What's usually going on
Testosterone falls slowly with age, and can fall further with poor sleep, weight gain, stress and some medicines. Tiredness or a lower sex drive overlap with many other things, so a blood test, taken at the right time of day, is the only way to know.
Some men with confirmed low levels are offered TRT. For others, treating the cause is the better route. The honest answer depends on your results and your health.
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Dr Placeholder Name · GP, Zett clinical lead
GMC number 0000000 · Reviewed on 26 October 2026
Short bio placeholder: a UK-registered GP with a special interest in men's health, who reviews every health page before it is published and again at least once a year.