Testosterone drives energy, mood, muscle, bone and sexual desire. When it runs genuinely low — hypogonadism — men feel it everywhere: tiredness, low libido, poor erections, irritability, loss of strength. The key word is genuinely: diagnosis needs proper morning blood tests and clinical judgement, not a gym-counter hormone panel.
When to seek help
- Persistent fatigue and low motivation
- Reduced sexual desire and weaker erections
- Loss of muscle mass; increase in belly fat
- Low mood, irritability, poor concentration
Common causes
- Age-related decline steeper than normal
- Obesity, diabetes and metabolic syndrome
- Testicular conditions or previous treatment (surgery, chemotherapy)
- Pituitary/hormonal axis disorders
Diagnosis at Ankur
Two properly-timed morning testosterone measurements, along with LH/FSH, prolactin and metabolic screening — interpreted by an andrologist who also examines you. We distinguish true deficiency from tiredness with another cause.
Treatment options
Treat the driver first
Weight, sleep apnoea, diabetes control — these alone can restore levels in many men.
Testosterone replacement therapy (TRT)
Gels or injections with structured monitoring of blood counts, prostate health and fertility implications.
Fertility-preserving alternatives
For men who want children, options that raise testosterone without shutting down sperm production.
Low sexual desire
Loss of interest in sex is a symptom, not a character flaw, and low testosterone is only one of its causes. Thyroid disease, raised prolactin, depression, sleep debt, medication (including some antidepressants and blood-pressure drugs), alcohol, chronic stress and relationship strain all suppress desire, often together.
We assess the hormonal picture first because it is measurable, then look honestly at the rest. Desire that returns in some situations but not others usually points away from a hormonal cause — which is useful information, not a dismissal.