Can PTSD cause Low Testosterone Levels?

Social IssuesMen's Issues

  • Author Robert Powers
  • Published July 29, 2023
  • Word count 1,619

Post-Traumatic Stress Disorder (PTSD) is a debilitating mental health condition triggered by witnessing or experiencing a traumatic event. It can lead to severe emotional distress and can significantly impact the quality of life of those affected. Traditionally, PTSD is treated with a combination of psychotherapy and medications like selective serotonin reuptake inhibitors (SSRIs). However, new avenues of treatment are constantly being explored to increase the effectiveness of PTSD management. One such avenue is Testosterone Replacement Therapy (TRT), which has shown potential benefits in treating PTSD symptoms in some studies. This article will delve into the potential benefits of TRT in patients with PTSD.

Understanding PTSD

Post-Traumatic Stress Disorder (PTSD) is a mental health condition that's triggered by a terrifying event — either experiencing it or witnessing it. Symptoms may include flashbacks, nightmares, and severe anxiety, as well as uncontrollable thoughts about the event.

The traumatic events that lead to PTSD can be a wide variety of things. For some people, it could be a natural disaster, a severe accident, a physical assault, or exposure to warfare. For others, trauma may come from being the victim of emotional abuse or neglect, or witnessing violence in their home or community.

Symptoms of PTSD often are grouped into four main categories:

  1. Intrusive memories: This can include recurrent, unwanted distressing memories of the traumatic event, severe emotional distress or physical reactions to something that reminds you of the traumatic event.

  2. Avoidance: Avoiding thinking or talking about the traumatic event, or avoiding places, activities or people that remind you of the traumatic event.

  3. Negative changes in thinking and mood: These could be negative thoughts about yourself or other people, or a feeling of hopelessness about the future. You may also feel emotionally numb, or have a lack of interest in activities you once enjoyed.

  4. Changes in physical and emotional reactions: This can include being easily startled or frightened, having trouble sleeping, or having angry outbursts.

PTSD symptoms can vary over time or vary from person to person. They can also create significant problems in social or work situations and relationships. PTSD symptoms can also interfere with the individual's ability to go about their normal daily tasks.

The Role of Testosterone

Testosterone is a hormone typically associated with its role in male sexual development, but it's important for a range of body functions, including bone density, muscle mass, and mood regulation. Lower testosterone levels have been linked to depression, anxiety, and irritability in both men and women.

In the context of PTSD, there is increasing evidence that testosterone may play a significant role. Studies have found lower testosterone levels in men with PTSD compared to those without the disorder. While the reasons for this are not fully understood, it's suggested that chronic stress, a central factor in PTSD, may suppress the production of testosterone.

What are the Symptoms of Low Testosterone

Testosterone is a hormone produced primarily in the testicles in men and in the ovaries in women, albeit in much smaller amounts. In men, testosterone plays a crucial role in the development of male reproductive tissues, and it also promotes secondary sexual characteristics like the growth of body hair and the deepening of the voice. Both men and women need normal levels of testosterone for overall health and wellbeing.

Low testosterone, often referred to as "low T", can manifest through various symptoms. It's important to note that some of these symptoms could be a part of normal aging, while others could be indications of low testosterone. Here are some common symptoms of low testosterone:

  1. Reduced Sex Drive: Testosterone plays a key role in libido (sex drive) in men. Some men may experience a decline in sex drive as they age, but a drastic drop might be a sign of low testosterone.

  2. Erectile Dysfunction: Testosterone aids in achieving an erection by stimulating the production of nitric oxide, which triggers a series of chemical reactions necessary for an erection to occur. Therefore, low levels of testosterone can make it difficult to achieve or maintain erections.

  3. Low Semen Volume: Testosterone plays a role in the production of semen, which is the milky fluid that aids in the motility of sperm. Men with low T might notice a decrease in semen volume during ejaculation.

  4. Fatigue and Lack of Energy: Men with low T have reported extreme fatigue and a significant decrease in energy levels.

  5. Loss of Muscle Mass: Testosterone plays a role in the development of muscle mass. Low levels might lead to a noticeable decrease in muscle volume.

  6. Increased Body Fat: Men with low T may experience an increase in body fat. Some might even develop gynecomastia, a condition in which they develop enlarged breasts.

  7. Decreased Bone Mass: Testosterone helps in the production and strengthening of bones. Men with low T, especially older men who have had untreated low T for years, can be more susceptible to bone fractures.

  8. Mood Swings: Testosterone influences many physical processes in the body, and it can also impact mood and mental capacity. Research has suggested that men with low T are more likely to experience depression, irritability, or lack of focus.

  9. Hair Loss: Testosterone plays a role in several body functions, including hair production. While balding is a natural part of aging for many men, those with low T may experience a loss of body and facial hair.

Testosterone Replacement Therapy: Potential Benefits for PTSD

Given the potential link between testosterone levels and PTSD, Testosterone Replacement Therapy (TRT) has been considered as a potential therapeutic approach. TRT involves administering testosterone to raise the levels of the hormone in the body. This can be done through injections, patches, gels, or pellets.

Several potential benefits of TRT in patients with PTSD have been proposed:

  1. Mood Enhancement: One of the most recognized benefits of TRT is mood enhancement. Testosterone has been found to play a significant role in mood regulation, and individuals with low testosterone levels often report feelings of depression, fatigue, and irritability. Thus, TRT may help to alleviate some mood-related symptoms of PTSD.

  2. Cognitive Improvement: Some studies have suggested that testosterone may enhance cognitive functions, including memory and concentration, which can be impaired in individuals with PTSD.

  3. Reduced Anxiety: Preliminary studies have found that TRT can lead to a reduction in anxiety levels, which could potentially benefit PTSD patients who often experience heightened anxiety.

  4. Improved Sleep: Testosterone may also influence sleep regulation. Some individuals with low testosterone have reported improved sleep quality with TRT, which can be beneficial since insomnia and disturbed sleep are common in PTSD.

Treatment of PTSD

Post-Traumatic Stress Disorder (PTSD) is a serious mental health condition that requires comprehensive treatment. The goal of PTSD treatment is to reduce the emotional and physical symptoms, to improve daily functioning, and to help the person better manage the trauma that triggered the disorder. Treatment for PTSD may involve psychotherapy, medication, or a combination of the two.


Psychotherapy (also known as talk therapy) involves meeting with a mental health professional on a regular basis. It's often considered the most effective treatment for PTSD and can occur on a one-to-one basis or in a group setting. Some common types of psychotherapy used in treating PTSD include:

  1. Cognitive Behavioral Therapy (CBT): This type of therapy helps patients understand and change thought patterns that lead to harmful behaviors or feelings of distress. A subtype of this therapy, known as trauma-focused CBT, targets memories of the traumatic event and the negative thoughts associated with it.

  2. Prolonged Exposure Therapy (PE): In this approach, patients are gradually exposed to thoughts, feelings, and situations that they've been avoiding since the trauma occurred. The goal is to reduce the power these have over the patient's life.

  3. Eye Movement Desensitization and Reprocessing (EMDR): This involves focusing on sounds or hand movements while you talk about the trauma. This helps your brain work through traumatic memories.


Medications can be effective in treating PTSD, often in conjunction with psychotherapy. The specific type of medication depends on the individual's symptoms and any co-occurring mental or physical health issues. Commonly prescribed medications include:

  1. Selective Serotonin Reuptake Inhibitors (SSRIs) and Selective Serotonin and Norepinephrine Reuptake Inhibitors (SNRIs): These are types of antidepressants that can help control the symptoms of PTSD such as sadness, worry, anger, and feeling numb inside.

  2. Benzodiazepines: These sedative medications are sometimes used for short-term relief of acute symptoms, such as anxiety. However, they're not typically the first line treatment for PTSD.

  3. Antipsychotic Medications: These may be used when symptoms include psychosis or in cases where the person has not responded to other treatments.

  4. Testosterone Replacement Therapy: This should be considered when a patient has PTSD and the accompanying symptoms of low testosterone

It's important to note that everyone is different, so a treatment that works for one person may not work for another. Treatment is tailored to the individual and will depend on a variety of factors including the severity of symptoms, the person's preferences, and the presence of co-occurring disorders such as depression or substance abuse.

In addition to therapy and medication, lifestyle changes can also support recovery. Regular physical activity, a healthy diet, adequate sleep, avoiding alcohol and drugs, and leaning on a support network of friends, family, and support groups can all help a person coping with PTSD.

While PTSD is a serious and potentially debilitating disorder, it is also treatable. With the right treatment, individuals with PTSD can learn to manage their symptoms, reduce distress, and lead fulfilling, healthy lives. It's important to seek help from a healthcare provider if you or a loved one is struggling with symptoms of PTSD.

If you are struggling with PTSD and have symptoms of low testosterone, we can help. Contact us at Eternal Vitality to see how we can help.

Dr. Powers is an internal medicine physician that specializes in bioidentical hormone replacement, medically guided weight loss, and peptide therapy at Eternal Vitality in Orlando Florida. Learn how they can help you at their website

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