Treatment and safety

Can testosterone therapy affect sleep apnea?

The Endocrine Society guideline recommends against starting testosterone in men with untreated severe obstructive sleep apnea. If you snore heavily or stop breathing at night, mention it before treatment.

Sleep apnea can also lower testosterone and energy, so treating it may be part of the plan.

Your clinician may suggest a sleep evaluation if symptoms point that way.

Risks and limitations

Untreated sleep apnea carries its own health risks, separate from testosterone.

Sources

Endocrine Society — Testosterone Therapy in Men With Hypogonadism guideline (2018)

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