Fortunately, it’s easy to find out if your testosterone levels are in the normal range. This article discusses normal testosterone levels, tests, and treatment.
What Is Testosterone?
Testosterone is an androgen hormone that’s produced by the adrenal cortex, the testes, and the ovaries.
The endocrine glands make hormones. Men produce hormones in their testes, and women make them in their ovaries.
Testosterone and estrogen are two of the most well-known hormones. Though testosterone is typically recognized as the “male hormone” and estrogen is often referred to as the “female hormone,” they’re both found in both men and women. Both men and women can experience health problems if their testosterone levels are out of the normal range.
Normal Testosterone Levels
Under normal circumstances, testosterone performs many important functions in your body.
In men, the hormone plays a key role in:
Sex driveSperm productionMuscle and bone growthDeepening of the voice and hair growthThe development of male sex organsMood
Generally, healthcare providers consider normal testosterone levels in men to be between 300 and 1,000 nanograms per deciliter (ng/dL). These ranges may vary slightly depending on the criteria used by your provider or laboratory.
Your testosterone levels may be higher or lower based on your age, sex, medications you take, and other health conditions you have.
Testosterone production tends to slow as a person ages.
Testosterone in Women
Though women produce less testosterone than men, the hormone still plays a vital role in how a woman’s body functions.
In women, testosterone helps with:
Bone strengthOvarian functionSex drive
A normal level of testosterone in women is considered to be between 15-70 ng/dL.
Symptoms of High or Low Testosterone
You might start to notice changes if your testosterone levels become too high or low.
300–1,000 ng/dL for men15–70 ng/dL for women
Men typically produce the most testosterone during their teenage years.
Symptoms of High Testosterone in Men
Having too much testosterone isn’t a common problem for men. However, males who do have too much testosterone may experience:
Low sperm counts Prostate enlargement Heart muscle damage Liver disease Acne Weight gain High blood pressure or high cholesterol Fluid retention Stunted growth (in teens) Aggressive behavior or mood swings Headaches Increased muscle mass Higher risk of blood clots
Symptoms of Low Testosterone in Men
Low testosterone is more common among men. This condition may cause the following symptoms:
Breast enlargement Low sex drive Trouble getting an erection Low sperm count Fertility issues Bone weakness Irritability or trouble concentrating Hair loss Depression Loss of muscle mass Fatigue Hot flashes
Symptoms of High Testosterone in Women
The correct balance between testosterone and estrogen is crucial for a woman’s ovaries to work properly.
Women with too much testosterone may experience a deep voice or a decrease in breast size.
One of the most common causes of high testosterone in women is a condition called polycystic ovary syndrome (PCOS), which is characterized by enlarged ovaries with small cysts.
Symptoms of high testosterone in women may include:
Infertility Acne Irregular periods Obesity Blood sugar issues Extra hair growth Male-pattern baldness Depression or anxiety
Symptoms of Low Testosterone in Women
Women can also have a testosterone deficiency, which may cause:
Irregular periods Fertility issues Osteoporosis Low sex drive Vaginal dryness Breast changes Depression or poor concentration
Tests
If your healthcare provider suspects your testosterone levels might be too high or low, they may recommend a blood test to measure the amount of the hormone.
Most of the testosterone in your blood is attached to two proteins, but some testosterone, called free testosterone or bioavailable testosterone, is not attached to proteins.
The two main types of testosterone blood tests are:
Total testosterone: This test measures both free testosterone and attached testosterone in the blood. Free testosterone: This test only measures free testosterone.
You’ll likely have the test in the morning (testosterone levels are highest at this time), but because testosterone levels fluctuate throughout the day, you may have to have the blood test more than once to confirm your levels.
Some studies have shown that saliva tests might also be used to accurately measure testosterone levels in the body.
Treatment
If you and your healthcare provider decide to treat low testosterone levels, you may be a candidate for testosterone replacement therapy (TRT). With this treatment, you are essentially supplementing your body with the testosterone it’s missing.
BleedingBruisingInfectionMinor painFeeling light-headed
Testosterone is available in the following forms:
Oral capsules, including Kyzatrex, Jatenzo, and TlandoGelTopical solutionPatchInjectionImplantable pellet (implanted under the skin)Intranasal gel (in the nose)
Your healthcare provider can help you determine which formulation of testosterone is most suitable for you.
Recent studies have shown that the use of TRT is increasing, and more than half of prescriptions for testosterone are written by primary healthcare providers.
Treatments for high testosterone levels may include lifestyle changes, including exercise to improve symptoms. Healthcare providers may also prescribe antiandrogen medications like Aldactone (spironolactone), diabetes drugs like Actos (pioglitazone), or oral contraceptives to help lower testosterone levels or relieve symptoms of high testosterone.
Summary
Testosterone is an important hormone for both men and women. If your testosterone levels are too low or high, you might develop symptoms that interfere with your daily life. A simple blood test can help you determine if your levels are in the normal range, which are 300–1,000 ng/dL for men and 15–70 ng/dL for women. Treatments are available if your testosterone levels are abnormal.
Possible risk for heart problems, cancer, and blood clots (though recent studies show that the risk for all of these is low or possibly not risky at all)InfertilitySide effects such as breast enlargement (in males), skin reactions, changes in hair patterns, acne, and back pain
A Word From Verywell
If you feel like your testosterone levels might be too high or too low, talk to your healthcare provider. They can help you decide if a blood test is warranted. If you need treatment, your provider can also help you understand the risks and benefits of different therapies.