Get E-Book on COVID-19

Q. Can low testosterone levels cause fatigue and increased heart rate?

Answered by
Dr. Sagar Ramesh Makode
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jul 05, 2018 and last reviewed on: Oct 09, 2018

Hi doctor,

I am a 21 year old male, and I am studying nutritional science. Over the past year, I have been experiencing these symptoms. I have a fast pounding heart, especially after a night of drinking.

The following morning, I always wake up early to a pounding heart, and it scares me. This happens after big meals and while exercising also. When I exercise, my heart feels like it is going to explode.

I also have fatigue and mental fogginess, my concentration is low, and I feel like I am just overall slow or have low energy. I have anxiety, and I have been diagnosed with anxiety in the past.

I was in a dark place for awhile, but things seem to be getting better. The doctor wanted to put me on Zoloft, but I declined and had thankfully found peace with daily meditation.

I have a low libido, and I am just not that interested anymore. My testosterone levels are low for my age. My last readings were 302 ng/dL, 290 ng/dL, and 270 ng/dL, which were all taken in the morning.

As a person who exercises a good amount, I find it hard to gain strength or any muscle. I want to fix this, and I have consulted many doctors, but none are willing to help me.

I honestly believe that my testosterone level is the main cause with all this. I have thought about taking matters into my hands and starting a treatment regimen but, I would rather do so under the supervision of a doctor.



Welcome to

As your BMI (body mass index) is 34, in obesity, the decreased levels of testosterone-binding protein cause a decrease in the total testosterone levels, but not the normal free level. Before we evaluate you for low testosterone, we need to confirm it by doing free testosterone levels. If free is also low, then we need to find the cause, for that, we need FSH (follicle-stimulating hormone) and LH (luteinizing hormone) level.

So, you first get free testosterone levels done. Also, any anxiety, depression, or any psychological issues can cause loss of libido. You can visit an endocrinologist for the same.

Secondly, regarding your heart rate, it is certainly not related to testosterone. But it can be related to anxiety, alcohol, and heart. There are two possibilities, one is anxiety related and secondly due to heart arrhythmia. Many individuals who drink, tend to have a weakening of the heart and atrial fibrillation, in which heart beats irregularly and fast, especially after drinks.

  • Do you get these palpitations daily? If yes, then you should get a Holter monitoring done, which will help to see your rhythm during your symptoms and interpret whether these are heart-related or just anxiety. If not, you should try to get an ECG done during palpitations. Also, you should get an echocardiography done for heart function.
  • In treatment, you continue doing yoga, meditation, regular exercises, and gradually stop alcohol or smoking if any.
  • Also, you can also get prescribed anti-anxiety medicine like tablet Ciplar (Propranolol) LA 20 mg once a day, which will take care of anxiety and palpitations. Also, try to engage yourself in other activities and do not think much about your illness.

Hope this helps you. Get back if you have any further doubts.

For more information consult an internal medicine physician online -->

Was this answer helpful?


Related Questions:
Why are my total and free testosterone levels so high?

Some blood tests such as serum prolactin, FSH (follicle stimulating hormone), prostate specific antigen, and liver function test ... I just read your query and from the history you gave and the levels of testosterone you ment...   Read full

I have fatigue and weakness after taking Unwanted 72. Could I be pregnant?

.. have taken the emergency contraceptive pill within 72 hours of intercourse, and already had the withdrawal bleeding, there is no chance of pregnancy. So, there is nothing to worry about. The symptoms you had mentioned could be due to stress, anxie...   Read full

Do I need to improve my testosterone levels?

First of all, I would like to inform you that for a 31 year young male, 463 ng/dl of testosterone is perfectly normal and there is no problem with its level ...   Read full

Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Also Read

COVID-19 Vaccines in India
Two vaccines, Covishield and Covaxin, have been granted emergency use authorization in India. Read about these vaccines'...  Read more»
Sinusitis - Causes, Symptoms and Treatment
Sinusitis is the infection of the air cavities within the nasal passages. Normally, the healthy sinuses are filled with ...  Read more»
Asthma and Its Rising Incidence
This article explains about asthma and its causes. It also focuses on the benefits of starting early treatment to lead a...  Read more»

Ask your health query to a doctor online?

Ask an Internal Medicine Physician Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.