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Published on: 5/6/2025

How Common Are Hot Flashes in Men with Low Testosterone?

Hot flashes can occur in men with low testosterone, and while not every man experiences them, a noticeable portion may notice these symptoms, especially if the testosterone deficiency is significant or altered by treatments.

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Explanation

In men with low testosterone, hot flashes are one of the potential symptoms, though they are not as common or as severe as the hot flashes many women experience during menopause. Research shows that when testosterone and related hormones drop, the body’s temperature control can be disrupted. This can lead to sudden feelings of warmth, sweating, and sometimes discomfort known as hot flashes. For some men—especially those undergoing treatments that further lower testosterone levels, like androgen deprivation therapy—the chance of experiencing hot flashes is higher. However, in cases of natural low testosterone not related to aggressive treatments, the occurrence may be less frequent, and not every man will have this symptom. Overall, while it is not universal, hot flashes are an important side effect to watch for in hypogonadal men, and discussing these symptoms with a doctor can help determine if hormone-balancing treatment or lifestyle changes might reduce their impact.

(References)

  • Jones JM, Kohli M, Loprinzi CL. Androgen deprivation therapy-associated vasomotor symptoms. Asian J Androl. 2012 Mar;14(2):193-7. doi: 10.1038/aja.2011.101. Epub 2012 Jan 30. PMID: 22286861; PMCID: PMC3338189.

  • Taylor AP, Lee H, Webb ML, Joffe H, Finkelstein JS. Effects of Testosterone and Estradiol Deficiency on Vasomotor Symptoms in Hypogonadal Men. J Clin Endocrinol Metab. 2016 Sep;101(9):3479-86. doi: 10.1210/jc.2016-1612. Epub 2016 Jun 14. PMID: 27300575; PMCID: PMC5010571.

  • Hackett G, Kirby M, Sinclair AJ. Testosterone deficiency, cardiac health, and older men. Int J Endocrinol. 2014;2014:143763. doi: 10.1155/2014/143763. Epub 2014 Apr 10. PMID: 24812558; PMCID: PMC4000629.

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