Confused Man

Dispelling Misconceptions About Testosterone: Setting the Facts Straight

Let's be honest testosterone has often been unfairly criticized over the years. If we were to believe everything we hear we might even consider measures. Luckily much of the negativity surrounding testosterone is simply unfounded.

Back, in the days of T Nation we actually published articles on how to navigate through the complexities of testosterone replacement therapy. At that time doctors were hesitant to prescribe testosterone when levels were low.

Fast forward to today. Things have significantly changed. "Mens clinics" are now easily accessible in strip malls. Despite these advancements numerous misconceptions and myths about testosterone still persist. It's time to dispel a few of them.

Myth: Testosterone is a cause of prostate cancer.

In the 1940s our understanding of prostate cancer was quite limited. Some early observations suggested that castration extended the lives of men with prostate cancer. One case led people to believe that testosterone was responsible for this disease.

But let's pause for a moment; it's crucial not to generalize based on one individual's experience. Their situation doesn't represent the truth.

Recent research findings indicate that testosterone replacement therapy (TRT) does not raise the risk of prostate cancer. In fact it may even lower the chances of developing forms of the disease.

Misconception: High levels of testosterone cause baldness and drain your hat budget.

Contrary to belief, male pattern baldness is not directly linked to testosterone levels. Genetics primarily determine baldness with some influence from a hormone called dihydrotestosterone (DHT). However even individuals genetically predisposed to baldness generally experience stabilization in their hairline by their thirties. Additionally medications like Propecia can help counteract the effects of DHT. So there's no need to worry; your testosterone is not conspiring against your hair.

Misconception: Testosterone promotes muscle growth but weakens the heart.

A year ago concerns were raised by the FDA based on a study regarding testosterone. However this study had limitations as it did not account for testosterone levels, estrogen levels or the use of heart protective medications. On the other hand, more than 100 studies support the significance of maintaining optimal testosterone levels for heart health. Low testosterone has been associated with rates of diseases, obesity and diabetes; therefore dismissing TRT based on these misconceptions is unfounded.

Misconception: Testosterone transforms you into a threat.

It's interesting how men, with levels of testosterone often experience moodiness and increased aggression. Interestingly restoring their testosterone levels can often lead to a change in their attitude. However it's important to note that the misuse of testosterone or steroids can actually trigger behavior in individuals who are already prone to such tendencies.

It's not testosterone levels that contribute to aggression; societal factors like status also play a role. Men who have both testosterone and high socioeconomic status tend to display self control.

There is a misconception that only men with blood testosterone require treatment. However many doctors don't regularly measure testosterone levels even though they should. This is because testosterone levels in the blood fluctuate throughout the day making them an unreliable indicator of status. Additionally age and SHBG (sex hormone binding globulin) levels can significantly affect the amount of testosterone in your body.

Ideally doctors should assess testosterone, free testosterone and bioavailable testosterone levels to gain an understanding of your hormonal situation. However it's important to look beyond lab values and consider your symptoms as well as your desire for hormonal optimization when making treatment decisions.

Another myth surrounding testosterone is that it only impacts performance. While many men seek TRT (testosterone replacement therapy) for issues related to erections and libido it's worth noting that low testosterone can manifest through symptoms too. Fatigue, increased body fat and depression are signs associated with this condition.

There's one aspect that often goes unnoticed; a lack of motivation when it's needed. Increasing testosterone levels can rekindle that drive and confidence.

Misconception: Women don't require testosterone replacement.

Testosterone is not a hormone found in males; it also plays a role, in women's well being, mental health and sexual desire. Low levels of testosterone in women can result in problems like decreased muscle and bone mass, increased body fat and reduced energy and sexual interest. It is crucial for women to consult doctors when considering testosterone replacement to avoid any side effects.

Misconception: Testosterone replacement causes shrinkage and infertility.

Introducing testosterone into your system can temporarily suppress production leading to temporary shrinkage of the testicles. It may also impact sperm production. However these effects are typically reversible within a week after discontinuing treatment. In cases medications such as Clomid and HCG can stimulate the testicles back into action.


It's about time we debunk the misconceptions surrounding testosterone and adopt a viewpoint. When administered responsibly testosterone replacement therapy can bring benefits for both men and women. So don't let unfounded rumors discourage you from exploring the advantages of optimizing your health.

James Freeman


Liam Marshall, the friendly fitness coach, has spent 14 years sharing his love for sports and fitness. With degrees in sports science, he crafts workouts that fit like your favorite jeans. Beyond the gym, he organizes sports clinics and tech-savvy fitness apps that motivate people worldwide. He's all about making fitness doable for everyone, and it's not just about bodies – it's boosting confidence. In 2019, he scored the "Virginia Fitness Coach of the Year" award. Outside the fitness world, he loves family time and hikes in Shenandoah National Park. Liam's journey from a small-town fitness fan to a big-time coach is all about passion, inspiring people to see fitness as a body-and-mind thing. Catch him on Instagram to stay in the loop!