- John DiBella
- Published: January 16, 2025
- Updated: January 16, 2025
- Fact-checked by Dr. Desiree Granados
The relationship between marijuana use and testosterone levels has intrigued researchers, healthcare providers, and cannabis users alike. Testosterone is the primary male sex hormone and plays a vital role in muscle growth, mood regulation, and overall well-being.
Whether you use marijuana recreationally or medicinally, it’s important to understand its potential impact on your hormones, especially if you are undergoing or considering hormone replacement therapy (HRT) or testosterone replacement therapy (TRT).
In this article we’ll explore how cannabis interacts with testosterone, what the research says, and what these insights mean for your health.
Testosterone and the Endocannabinoid System
The endocannabinoid system (ECS) regulates numerous physiological processes, including mood, appetite, sleep, and hormone production. Testosterone production primarily occurs in the testes and is influenced by the hypothalamic-pituitary-gonadal (HPG) axis. Recent research suggests that the ECS interacts with the HPG axis, potentially influencing testosterone levels.
Cannabinoids, the active compounds in marijuana, interact with the ECS by binding to CB1 and CB2 receptors found throughout the body. These interactions can impact various hormonal processes. For example, CB1 receptors in the brain may influence the release of luteinizing hormone (LH), which stimulates testosterone production. While the exact mechanisms remain under study, the relationship between the ECS and testosterone production highlights the complexity of cannabis’s effects on the body.
Does Weed Lower Your Testosterone? What the Research Says
Studies on marijuana’s impact on testosterone levels have produced mixed results. A 2017 study found no significant difference in testosterone levels between those who had used marijuana and those who had never used it. However, the same study also showed that for men ages 18-29, testosterone levels tended to be lower for those who used marijuana recently. This suggests that recency of use, rather than duration or frequency, has the strongest impact on testosterone levels.
A 2022 study found that macaque monkeys regularly exposed to THC experienced testicular atrophy, resulting in a significant decrease in testosterone production. The study notes that more research is necessary to determine whether these effects would be the same in humans and whether discontinuing THC would reverse the damage.
While more research is required to understand the link between cannabis and testosterone, evidence suggests that moderate cannabis use may not significantly impact testosterone levels, while heavy and prolonged use might pose more risks.
Does CBD Help or Hurt Testosterone Levels?
CBD (cannabidiol), another prominent cannabinoid, has gained attention for its potential therapeutic benefits without the psychoactive effects of THC. While research on CBD’s direct impact on testosterone is limited, preliminary studies suggest it may not significantly affect hormone levels.
CBD’s primary effects include reducing inflammation, alleviating anxiety, and promoting better sleep. These benefits can indirectly support healthy testosterone levels, as chronic stress and poor sleep are known contributors to low testosterone. Additionally, CBD’s interaction with the ECS may help balance the body’s hormonal environment, though more research is needed to confirm these effects.
Should I Smoke Marijuana if I Have Low T?
If you have been diagnosed with low testosterone (Low T), we recommend asking your doctor whether marijuana use is appropriate for your situation. While current research is very mixed, some studies conclude that heavy consumption of marijuana can exacerbate hormonal imbalances.
Lifestyle factors also play a significant role in managing Low T. Regular exercise, a balanced diet, and sufficient sleep can help maintain healthy testosterone levels. If you’re considering using marijuana, opt for products with a higher CBD-to-THC ratio to minimize potential negative effects on testosterone.
Can I Smoke Marijuana while Doing TRT?
Testosterone replacement therapy (TRT) is a common treatment for men with Low T, helping restore hormone levels and alleviate symptoms like fatigue, decreased libido, and mood changes. If you’re undergoing TRT, you might wonder whether cannabis use could interfere with your treatment.
Current research suggests that moderate marijuana use is unlikely to significantly affect TRT outcomes. However, some studies suggest that excessive THC consumption may counteract some benefits of TRT by reducing the body’s natural testosterone production. It’s essential to monitor your hormone levels regularly and communicate openly with your healthcare provider about cannabis use. They can help adjust your treatment plan if necessary to ensure optimal results.
Conclusion
Marijuana’s effect on testosterone is a nuanced topic that depends on various factors, including the type of cannabis product, frequency of use, and individual health conditions. While occasional marijuana use may not significantly impact testosterone levels, heavy or prolonged use of THC-rich products could pose risks, particularly for those with Low T or undergoing TRT.
At Sanctuary Wellness Institute, we understand the importance of personalized care in achieving your wellness goals. Whether you’re seeking a medical marijuana card or exploring testosterone replacement therapy, our experienced team is here to help. We create customized wellness plans tailored to your specific needs, combining the benefits of MMJ and HRT/TRT to support your overall health and well-being.
How we reviewed this article:
- Jinhwan Lim, Erica Squire, Kwang-Mook Jung (2023). Phytocannabinoids, the Endocannabinoid System and Male Reproduction
https://pmc.ncbi.nlm.nih.gov/articles/PMC9826913 - Jason C. Hedges, et al. (2022). Chronic exposure to delta-9-tetrahydrocannabinol impacts testicular volume and male reproductive health in rhesus macaques
https://www.fertstert.org/article/S0015-0282(21)02321-9/fulltext - Jake E Thistle, et al. (2017). Marijuana use and serum testosterone concentrations among U.S. males
https://pmc.ncbi.nlm.nih.gov/articles/PMC5660879/ - Lucile Rapin, et al. (2021). Cannabidiol use and effectiveness: real-world evidence from a Canadian medical cannabis clinic
https://pmc.ncbi.nlm.nih.gov/articles/PMC8223341/
Current Version
January 14, 2025
Written By
Nick DiBella
Fact-checked By
Dr. Desiree Granados
Editorial Process
Our Editorial Process
John DiBella is the co-founder and CEO at The Sanctuary Wellness Institute. His goal is to foster healthier lifestyles to improve individuals’ quality of life and health span through online medical and non-medical services. When he’s not writing blogs about medical marijuana, he enjoys hiking, camping, surfing and sailing.