Men’s Health Issues

How Hormones Affect Men’s Health

The Effects of Low Testosterone

Hormones such as testosterone, growth hormone, cortisol and DHEA can become out of balance at any age, with low testosterone being the most common for men. Low testosterone is a common male issue, yet only a few men seek treatment. Low testosterone is a risk factor for many conditions and diseases including diabetes, obesity, heart disease, osteoporosis, depression, elevated cholesterol and is likely associated with cognitive decline and Alzheimer’s.

Free testosterone levels peak during a man’s 20’s and gradually decline after age 30 (similarly to women).

Associated symptoms of low testosterone:

  • Waning sex drive
  • Increase in abdominal fat
  • Constant fatigue
  • Night sweats
  • Mood swings
  • Brain fog
  • Anxiety and irritability
  • Decreased muscle mass
  • Decreased erection
  • Decreased stamina
  • Decreased urine flow

Effects of High Estrogen Combined with Low Testosterone

Estrogen also significantly impacts men’s sexual and overall health. Estrogen levels tend to increase, while testosterone decreases with aging. The environmental sources of estrogen are widespread, including hormonal disruptors in food, the environment, and personal care products. Additionally, aromatase enzymes found in fat tissues convert testosterone to estrogen and are increased with increases in belly fat. High alcohol intake also increases aromatization and limits the liver’s ability to remove excess estrogen.


Dr. Carlson offers a complete hormone evaluation including estrogens, free and total testosterone, hormone metabolites, SHBG, DHEA, cortisol, thyroid hormones, insulin, inflammatory markers, vitamin D, omega-3 fats and micronutrients. Treatment recommendations focus on avoiding smoking, caffeine, and alcohol and improving diet, exercise, and stress management. Dr. Carlson uses targeted natural medicines and herbal products that are personalized to you.

At times, Dr. Carlson may decide that a you would benefit from a referral for bio-identical hormone replacement, but she does not advocate for testosterone to go above physiologic levels as is common with anti-aging medicine.


  • Fatigue
  • Erectile Dysfunction
  • Low Libido
  • Prostate Problems
  • Acne

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