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Published on: 3/5/2025

Can You Tell Low Testosterone by Looking at Their Face?

You can't tell for sure if someone has low testosterone just by looking at their face, even though certain facial features might hint at changes.

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Explanation

While some people believe you might notice signs of low testosterone on a person's face, like fewer facial hairs or changes in skin tone, these are not reliable ways to diagnose the condition. For example, some studies looked at a skin condition called melasma and its possible link to testosterone levels, but even then, many factors such as genetics, sun exposure, and overall health can affect how your face looks. Doctors usually confirm low testosterone with a blood test, typically done in the morning when testosterone levels are highest. This blood test checks the level of testosterone in your body to see if it falls below the normal range. Physical changes alone—like changes in facial hair or skin quality—can give clues but certainly are not conclusive. If you or someone you know is worried about low testosterone, it is important to talk with a healthcare provider who can order the proper tests and offer guidance. Remember, a proper diagnosis is based on both symptoms and lab results, not just how someone looks.

(References)

  • Nukana RP, Rusyati LMM, Praharsini GAA, Winaya KK, Suryawati N, Karna NLPRV. Association of testosterone level with melasma in men: a case-control study in Indonesia. Pan Afr Med J. 2022 Dec 16;43:194. doi: 10.11604/pamj.2022.43.194.37435. PMID: 36942149; PMCID: PMC10024555.

  • Bhasin S, Brito JP, Cunningham GR, Hayes FJ, Hodis HN, Matsumoto AM, Snyder PJ, Swerdloff RS, Wu FC, Yialamas MA. Testosterone Therapy in Men With Hypogonadism: An Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab. 2018 May 1;103(5):1715-1744. doi: 10.1210/jc.2018-00229. PMID: 29562364.

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