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Though certain men have pursued a course of testosterone replacement therapy to combat the perceived effects of low testosterone levels (“Low T”), high testosterone is not generally a clinical condition that doctors test for or diagnose.
Underlying conditions such as hyperthyroidism, adrenal or testicular tumors, or precocious puberty may cause excess testosterone generation. However, it is actually becoming more common for testosterone replacement therapy to cause the symptoms of excess testosterone in men, which are also generally observed by the magnification of most physical and emotional traits that reflect masculinity including facial and body hair growth, strong jawline, big Adam’s apple, deep voice, wide shoulders and male pattern baldness.
Though the symptoms of anabolic steroid abuse (behavior and mood changes including paranoia, rage, irritability, poor judgment) are often confused with symptoms of high testosterone, the use of anabolic steroids, which are synthetic versions of testosterone, actually shuts down the production of natural testosterone. Breast enlargement and shrunken testicles are also common symptoms of those men using testosterone replacement therapy or anabolic steroids because a large amount of excess testosterone converts to estrogen, which is a female hormone.
It is also possible for certain men to have naturally elevated levels of testosterone, which is an issue for those men involved in professional sports or industries that maintain drug testing regimens to ensure competitive integrity and reduce the risk of injury. World Wrestling Entertainment (WWE) star, Chris Jericho, faced a WWE wellness policy suspension because his testosterone levels were routinely testing at an elevated level even though he claims he was not supplementing with testosterone or steroids. WWE doctors ultimately ruled that Jericho had naturally elevated levels of testosterone and he was permitted to continue to compete.