What is the ideal free testosterone level? - Wellness Hormone Clinic

Free testosterone is the amount of testosterone in the blood that is available to tissues to support normal bodily functions. As we age, total and free testosterone levels tend to gradually decline, and low levels can lead to unpleasant symptoms. So what is considered an optimal range? There is no consensus on exact numerical thresholds for optimal or low testosterone. However, most experts reference the following general guidelines:

• Healthy young men typically have free testosterone levels of 15-25 pg/mL or higher
• Levels between 10-15 pg/mL are considered lower normal
• Levels below 10 pg/mL may cause symptoms for some men

Some key points about free testosterone:

• It tends to decline with age, along with total testosterone
• But individual variation is high - men can have low, normal or high levels at any age
• Optimal levels depend on age and individual symptoms
• Maintaining levels in the normal range may promote vitality, energy, sexual function, and muscle mass

Factors that impact free testosterone:

• Age
• Medical conditions
  • Obesity
  • Diabetes
  • Pituitary disorders
• Lifestyle
  • Sleep
  • Stress
  • Alcohol use
  • Exercise
• Medications
  • Opioids
  • Glucocorticoids
  • Anti-androgens

Symptoms of low free testosterone can include:

• Low energy and fatigue
• Decreased muscle mass
• Increased body fat
• Poor concentration and memory
• Irritability or depression
• Erectile dysfunction
• Reduced facial and body hair
• Loss of libido

However, having a testosterone level slightly below normal may cause no symptoms at all in some men. Managing low testosterone: Lifestyle changes should be explored before considering TRT:

• Weight loss if overweight
• Healthy diet
• Resistance training & regular exercise
• Adequate, quality sleep
• Stress reduction
• Reducing or avoiding excess alcohol intake
• Quitting smoking

If symptoms persist despite lifestyle measures, testosterone therapy may be an option for some men. Potential benefits of treatment when appropriately prescribed include:

• Increased energy, motivation, and sense of well-being
• Improved libido and potential improvement in erectile function
• Increased muscle mass and possible decrease in fat mass
• Improved mood, cognitive function, and bone mineral density

However, treatment also carries risks including acne, breast enlargement, testicular shrinkage and potential for cardiovascular events in susceptible men. Careful consideration of risks versus benefits and close medical supervision is recommended. At Wellness Hormone Clinic, we specialize in the precise testing, diagnosis and effective treatment of hormone imbalances including low testosterone. If you are experiencing any symptoms of low testosterone, we offer cutting-edge testing and treatments to help you regain optimal health, energy and wellbeing. Contact us today for a consultation with one of top specialized hormone physicians.