Signs and Symptoms of High Testosterone: Causes and Solutions

Introduction

What if one of your body’s most vital hormones suddenly went into… overdrive? Testosterone, a powerful hormone produced in both men and women, helps shape who we are in ways we might not even realize. It’s responsible for building muscle, maintaining bone health, regulating energy levels, and even influencing mood and libido.

But when this hormone level rises too high, it can disrupt your body in unexpected, and sometimes troubling, ways. Whether it’s high testosterone males dealing with aggression or a female with high testosterone experiencing facial hair growth, the implications can be both physical and emotional.

Are you wondering, "Does testosterone make you drowsy?" Or perhaps you’re concerned about unexplained symptoms like mood swings, acne, or unusual body changes? Well, we have all that covered. We’ll guide you through the signs of high testosterone to watch for and debunk common myths. Read along.

What is Testosterone?

Imagine a hormone that plays a key role in shaping everything from your physical strength to your mood—testosterone is that hormone. Often dubbed the “male hormone,” it’s produced in both men and women, although men have significantly higher levels.

This hormone is primarily made in the testes for men, the ovaries for women, and the adrenal glands in both sexes.

For men, testosterone is key to developing secondary sexual characteristics such as a deeper voice, facial hair growth, and increased muscle mass. However, its importance extends beyond masculinity.

According to a 2025 study (Ref), Testosterone influences muscle strength, bone density, mood stability, and libido in both genders. However, when there’s a testosterone imbalance, whether it’s high testosterone in men or women, it can cause a range of high testosterone symptoms and disrupt these vital body functions.

With age, testosterone naturally declines, leading to noticeable effects like reduced muscle and bone strength or a drop in sex drive. On the flip side, signs of high testosterone in a man—or even a female with high testosterone—might include unexplained aggression, acne, or unusual physical changes.

What are Normal Testosterone Levels?

Testosterone levels vary between men and women, playing a significant role in how our bodies develop and function. For high testosterone males, a normal range typically falls between 300 to 1,000 nanograms per deciliter (ng/dL) (Ref). For women, levels are naturally much lower, with a healthy range being around 9 to 55 ng/dL.

These differences are vital for maintaining biological balance. However, fluctuations in these levels are entirely natural and can depend on age, health conditions, or even the time of day.

Testosterone levels are usually at their highest in the morning, so this is probably the best time for testing. A simple blood test does that pretty well. Falling below the normal range may lead to symptoms like fatigue, low libido, or even depression.

On the other hand, signs of high testosterone—such as excessive body hair, aggression, or hormonal acne—mean further investigation is required to identify potential underlying causes, especially when dealing with a female with high testosterone or unusual signs of high testosterone in a man.

Abnormally high levels can result from using anabolic steroids or conditions like polycystic ovary syndrome (PCOS) in a high-testosterone female (Ref). Regular monitoring can help identify and manage such variances.

Read More:

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• Best Testosterone Supplements

Signs and Symptoms of High Testosterone in Men

Physical Indicators

Men with elevated testosterone levels often experience increased muscle mass, excessive body or facial hair growth, and persistent acne due to higher oil production in the skin. Some may notice male pattern baldness, which is linked to androgens like testosterone.

These signs of high testosterone can sometimes mimic hormonal imbalances seen in a high testosterone female, but are tailored to male physiology.

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Behavioral and Emotional Symptoms

Behavioral changes are another hallmark. High testosterone males may exhibit aggression (Ref), irritability, or even mood swings. These emotional shifts are partly linked to how testosterone interacts with brain chemicals. Risk-taking behavior and bursts of euphoria or poor judgment are also associated with overly high levels.

The link between testosterone and mood swings is well-established, as elevated testosterone can disrupt emotional stability, causing irritability or outbursts.

Health Risks

Consistently high testosterone can contribute to health issues like high blood pressure, fluid retention, and increased risk of cardiovascular problems. Signs of high testosterone may also include liver complications, headaches, and sleep disruptions like insomnia.

Impact on Sexual Health

Sexually, heightened testosterone might boost libido or improve erectile function (Ref). However, excessive levels can paradoxically lead to reduced sperm production or testicular shrinkage, making fertility a concern for men with these hormone imbalances.

Causes of High Testosterone

High levels often stem from external sources, like the misuse of anabolic steroids aimed at muscle enhancement. Internal causes may include adrenal or testicular disorders, such as benign tumors or illnesses like congenital adrenal hyperplasia.

Signs and Symptoms of High Testosterone in Women

High testosterone in women often presents through noticeable physical, hormonal, and emotional changes.

Physically, women might experience acne, increased muscle mass, or hair growth in typically male-pattern areas like the face, chest, or back. Conversely, some may face male-pattern baldness. Hormonal shifts can lead to irregular or absent periods, infertility, and changes in voice tone, resulting in a deeper pitch.

One of the most common conditions linked to high testosterone is polycystic ovary syndrome (PCOS), which can disrupt menstrual cycles and increase weight, body hair, and the risk of diabetes. Emotionally, women may notice mood swings, heightened aggression, or irritability, which can strain daily interactions.

Over time, untreated high testosterone levels can contribute to health risks such as cardiovascular disease, infertility, and metabolic issues.

Dr. David A. Zava, PhD, Biochemist and Hormonal Expert, says, "Although testosterone plays a vital role in both male and female health, when levels are excessively high, the body can experience a host of negative effects. These include behavioral changes, cardiovascular risks, and reproductive issues. The balance of testosterone in the body is paramount for maintaining optimal health."

Does Masturbating Reduce Testosterone?

The idea that masturbation lowers testosterone is a common myth. A 2021 study shows that masturbation does not lead to significant long-term changes in testosterone levels (Ref). While there may be a brief spike in testosterone during sexual arousal and orgasm, these levels quickly return to normal.

Sexual activities, including masturbation, are known to stimulate testosterone production, but not in a way that causes lasting harm. Blame it on the misunderstandings about how hormonal fluctuations work.

Rest assured, masturbation is a natural behavior with no detrimental impact on your testosterone levels or health, contrary to popular belief.

Causes of High Testosterone

High testosterone can result from a variety of factors. Common causes include the use of anabolic steroids, which artificially boost testosterone for muscle growth but may disrupt the body’s hormonal balance.

Tumors or growths in the adrenal glands, testes, or ovaries can also lead to unusually high levels. For women, conditions like polycystic ovary syndrome (PCOS) are frequently linked to elevated testosterone.

Lifestyle choices, such as poor diet or excessive exercise, and medical interventions like testosterone supplements may further contribute. Self-medication or unregulated use of hormone therapies can be particularly dangerous, leading to severe health complications from hormonal imbalances.

Impacts of High Testosterone on Health

Persistently high testosterone can have significant health consequences.

• Cardiovascular risks, such as high blood pressure, heart disease, and increased chances of blood clots, are common concerns (Ref).
• Elevated testosterone levels can also impact mental health, leading to mood instability, irritability, and poor decision-making (Ref).
• For men, fertility issues may arise, including shrinking testicles and reduced sperm count.
• Women with high testosterone may experience disrupted hormones, contributing to irregular menstrual cycles and infertility.

Diagnosing and Treating Testosterone Imbalances

Diagnosing high testosterone involves blood tests to measure hormone levels, often paired with physical exams to check for symptoms. Before self-diagnosing, speak to your healthcare provider or browse WOWMD’s Testosterone Support.

Treatment varies based on the cause and can include lifestyle changes, like improved diet and exercise, or medical interventions such as hormone therapy or androgen-blocking medications.

Preventative measures for those at risk include steering clear of unregulated supplements. Consulting a healthcare professional is essential for accurate diagnosis and tailored treatment to safely restore hormonal balance.