Add your lab numbers and how you feel. You'll see whether your level counts as low by the American Urological Association definition, the most likely reasons it's low, and what you can do about it. Bring the summary to your own doctor.
These work best when something is pulling your level down. They help your whole health either way.
Most over-the-counter boosters haven't been shown to raise testosterone in men with true deficiency. Studies are small and short, and supplements aren't checked for purity before sale. Some products have been found to contain hidden steroids.
Vitamin D and zinc only help if you're low in them. Ashwagandha has a few small trials with modest effects and rare reports of liver injury. Tribulus and D-aspartic acid don't consistently work. See the table in your plan for details.
Primary means the testicles can't make enough, even though the brain is asking loudly. LH is high. Causes include Klinefelter syndrome, past chemotherapy or radiation, injury and undescended testicles.
Secondary means the signal from the brain is weak, so LH is low or normal. This is the most common pattern and is often driven by weight, sleep apnea, opioids, steroid pills or past steroid use. Less often it's a pituitary problem, which is why prolactin is checked.
Secondary low T can sometimes be reversed by fixing the cause, and it can be treated with pills or shots that keep fertility intact.
Testosterone from outside the body tells the brain to stop sending LH and FSH. Sperm production falls, often to zero, within months. It usually recovers after stopping, but it can take a year or more and doesn't always fully return.
If you want children now or later, ask about clomiphene, hCG or anastrozole, which raise your own testosterone and keep sperm production going.
The TRAVERSE trial followed over 5,000 men with low testosterone and heart risk factors and found no increase in heart attack or stroke. In February 2025 the FDA removed the boxed heart warning from testosterone labels and added a blood pressure warning.
In June 2026 the FDA asked makers to update labels again: removing the limitation on use for age-related low testosterone, limiting the prostate cancer contraindication to metastatic disease and removing the warning about worsening enlarged prostate symptoms.
Monitoring still matters. Testosterone raises red blood cell count, and PSA should be checked before and during treatment.
My Testosterone Levels follows the American Urological Association guideline on testosterone deficiency and current FDA labeling. It explains your results; it doesn't diagnose or prescribe. Reference ranges vary by lab, so your report's own ranges take priority. Not affiliated with any one practice.
Checking a PSA too? Try mypsalevel.