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Testosterone-to-Cortisol Ratio

Reproductive Health
Published:
December 5, 2025

Author: MyHealthspan Team

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Testosterone-to-Cortisol Ratio

Why is the Total Testosterone/Cortisol Ratio important for your Healthspan?

The Total Testosterone/Cortisol ratio offers a window into your body’s overall physiological state, particularly concerning stress and recovery. A low ratio, often due to elevated cortisol and/or reduced testosterone, can signal a state of chronic stress, overtraining, or inadequate recovery. This state can lead to reduced physical performance, a loss of muscle mass, and increased fatigue. Maintaining a healthy ratio supports sustained energy, effective recovery from physical stress, and long-term physical resilience.

What is the Total Testosterone/Cortisol Ratio?

The Total Testosterone/Cortisol ratio is a calculated value that divides your Total Testosterone level by your Cortisol level. Total Testosterone is a key hormone that promotes tissue building and repair (anabolic). Cortisol is a hormone that promotes tissue breakdown (catabolic) and is released in response to stress. This ratio reflects the balance between these two opposing forces. A higher ratio generally indicates an anabolic state, which is favorable for building muscle and recovering from exercise. Conversely, a lower ratio suggests a dominant catabolic state, which can be seen in situations of chronic stress, insufficient recovery, or overtraining.

How do we take action?

If the Total Testosterone/Cortisol ratio is found to be low, one should focus on strategies to reduce physiological stress and promote recovery. This includes optimizing sleep quality, managing emotional stress through mindfulness or relaxation techniques, and ensuring adequate rest between periods of physical or mental exertion. A balanced diet with sufficient protein and healthy fats is also important for hormone production. For those engaged in intense physical training, adjusting training volume and intensity can help prevent overtraining. Regular monitoring of this ratio can help guide lifestyle adjustments to maintain a healthy anabolic-to-catabolic balance and support overall Healthspan.

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https://www.myhealthspan.com/articles/testosterone-cortisol-ratio