Five Myths About Testosterone in Men

In our last discussion, we busted five myths about women and testosterone. It turns out that men are just as misinformed. Thanks to “Big Pharma” and the influence of athletic associations, many men have been misdirected and mistreated regarding their hormonal health for far too long. In my practice, I encounter these misconceptions daily, and it is time to set the record straight.

Myth #1: “Low testosterone is just a normal part of aging.” While levels decline with age, clinically low levels are not “normal.” Low T contributes to chronic fatigue, loss of muscle mass, increased body fat, insulin resistance, and mood changes. It isn’t just a side effect of getting older; it’s a health concern that deeply impacts your quality of life.

Myth #2: “Testosterone therapy causes heart attacks.” Current evidence shows that properly managed therapy does not increase heart attack risk. In fact, appropriate levels—generally between 600 and 1100 ng/dL—are heart-protective, improving cholesterol and blood sugar. If levels are too high or too low, you lose that protective value, which is why monitoring by an experienced practitioner is vital.

Myth #3: “High testosterone makes men aggressive.” Balanced, optimized testosterone actually supports emotional stability. Irritability and mood swings are more commonly linked to low or fluctuating levels rather than stable, optimized ones.

Myth #4: “If you can still get an erection, your testosterone is fine.” Sexual function is only one piece of the hormonal puzzle. Many men with low T maintain erectile function but suffer from poor sleep, low energy, muscle loss, and metabolic issues.

Myth #5: “Testosterone is only for building muscle.” Optimal levels are essential for healthy aging across the board. They support bone density, cognition, and metabolic health. To maintain heart health and lean muscle mass, levels should generally stay above 600 ng/dL.

Myth #6: “Men don’t need estrogen!” This is a major point of confusion, even for some doctors. Men depend on estrogen to prevent osteoporosis and maintain bone strength. It also promotes skin elasticity and protects brain cells against Alzheimer’s.

Hormones play a significant role in your physical and mental health. When done properly, testosterone therapy is what I call a “life-giver-backer.” Patients report increased energy, better moods, and improved relationship satisfaction. It is time we stop the villainization of testosterone. Under the guidance of a skilled practitioner, there is no reason to be afraid. Don’t be afraid to discuss your health journey with a provider you trust.