1. Classic Low Testosterone Symptoms. This includes items like low libido, erectile dysfunction, lack of morning erections, fatigue, poor sleep, depression, anxiety, mental fog, etc. These are the symptoms that plague so many hypogonadal men out there and get them in the doctors office in the first place. “I don’t feel right, doc!” One more I would add is like of gains and motivation to go to the gym.
2. Medical Conditions. This can include things like prediabetes, elevated insulin levels, elevated blood glucose level, osteoporosis, and anemia. Venous leakage is another big one and I urge you to read my link on The Symptoms and Causes of Venous Leakage. Low testosterone can can be a root cause for venous leakage or any of the other medical conditions. Why? Testosterone almost always lower insulin levels and increases insulin sensitivity; it increase red blood cell production; and one of its “byproducts,” estradiol, keep your bone mass healthy. (I have many links on these subject, so use the Search button above if they apply.)
3. Side Effects. Unfortunately, HRT is not without side effects from time to time. These include acne, enlarged prostate, elevated blood pressure, gyno, hair loss and elevated red blood cell counts. None if these are very common from what I have seen but they do happen from time to time.
4. Estradiol Symptoms. If a man goes high enough with his testosterone, estradiol will follow behind and also go higher. These leads to symptoms like bloating, water retention, gynocomastia and moodiness. Some doctors will, instead of lowering testosterone, put a man on Arimidex.
NOTE: Of course, many men can lower the symptoms by losing weight. Even losing 10 pounds or 20 pounds for some men can make a big difference in these types of symptoms.so high estradiol symptoms can be a combination of extra fat and overly high testosterone levels. And some men are just “high converters.”