The Journal of Clinical Endocrinology and Metabolism released a study that suggests that men who are overweight, even by 30 pounds, have lower testosterone than do men of normal weight. This has many health implications including decreased muscle mass and bone density, as well as lower energy and sex drive. Symptoms of low testosterone in men also include irritability, lethargy, lack of sexual fantasy, and difficulty attaining erection.

Many men who come into my office are resistant to the idea that they may have low testosterone, and they will not see an endocrinologist even when referred. This is a mistake, because there are just some things that talk therapy cannot overcome! Read more about the symptoms, effects, and treatment of low testosterone.

Of course, the converse is true: Testosterone replacement will only be so helpful if there are also psychological issues. So don’t run away to the phone just yet to get a referral to an endocrinologist. An evaluation with a qualified sex therapist is also a good idea when it comes to understanding your sexual health and well-being.

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