Kelley Wyant, MSN, RN, NP-C
Estimated 10 minutes read

Gut bacteria and testosterone are linked. If you're struggling with low energy, poor sleep, or unexpected weight gain, your gut health could be the problem.

The human gut microbiome isn't just for digestion. It also regulates hormones like testosterone, impacting everything from muscle strength to mood. When levels drop too low, both men and women can feel sluggish, gain weight, and experience mood swings. But here's something most people overlook: your gut bacteria also help regulate testosterone.

Some microbes assist in breaking down and recycling testosterone, while others contribute to inflammation and disrupt hormone balance. This blog explores the relationship between gut bacteria and testosterone and discusses how to support a healthier balance.

Digital image of a nurse holding a model of the gut showing how gut bacteria and testosterone and linked.

Gut Microbiota and Its Role in Human Health

Our gut contains trillions of microorganisms, known as the gut microbiota, which includes bacteria, viruses, and fungi.

These microbes are important for digestion. They break down complex carbohydrates, fibers, and proteins and produce short-chain fatty acids, which provide energy. Some gut bacteria also produce essential vitamins like K and biotin, boosting nutritional intake.

The intestinal microbiota also influences metabolism. They help determine how we extract and store energy from food. An imbalance in these microbes has been linked to issues like type 2 diabetes and obesity. The immune system doesn't work alone; it gets a lot of help from gut bacteria.

Gut bacteria help train the immune system to recognize harmful invaders and ignore harmless substances. A healthy gut flora can also fend off harmful bacteria by competing for resources, preventing potential infections. Gut microbial diversity refers to the range of different species in the gut, and it plays a key role in hormone and metabolic regulation.

A diverse microbiota means multiple species can perform similar functions, providing a safety net against disruptions. Low diversity is linked to inflammatory bowel disease and metabolic syndrome. Additionally, our gut bacteria can interact with our endocrine system, influencing hormones such as insulin and cortisol.

How Testosterone is Produced in the Body

Testosterone is mainly produced in the gonads: the testes in men and the ovaries in women. Smaller amounts also come from the adrenal glands. In men, the testes are the primary source. In healthy women, the ovaries produce lower levels of testosterone.

The adrenal glands, located above the kidneys, also contribute to testosterone production, but their main role is producing other hormones like cortisol and aldosterone.

Testosterone belongs to a group of hormones called sex steroids, which includes estrogen and progesterone. These hormones are regulated by signals from the brain. When testosterone levels drop, the pituitary gland releases luteinizing hormone (LH), which tells the testes or ovaries to produce more.

This process helps keep testosterone and other sex hormones in balance. Testosterone plays an important role in muscle growth, bone strength, metabolism, and energy. When levels fall too low, it can lead to symptoms like fatigue, weight gain, and reduced muscle mass.

Even though the adrenal glands produce smaller amounts, they still support hormone regulation. A healthy endocrine system keeps testosterone levels steady, supporting mood, energy, and overall well-being.

How Does Gut Bacteria Influence Testosterone Levels?

Gut bacteria and testosterone levels are closely related. Testosterone affects everything from energy levels to muscle strength, but its regulation doesn't just depend on glands and hormones.

Gut bacteria play a significant role by directly influencing how much testosterone the body produces and metabolizes. Some gut microbes break down testosterone, affecting its levels in the body. For instance, Comamonas testosteroni uses testosterone as fuel, lowering the amount circulating in the body.

Poor gut health can increase inflammation, which is known to reduce testosterone production. When the gut microbiome is unbalanced, the intestinal lining weakens, allowing toxins to enter the bloodstream. This initiates long-term inflammation, which has been associated with lower testosterone.

A 2021 Frontiers in Endocrinology study found that men with lower testosterone had gut microbiota compositions that differed from those with normal levels. Some gut bacteria change how bile acids behave, which in turn affects genes that regulate hormone production.

Gut dysbiosis is an imbalance in the gut microbiota that affects digestion, immunity, and hormone regulation.

When harmful bacteria outnumber the good ones, inflammation increases, nutrient absorption declines, and hormone metabolism becomes less efficient. These changes cause testosterone levels to dip, affecting energy, mood, and overall well-being.

Certain gut bacteria support hormone stability by preventing testosterone from breaking down too quickly. When harmful bacteria dominate, testosterone levels decline, often followed by symptoms like weight gain, fatigue, and reduced muscle mass.

Chronic gut inflammation initiates an immune response that affects the endocrine system. Increased inflammation interferes with testosterone production and raises cortisol levels, further suppressing testosterone. Metabolic conditions like insulin resistance and obesity also contribute to testosterone deficiency.

A healthy gut microbiota supports testosterone levels by maintaining balance in the intestinal environment. Dietary changes, probiotics, and lifestyle adjustments can restore gut balance and support testosterone levels. A fiber-rich diet, fermented foods, and healthy fats promote microbial diversity, creating an environment that favors hormone regulation.

The Impact of Gut Microbiota on Serum Testosterone and Sex Hormones

The gut microbiota composition affects how much testosterone circulates in the bloodstream, influencing overall hormone health.

Most testosterone binds to a protein called SHBG, which controls how much remains active in the body. Some studies suggest that gut bacteria influence SHBG production, which in turn affects testosterone levels.

A study analyzed venous blood samples and found that men with healthier gut microbiota had more free testosterone because they had lower SHBG levels. Fecal samples have also provided insight into this connection. Some bacteria help regulate testosterone metabolism, preventing excessive breakdown.

When this process is disrupted, sex hormone levels can fluctuate, potentially causing symptoms like low energy, reduced libido, and metabolic issues.

Gut Microbiota, Testosterone, and Metabolic Health

Gut bacteria help regulate metabolism by influencing fat storage, insulin sensitivity, and how the human body processes nutrients.

When gut microbiota become unbalanced, the risk of metabolic syndrome increases. This condition involves insulin resistance, high cholesterol, high blood pressure, and excess abdominal fat. Research shows that changes in gut bacteria can disrupt hormone regulation and contribute to these issues.

Testosterone plays a central role in metabolic health. Low levels are strongly associated with higher body fat, especially around the midsection, and an increased body mass index (BMI).

This hormone helps regulate fat distribution by affecting how adipose tissue functions. When testosterone declines, fat storage increases, particularly in the abdominal area. A study in Diabetes & Metabolism found that men with lower testosterone levels had a higher risk of insulin resistance. This highlights how hormonal balance impacts metabolic health.

Another study investigated the association in male patients with type 2 diabetes mellitus (T2DM). The findings revealed that patients with lower testosterone levels exhibited distinct gut microbiota compositions compared to those with normal levels. Specifically, the low testosterone group showed increased opportunistic pathogens, suggesting that gut microbiota imbalances may contribute to testosterone deficiency.

The study also noted a decrease in beneficial bacteria linked to metabolic and hormonal health. These microbial shifts were associated with increased markers of systemic inflammation, which may further impact testosterone production.

Gut bacteria also influence lipid metabolism, which affects how the body processes fats. A healthy gut microbiota helps break down and absorb fats properly. When gut bacteria are imbalanced, triglyceride and cholesterol levels can rise, leading to weight gain and a higher risk of heart disease.

Gut bacteria influence several health conditions linked to hormone imbalances and metabolism.

Inflammatory bowel disease (IBD) affects the gut microbial composition, causing chronic inflammation and disrupted hormone regulation. Individuals with IBD often experience fluctuating testosterone levels, which may contribute to fatigue, reduced muscle mass, and mood disturbances.

Coronary heart disease (CHD) also connects with gut microbiota and testosterone. Men with lower testosterone levels have a higher chance of developing CHD, partly due to increased inflammation and poor lipid metabolism. An imbalance in gut bacteria may further contribute to this risk by promoting systemic inflammation and impaired cardiovascular function.

Polycystic ovary syndrome (PCOS), a common hormone disorder in women, has been linked to gut microbiota composition. Research suggests that women with PCOS often have reduced microbial diversity, which affects their insulin resistance and elevates testosterone levels. These imbalances can trigger symptoms such as irregular periods, weight gain, and increased risk of metabolic diseases.

Gut microbes also affect mental health. An imbalanced gut microbiota may induce depression-like behaviors by altering neurotransmitter production and increasing inflammation. Since testosterone regulates mood, gut bacteria disruptions may contribute to psychological conditions.

Can Gut Health Improve Testosterone Levels?

Gut health can improve testosterone levels through diet, probiotics, and medical interventions. A balanced gut microbiota regulates hormones by supporting digestion, metabolism, and immune function.

Dietary choices, such as fiber-rich foods and fermented products, maintain microbial diversity and promote the production of short-chain fatty acids (SCFAs). SCFAs reduce inflammation and support intestinal barrier function, which in turn improves hormone regulation.

Probiotic supplements also support gut health by replenishing beneficial bacteria and promoting microbial diversity. Maintaining a healthy gut environment may support overall hormonal balance, which reduces the risk of testosterone deficiency.

Medical interventions, such as Male Excel's Testosterone Cypionate Injections and Lipoderm Cream, provide direct testosterone supplementation. These therapies restore optimal hormone levels, particularly in individuals with testosterone deficiency. A well-functioning gut improves the body's ability to absorb and process these testosterone treatments, potentially enhancing their effectiveness.

Can Gut Health Improve Testosterone Naturally?

Low testosterone can affect energy, muscle strength, and mood, making daily life more difficult. While hormone therapy is an option, gut health plays a role in testosterone regulation.

The gut microbiota regulates hormone balance by influencing how the body produces and metabolizes testosterone. Diet has a direct effect on gut microbiota. Fermented foods like yogurt, kimchi, and kefir introduce beneficial bacteria, while dietary fiber from fruits, vegetables, and whole grains feeds them.

A fiber-rich diet helps gut microbiota regulate hormone production more effectively. Probiotics and prebiotics support microbial diversity, creating a healthier gut environment. Daily habits like regular exercise, stress management, and quality sleep also contribute to gut health and hormone balance.

When gut health improves, testosterone levels often follow, causing better energy, mood, and overall well-being. Improving gut health could be a natural and lasting way to support testosterone levels, even without medication.

Future Research and Clinical Implications

Recent research has explored how our gut bacteria might influence testosterone levels.

A study in the Journal of Clinical Endocrinology & Metabolism observed women with polycystic ovary syndrome (PCOS) and found links between certain gut bacteria and higher testosterone levels. This research may lead to new treatments that improve hormone health by targeting the gut.

Another study on patients with Cushing syndrome found that an imbalance in gut bacteria was associated with changes in hormone levels. This underscores the importance of maintaining a healthy microbial balance for our endocrine system.

More studies are underway to explore whether altering our gut bacteria through diet, probiotics, or other methods can effectively adjust testosterone levels and tackle related health issues. This line of research could pave the way for new treatments for hormonal imbalances, enhancing overall well-being.

Conclusion

Gut health and testosterone are closely connected. A balanced gut microbiota supports hormone regulation, prevents testosterone from breaking down too quickly, and helps maintain stable levels.

The right diet and daily habits can make a real difference. Eating fiber-rich foods, fermented products, and taking probiotics creates the conditions for healthy hormone production. Regular exercise, stress management, and quality sleep further support testosterone balance.

If you're looking to support testosterone naturally, start with your gut. Male Excel provides expert solutions for hormone health. Get in touch for tailored advice from experts and take the first step towards improving your hormone levels today.

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