How Low Testosterone Almost Broke Me and What I Learned as a GP
As a qualification GPwith over a decade of experience in NHSI thought I had a pretty solid grasp of men’s health and hormones in general. I had diagnosed countless patients with menopausal symptoms, thyroid disorders, and occasionally rarer endocrine conditions. But I never expected to experience hormonal issues myself, nor did I realize how little I really understood about testosterone deficiency.
My journey began at 29. My wife was pregnant with our first child after a long, difficult period of ectopic pregnancy and several unexplained miscarriages. One quiet Sunday morning, lying in bed, I found a lump. I knew right away that I felt awful. The next day I was in mine GPand within two weeks, after an emergency referral and investigations, I was diagnosed with testicular cancer.
The affected testicle was removed and fortunately no further treatment was required. Looking back, maybe mild fatigue and low-grade anxiety started to creep in shortly after this surgery, but nothing that couldn’t be explained by new parenthood, disturbed sleep, or the stresses of busy life GP.
About eighteen months later, viral meningitis struck me. Recovery left me drained, mentally foggy and far from the person I once was. Together, these health shocks appeared to have a cumulative toll. Over the next three years, I endured persistent fatigue, brain fog, anxiety, intrusive and irrational thoughts, and a growing inability to cope with daily stress. I began to feel like a diminished version of myself, present in body but not in mind.
Even though I was a doctor, I couldn’t understand what was happening to me. I saw many GPs, my oncologist and even a psychiatrist. I tried meditation, therapy, lifestyle changes and finally anti-depressants. Nothing seemed to touch the core problem.
I was diagnosed with various conditions: post-virus fatigue, “burnout”, anxiety and depression.
It wasn’t until three years after this decline that someone checked my testosterone, mostly because of my cancer history, not because someone suspected a hormonal cause for all my symptoms. The result was stark: my testosterone was very low. Facing a long NHS wait, I saw a private endocrinologist and started testosterone replacement therapy (TRT).
Within weeks, things began to change. I fondly remember going for a run about 10 days into treatment. At this point in my life, I was used to my legs feeling heavy, my energy unreliable, and my abilities quickly diminishing. But that day, about 1km in, I felt something I hadn’t felt in years: momentum. It wasn’t a full recovery, but it was the first hint of light after a very dark stretch.
Over the next three months, the improvements were undeniable. My energy is back. My mind cleared. The disturbing thoughts settled down. And for the first time in years, I started to feel like myself again.
Along with this deep relief came disappointment. How could I, a doctor, not associate these symptoms with testosterone? Why didn’t he have anyone else? Over time, it became clear to me that low testosterone is a vastly under-recognized condition, leaving countless men to suffer in silence or mislabeled with other diagnoses.
My recovery sparked an obsession to understand hormones more deeply. I eventually left general practice for the private sector, where I could give patients the time, tests and personalized care I didn’t feel able to provide NHS GP. Helping men uncover the root of their symptoms and seeing the transformation when the treatment is right has become the most important work of my life.
Although my symptoms were more severe than what many men with low testosterone typically experience, this alone underscored how fundamental this hormone is to a man’s overall well-being. Testosterone affects much more than strength or libido, it supports energy, cognition, emotional stability, motivation and resilience. When it gets low enough, the whole system can start to unravel. My experience, though extreme, underscored a simple truth: when this hormone is compromised, a man’s quality of life can be dramatically reduced, yet the problem is often overlooked.
Today, my mission is simple: to raise awareness of men’s hormone health, reduce stigma, and help people get answers much sooner than I did. If something feels “off” it’s worth investigating. The right treatment can completely change the trajectory of one’s life.
Low testosterone almost broke me. But with proper testing, understanding, and treatment, TRT restored my health, reshaped my career, and gave me renewed purpose. That’s why I wrote Testosterone Decoded: a distillation of years of research, professional experience, and personal reflection on a hormone that is all too often misunderstood or underestimated.
