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Low testosterone symptoms such as lower sex drive and weight gain can impact a man’s self-esteem. A low sex drive, erectile dysfunction, weak muscles, and weight gain — these are all symptoms of low testosterone levels. Not every man with low testosterone suffers from lower confidence, says Bruce Gilbert, MD, PhD, a urology professor at the Hofstra North Shore-LIJ School of Medicine in Great Neck, New York. Your first step if you’re experiencing symptoms such as low sex drive, fatigue, and weight gain should be to talk with your doctor and get tested for low testosterone. If your doctor does determine that your testosterone level is low, he or she may recommend testosterone replacement therapy (TRT), which replaces the testosterone your body has lost to help return levels to normal.
It’s important to have your testosterone levels monitored by your doctor if you’re receiving TRT to make sure you’re not being undertreated or overtreated.

In addition to receiving TRT to help improve symptoms that may be affecting your self-esteem, there are other steps you can take to boost your confidence. And it's no surprise that dealing with those symptoms can also deliver a blow to self-confidence. When you do that, the original problems — low testosterone symptoms — may be easier to overcome. Some won't have issues with confidence at all, while some men with normal testosterone levels will have tremendous confidence issues, he says. Undertreatment means taking testosterone replacement at a level that’s too low to address symptoms, Dr. One of the treatment approaches in therapy is to build self-confidence, both sexually and in general when low testosterone is an issue, Kanaris says.

If you’re single and find yourself holding back when it comes to dating because of low testosterone, Kanaris suggests pushing yourself to get out there and meet others, but move more slowly than you might have in the past. When it comes to weight gain, muscle loss, and other physical symptoms of low testosterone, it helps to stop chasing after the way you looked two decades ago. A study published in December 2014 in Hormones found that exercising at a moderate or high intensity was strongly associated with higher levels of testosterone in men.
Sexual problems related to low testosterone are a good reason to slow down and get to know someone before beginning a sexual relationship, which can ultimately lead to a more fulfilling connection.

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