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Published on: 3/5/2025

Can Low Testosterone Cause High Blood Pressure?

Low testosterone might be linked to changes in blood pressure, but it is not clear if it directly causes high blood pressure.

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Explanation

Some research shows that low testosterone levels and high blood pressure can be related. In studies with both men and postmenopausal women, researchers found that having low testosterone seems to go along with changes in the blood vessels that might lead to high blood pressure. For example, in some studies, men with low testosterone had higher blood pressure readings, and when they received testosterone replacement therapy, there were improvements in blood pressure. However, the connection is not simple. Many things affect blood pressure, including age, overall heart health, weight, and other lifestyle factors. So, while low testosterone may be one factor, it is usually part of a bigger picture that affects blood pressure. If you are concerned about testosterone levels or high blood pressure, it is a good idea to talk with your doctor. They can look at your overall health and work with you to decide on the best course of action.

(References)

  • Li N, Ma R, Wang S, Zhao Y, Wang P, Yang Z, Jin L, Zhang P, Ding H, Bai F, Yu J. The potential role of testosterone in hypertension and target organ damage in hypertensive postmenopausal women. Clin Interv Aging. 2019 Apr 29;14:743-752. doi: 10.2147/CIA.S195498. PMID: 31118595; PMCID: PMC6501555.

  • https://doi.org/10.1161/JAHA.120.019559
  • Hackett G, Mann A, Haider A, Haider KS, Desnerck P, König CS, Strange RC, Ramachandran S. Testosterone Replacement Therapy: Effects on Blood Pressure in Hypogonadal Men. World J Mens Health. 2024 Oct;42(4):749-761. doi: 10.5534/wjmh.230239. Epub 2024 Feb 14. PMID: 38449452; PMCID: PMC11439806.

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