question from a user
Can you discuss the phenomena of veterans experiencing low T from PTSD? Is this a legitimate thing?
AlphaMD's Answer
So, PTSD in and of itself does not cause low testosterone. However, veterans are at risk of hypogonadism for many reasons that often coincide with PTSD.
So, first is that many environmental exposures veterans were exposed to are known to cause endocrine disruptions, particularly chemical exposures (burn pits, agent orange/purple/blue, PCBs, chromium, etc).
Many veterans end up with injuries, and at least here in the states, the VA had traditionally been heavy handed with narcotics, which directly block testosterone and increase estrogen.
PTSD is often treated with SSRIs, a common mood stabilizer. These have been shown to cause permanent and irreversible cellular damage to the testicles and lower testosterone and increase estrogen.
And also the stress of battle increases cortisol levels, which acutely blocks testosterone. Too much stress and your body can develop adrenal fatigue, causing permanent drops in testosterone.
Lastly, PTSD often will make someone be less likely to exercise or be sociable. Social isolation is a risk factor for poor habits, which in turn can lead to lower testosterone.
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