How is low testosterone diagnosed?

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    Last Updated: May 16, 2025

    Low testosterone is diagnosed through blood tests that measure testosterone levels; the tests are typically conducted in the morning while fasting. A diagnosis requires 2 separate low testosterone measurements, along with clinical signs and symptoms; low testosterone is defined as a total level that is less than 231 to 275 ng/dL.

    Testosterone levels are assessed using a blood test. The cutoff for low testosterone differs between organizations, but most define it as a total testosterone level of <231–275 ng/dL.[1] Testosterone levels should be assessed early in the morning (between 7–11 a.m.) when peak levels occur, and in a fasted state. Two separate low testosterone measurements (preferably four weeks apart) along with clinical signs and symptoms of low testosterone are needed to be diagnosed with low testosterone.