Androgens / Testosterone

Our rating
 Question mark: This treatment has not been properly researched. It is not possible to say whether they are useful or not.

 

The rating system

  • 3 smiliesThese treatments are very useful. They are strongly supported as effective by scientific evidence.
  • 2 smiliesThese treatments are useful. They are supported by scientific evidence as effective, but the evidence is not as strong.
  • 1 smileyThese treatments are promising and may be useful. They have some evidence to support them, but more evidence is needed to be sure they work.
  • No smiley On the available evidence, these treatments do not seem to be effective.
  • Question markThese treatments have not been properly researched. It is not possible to say whether they are useful or not.
  • Exclamation MarkSafety or other concerns have been raised for the use of these treatments.

What is it?

Androgens are a type of hormone. The most well-known androgen is testosterone, which is produced naturally by the body. Testosterone is involved in the development of male sex characteristics and is important for men’s health and wellbeing. Women also produce testosterone, but in much smaller amounts.

How does it work?

Some research has suggested there could be a link between low testosterone levels and depression in men. It is thought that increasing testosterone levels may lead to an improvement in mood for men with low levels of testosterone. Testosterone can be given in many forms, such as tablets, gels, injections and skin patches. 

Is it effective?

There have been a number of studies in which men with low mood were treated with testosterone. Several reviews of these kind of studies found that testosterone may be helpful in improving depression symptoms, particularly for men who had low levels of testosterone to begin with. However, not all of the participants in these studies had clinical depression and in some studies there was no difference in depression improvement between men who received the treatment and those who received a placebo (sham testosterone). More research is needed to better understand if testosterone could be an effective treatment for depression in men.

One very small study has looked at using testosterone injections to treat women with depression who had not responded well to other treatments. Two thirds of the women experienced a reduction in their depression symptoms after treatment. However, the study only included nine women and there was no control condition to compare to.

Are there any disadvantages?

Testosterone treatments are generally well tolerated by men, however some studies have found that large doses of testosterone were linked to cardiovascular side effects, and more research is needed to determine the long-term impacts of testosterone treatments. Side effects of testosterone for women can include oily skin, acne, and increased body hair.

Testosterone may have negative interactions with other medications or supplements. It is important that testosterone is only taken under the supervision of a health care professional. High doses may have harmful side effects.

Where do you get it?

Testosterone can be prescribed by a doctor.

Recommendation

Testosterone might help to improve mood in men who have low levels of testosterone, however more research is needed to better understand if it could be an effective treatment for clinical depression. It is not recommended as a treatment for depression.

Key references

  • Anderson DJ, Vazirnia P, Loehr C, Sternfels W, Hasoon J, Viswanath O, et al. Testosterone Replacement Therapy in the Treatment of Depression. Health Psychology Research. 2022; 10(4):38956-.
  • Amanatkar HR, Chibnall JT, Seo B-W, Manepalli JN, Grossberg GT. Impact of exogenous testosterone on mood: a systematic review and meta-analysis of randomized placebo-controlled trials. Ann Clin Psychiatry. 2014; 26(1): 19-32.
  • Elliott J, Kelly SE, Millar AC, Peterson J, Chen L, Johnston A, et al. Testosterone therapy in hypogonadal men: a systematic review and network meta-analysis. BMJ open. 2017; 7(11): e015284.
  • Miller KK, Perlis RH, Papakostas GI, Mischoulon D, Losifescu DV, Brick DJ, et al. Low-dose transdermal testosterone augmentation therapy improves depression severity in women. CNS spectrums. 2009; 14(12): 688-94.
  • Walther A, Breidenstein J, Miller R. Association of testosterone treatment with alleviation of depressive symptoms in men: a systematic review and meta-analysis. JAMA psychiatry. 2019; 76(1): 31-40.

Last reviewed and updated: 20 December 2023