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Does Alcohol Affect Testosterone?

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Alcohol use has been linked to reduced testosterone levels in men. This can lead to a variety of adverse effects on men’s health, including low libido, erectile dysfunction (ED), and a decrease in sperm quality and quantity. Alcohol consumption may also undermine the effectiveness of testosterone replacement therapy in men.

Guardian Recovery offers comprehensive addiction treatment programs developed to address the underlying physical and mental health issues that contribute to alcohol misuse, such as depression or anxiety. Our team of addiction specialists and other professionals ensures that individuals have the right tools, support, and resources to maintain sobriety long-term. By quitting alcohol and participating in intensive inpatient or outpatient treatment, you are likely to improve testosterone levels and your overall health.

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How Does Alcohol Interact With Testosterone Levels?

Consuming alcohol in the short term can temporarily increase testosterone levels by stimulating the release of luteinizing hormone (LH), which stimulates testosterone production. (1) However, this increase tends to be brief and is followed by a decrease in testosterone. Long-term alcohol use can also disrupt the endocrine system, impair testicular function, and compromise the production and regulation of testosterone. Furthermore, it can effectively convert testosterone into estrogen, leading to a hormonal imbalance.

Chronic alcohol misuse can result in liver damage. Liver dysfunction can disrupt the normal clearance and metabolism of testosterone, possibly resulting in reduced testosterone levels. In addition, excessive alcohol intake is associated with increased body fat and decreased muscle mass. This can affect testosterone production because muscle tissue contributes to this process.

Finally, chronic alcohol misuse can lead to hypogonadism, a condition marked by low testosterone levels. (2) It can result from testicular damage, reduced LH secretion, or interference in testosterone production. Symptoms may include decreased libido, erectile dysfunction, fatigue, and mood changes.

Side Effects of Low Testosterone Caused by Alcohol Use Include:

  • Fatigue and reduced energy.
  • Mood changes, depression, and irritability.
  • Decreased muscle mass and reduced strength.
  • Body fat accumulation, particularly in the abdominal area.
  • Decreased bone density and an increased risk of osteoporosis and bone fractures.
  • Decreased libido and erectile dysfunction.
  • Reduction in sperm quantity and quality.
  • Impaired sperm motility (movement) and abnormal morphology (sperm shape and structure).
  • Altered DNA integrity in sperm, leading to genetic abnormalities.

Glands, Hormones, & Testosterone Production

A complex interaction of glands and hormones in the body regulates testosterone production. Testosterone itself is in a class of hormones known as androgens. (3) It plays a key role in the development and maintenance of male reproductive tissues as well as secondary sexual traits, such as muscle growth and facial hair.

A region of the brain called the hypothalamus plays a key role in regulating hormone production. It releases gonadotropin-releasing hormone (GnRH), which signals the pituitary gland at the base of the brain to release LH and follicle-stimulating hormone (FSH). (4)(5)(6) These hormones then travel through the bloodstream to the testes, the male reproductive glands responsible for testosterone production. The testes contain connective tissue known as Leydig cells (LC), which produce testosterone under the stimulation of LH and possibly FSH from the pituitary gland. (7)

Alcohol Consumption & Long-Term Effects on Men’s Health

Excessive alcohol consumption can have significant long-term effects on men’s health. These include liver damage, hormonal imbalances, sexual and reproductive issues, an increased risk of cancer, and more.

Chronic Effects of Alcohol Use on Men’s Health Include:

  • Liver Damage—Chronic and excessive alcohol use can lead to liver diseases, such as alcoholic hepatitis and cirrhosis. These conditions can impair liver function, leading to serious health complications and even liver failure.
  • Hormonal Imbalances—Alcohol misuse can cause hormonal imbalances, which can result in decreased testosterone production and adverse effects on sexual function, muscle mass, bone density, and energy levels.
  • Sexual Dysfunction—In addition to ED, low libido, and fertility issues, alcohol can interfere with normal sexual function by impairing neurological function and hindering blood flow.
  • Cardiovascular Problems—These include an increased risk of cardiovascular diseases, such as high blood pressure, heart disease, and stroke. Alcohol use can also contribute to blood clot formation and weaken the heart muscle.
  • Gastrointestinal Issues—These include irritation to the lining of the gastrointestinal tract and an increased risk of conditions such as gastritis, ulcers, gastrointestinal bleeding, pancreatitis, and gastrointestinal cancer.
  • Mental Health Conditions—Mood disorders, such as depression and anxiety, can be caused or worsened by alcohol misuse.

Increased Cancer Risk—These include those related to the liver, esophagus, throat, mouth, and colorectal area.

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Does Quitting Alcohol Boost Testosterone?

Quitting alcohol can have positive effects on testosterone levels, such as improved liver function and sleep quality, especially if alcohol use has been excessive or long-term.

Ways Quitting Alcohol Can Improve Testosterone Levels Include:

  • Decreased Estrogen Levels—Alcohol use can increase the conversion of testosterone into estrogen—this is true for both men and women. By quitting alcohol, estrogen levels can decrease, allowing testosterone levels to rise. (8)
  • Improved Liver Function—Alcohol misuse can cause liver dysfunction, which can affect testosterone metabolism and clearance. Quitting alcohol can give the liver a chance to recover, potentially leading to improved testosterone function.
  • Reduced Inflammation—Long-term alcohol consumption can contribute to chronic inflammation in the body, which can interfere with testosterone production and signaling. Quitting alcohol can help reduce this inflammation, potentially improving these issues.
  • Improved Sleep—Disturbances and poor sleep quality, which are frequently associated with alcohol use, can have a negative impact on testosterone production. The cessation of alcohol use may be able to resolve all of these problems.

How Long Does It Take for Testosterone Levels to Recover?

The length of time it takes for testosterone levels to return to normal after alcohol cessation can vary depending on a number of variables, including the frequency and severity of alcohol misuse, individual metabolism, general health, and lifestyle choices.

Over the short term, or when consumed in moderation, alcohol cessation can lead to an increase in testosterone levels. This is because alcohol use can temporarily suppress testosterone production, and abstinence can allow the body to restore normal hormone levels relatively quickly, perhaps within a few days. However, depending on the individual and other factors, this can take several weeks.

If alcohol misuse is chronic and excessive before discontinuation, it may take significantly longer for testosterone levels to fully recover. If there is liver damage, restoration of testosterone production depends on its severity, as the liver plays a crucial role in hormone metabolism. In these cases, it may take several months to a year or more for testosterone levels to return to normal after achieving abstinence.

Alcohol Use & Testosterone Replacement Therapy

Alcohol use has the potential to interact with testosterone replacement therapy (TRT), a medical treatment used to increase testosterone levels in men with low testosterone. (9) For example, because both alcohol and TRT can impact liver function, drinking may put additional stress on the liver and increase the risk of liver complications. Additionally, some medications used to treat TRT can further increase the risk of liver toxicity when combined with alcohol.

Because alcohol use can disrupt testosterone levels, it’s important to minimize any factors that could interfere with the effectiveness of TRT and the desired outcomes of the treatment. Also, it’s important to keep in mind that alcohol use can affect overall health and well-being, which can indirectly impact the effectiveness of TRT.

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Contact Us Today To Learn More About Alcoholism & Testosterone

If you or a loved one is struggling with alcoholism and its impact on testosterone levels and overall health, contact us today to learn more about how we can support you in overcoming alcohol dependence. You can speak to an experienced treatment advisor and receive a free, no-obligation assessment and health insurance benefits check. We offer a wide range of evidence-based therapies and support services to help you overcome active addiction, maintain lasting recovery, and improve your overall happiness and well-being.


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Disclaimer: Does not guarantee specific treatment outcomes, as individual results may vary. Our services are not a substitute for professional medical advice or diagnosis; please consult a qualified healthcare provider for such matters.

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Reviewed professionally for accuracy by:

Ryan Soave


Ryan Soave brings deep experience as a Licensed Mental Health Counselor, certified trauma therapist, program developer, and research consultant for Huberman Lab at Stanford University Department of Neurobiology. Post-graduation from Wake Forest University, Ryan quickly discovered his acumen for the business world. After almost a decade of successful entrepreneurship and world traveling, he encountered a wave of personal and spiritual challenges; he felt a calling for something more. Ryan returned to school and completed his Master’s Degree in Mental Health Counseling. When he started working with those suffering from addiction and PTSD, he found his passion. He has never looked back.

Written by:

Cayla Clark

Cayla Clark

Cayla Clark grew up in Santa Barbara, CA and graduated from UCLA with a degree in playwriting. Since then she has been writing on addiction recovery and psychology full-time, and has found a home as part of the Guardian Recovery team.

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