all point to a common assumption: manly men, filled with testosterone, don’t get overwhelmed by anxiety— they grab life by the horns and confidently take control.

But is there a connection between low testosterone and anxiety?

In a word? Heck frigging yes.

Low Testosterone and Anxiety: Body and Mind?

Testosterone is a hormone that has a wide array of effects, and not all of them are simply physical.

While low testosterone levels do indeed have a great number of undesirable physical side effects — increased body fat, less energy, low libido all among them—low levels can also carry with them a tremendous psychological impact.

In fact, there’s been more than a few studies on how testosterone and anxiety interact. You can read a few of these fascinating studies here and here.

Low testosterone and anxiety were also found to be closely associated in women, which you can read about in this study.

If your body’s production of testosterone is lacking, you may get hit with a double whammy. Not only will you have a decline in the weight room and bedroom, you may even start sliding in the boardroom!

Self-confidence and feelings of well-being are directly tied to hormone levels in the body. Low testosterone can put a serious damper on how you stride into your meeting with the boss or how assertive you are as you close that big deal.

So here we are—already feeling physically down, and now feeling like we’re less than ourselves to boot? Nervous all the time and doubting ourselves? AARGH!

But here’s the good news: if you feel like your confidence matches your love handles a little too closely (soft, squishy, not something you want to brag about?), there might be something you can do for both: Get your levels checked.

Testosterone Replacement Therapy, Low Testosterone and Anxiety

Here’s the thing about low testosterone and anxiety—You’re not alone. Heck, you’re not even close.

Up to 40% of men over the age of 45 (and many younger—like this author!) experience hypogonadism, or low testosterone.

Fortunately, it’s a very treatable condition.

If you’re seeing the physical symptoms—low energy levels, less return from your workouts, a lack of interest in sex—You might be a candidate for Testosterone Replacement Therapy, or TRT.

Not only could these physical symptoms be helped, but the anxiety and lack of confidence you may be feeling may also be noticeably improved with TRT!

For many patients, this can be an incredible gift—many anti-anxiety drugs simply mask the problem, and a large portion of them are potentially addictive. Finding a way to treat anxiety without using drugs could be life changing.

What Can TRT Do for Low Testosterone And Anxiety?

The goal of TRT is to put you in your optimum hormone range, where you’re firing on all cylinders and feeling your best.

Just like TRT isn’t going to turn you into a hulking brute monster with traps that cover your ears, it’s not going to turn you into a swaggering jerk who goes around pushing your co-workers into lockers.

TRT is designed to help you be the optimum you, at your best ideal hormone ranges. You’ll be you, like always, but you’ll feel the way you do on your best days. This can include a reduction in anxiety levels.

If your self-confidence has waned and you’ve experienced anxiety because of low testosterone, TRT might make a significant difference!

Often, newer recipients of TRT will remark on how great they feel—and how they didn’t even realize before treatment how down they were.

Improved mood, happiness, confidence, a lack of unneeded anxiety—why be a light-bulb that’s only half lit? Turn it up and be YOU again.

Who Do I See?

If you think you’re a candidate for TRT and you’re experiencing either the physical symptoms described or anxiety and diminished self-confidence, it’s time to get proactive.

More good news here—it’s really, really easy!

If you have questions or wish to learn more about Testosterone Replacement Therapy, please contact Testosterone Centers of Texas and request a free consultation with an experienced and licensed health care professional.

And get back to being you.

—Tom Steele



T Steele


  1. dan on 04/07/2016 at 4:19 am

    Great article. Low testosterone can be mentally challenging especially with the pressure American culture puts on “manning up”

    • Augie Galindo on 04/19/2016 at 10:31 pm


      You are exactly right! Thank you for the feedback!

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  2. Michael Todd on 09/21/2016 at 7:23 pm

    I just took my 2nd dose of TRT, I have panic disorder, been dealing with it for years, my question is can it cause you to have an increase in anxiety while taking the shots?

    • Augie Galindo on 10/02/2016 at 3:37 pm


      In my experience, TRT can improve issues with anxiety once everything is balanced, but fluctuation of estradiol levels (that will happen at the beginning) could contribute to anxiety to some degree.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  3. leah on 10/08/2016 at 12:52 am

    My partner is currently undergoing tests here in the UK for hormone therapy. It’s been almost a year from first seeing our gp to us hopefully sorting it out. He’s had numerous blood tests including gnrh a dexa xray and next week an MRI. I really hope they address it sooner rather than later as time passes he’s suffering more an more. The side affects including anxiety can be so debilitating. My partner like you is also younger than average he is 35. Great article

    • Augie Galindo on 10/10/2016 at 4:24 pm


      Thank you so much for your feedback, and best of luck to you and your partner.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  4. Mary Walker on 02/05/2017 at 7:47 pm

    My son is 40 yrs old and has been diagnosed with Low T.. He is going through the injections, but his anxiety attacks are dibilitating. He has had 4 injections and has not felt any relief. We live in northern Arizona and are able to travel to Las Vegas, Nev or Phoenix Az. Can you recommend a specialist that could possibly help him?

    • Augie Galindo on 02/06/2017 at 7:05 pm


      Unfortunately, I don’t have any contacts in your area. I would strongly suggest performing a thorough web search of clinics in your area that deal with responsible diagnosis and treatment of testosterone deficiency.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  5. Jon on 02/09/2017 at 4:19 pm


    Do you guys deal with UK customers?

    Spoke to a number of clinics here in UK, but they only use Nebido testosterone as opposed testosterone Enthanate or cypionate which is nowhere near as effective.

    If not, looks as though i may be forced into the darknet and will have to take matters into my owm hands.


    • Augie Galindo on 02/13/2017 at 10:38 am


      Unfortunately, since testosterone is a controlled substance here and my medical credentials and licensing is also geographically limiting, we can’t. We have Aveed here, the US analog to Nebido, and my assessment is the same.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

  6. Tom on 04/21/2017 at 9:50 am

    Thyroid issues can also tank testosterone.
    Blood draw tests:
    Free T4
    Free T3
    Reverse T3
    Thyroid Peroxidase Antibodies
    Thyroglobulin Antibodies

  7. Bob on 06/05/2017 at 8:16 pm

    Just did my second injection today. My level is about 160. Had removal of one testicle years ago, benign. I also suffer from anxiety which has gotten worse over the last several months. Xanax helps with the attacks but would like to stop taking it, even though my dose is low. As the injections continue will this help or make the anxiety worse?

    • Augie Galindo on 06/24/2017 at 6:43 pm


      There is no study into this issue that I am aware of, but I can tell you that many of my patients who had symptoms of anxiety or depression just prior to starting TRT were able to successfully wean themselves from the medications that were prescribed to treat those isolated symptoms.

      Best regards,
      Augie Galindo MPAS, PA-C
      Testosterone Centers of Texas | Founding Partner

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