General and cognitive manifestations |
Fatigue, lack of energy |
Poor motivation |
Impaired concentration and memory |
Depressed mood |
Irritability |
Sleep disturbance |
Reproductive manifestations |
Decreased libido |
Decreased morning erections |
Erectile dysfunction |
Decreased shaving frequency |
Decreased body hair |
Gynecomastia |
Decreased size of testes |
Infertility (decreased sperm production) |
Other manifestations |
Decreased bone mineral density, osteoporosis, fractures |
Loss of muscle mass and strength |
Increased body fat and body mass index |
Hot flashes (with severe testosterone deficiency) |