Sonja Perrone
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Your body makes dehydroepiandrosterone (DHEA) in your adrenal glands and uses it to make both testosterone and estrogen. In one yearlong study, 65 men who took 3,300 IU of vitamin D daily increased their testosterone levels by 20% over those who didn't. Long-term zinc supplementation may lead to increased testosterone levels.
Women with high testosterone levels, due to either disease or drug use, may experience a decrease in breast size and deepening of the voice, in addition to many of the problems men may have. One treatment available for many of these problems is spironolactone, a special type of diuretic (water pill) that blocks the action of male sex hormones. Part of this may be due to the difficulty defining "normal" testosterone levels and "normal" behavior. When testosterone levels rise too high, the brain sends signals to the pituitary to reduce production. Your hormones shape more than just your body; they influence your emotions, confidence, and outlook on life.
Some people take testosterone therapy to treat low levels. "But people with low testosterone have been shown to have a decrease in mood, and there is some evidence that treatment will improve that." If your levels are consistently low and you show multiple symptoms, like fatigue or malaise, some doctors might recommend hormone therapy.
The idea that testosterone automatically leads to uncontrollable anger, often called "roid rage", has been popularized in media. Some people feel calmer and more stable after treatment. Instead, research shows it may make people more sensitive to certain situations, especially those involving stress, conflict, or social challenge. Testosterone is a hormone produced mainly in the testicles in men, and in smaller amounts in the ovaries and adrenal glands in women.
Men are known for often masking their depression with anger, frustration, or irritability. While most of us are experiencing one damn thing after another these days, I’d like to discuss the role of testosterone in male emotional well-being. Explain that you have been experiencing mood changes that may have a hormonal component.
Stress management techniques including mindfulness, breathing exercises, and other practical daily practices lower reactivity and strengthen prefrontal control over emotional impulses. Testosterone is primarily produced during sleep, particularly during deep sleep phases. Sleep deprivation and testosterone are closely linked. Cognitive-behavioral techniques specifically targeting anger can be particularly effective. This eliminates the burden of travel and makes consistent follow-up easier, more discreet, and less stressful. Telepsychiatry appointments provide convenient virtual visits for TRT monitoring and, when indicated, psychotherapy and broader psychiatric care.
While the specifics are uncertain, it's possible that androgens also play an important role in normal brain function (including mood, sex drive and cognitive function). If you thought testosterone was only important in men, you'd be mistaken. There may be other important functions of this hormone that have not yet been discovered. Testosterone may also help maintain normal mood. For example, the genitals may not enlarge, facial and body hair may be scant, and the voice may not deepen normally.
Prolonged stress can also impair thyroid function and disrupt insulin sensitivity. Monitoring estradiol is a standard part of any comprehensive male hormone evaluation. Timelines vary based on the severity of the imbalance and your adherence to the treatment protocol. Full optimization, including body composition changes and cognitive improvements, typically develops over 3-6 months. Many providers and patients prefer bioidentical options because they more closely replicate natural hormone activity. The most effective approach combines lifestyle optimization with targeted treatment when indicated. Men typically experience gradual testosterone decline starting around age 30, losing roughly 1-2% per year.