Your heart needs to pump blood to the penis to get it hard for sexual activity. Whether you are experiencing ED or boredom in the bedroom, both you and your partner should communicate about your sexual needs and desires. Emotional and psychological factors can cause sexual dysfunction, like performance anxiety. They may find it easier to engage in physical activities, pursue personal goals, and excel in their professional lives. Testosterone levels naturally decline with age, with some men experiencing a more significant decrease than others. Testosterone is a hormone primarily produced in the testicles and plays a crucial role in the development and maintenance of male characteristics. In this article, we will explore how TRT can positively impact these aspects of a man’s life. Sesame’s Editorial Team is committed to delivering useful, relevant and reliable health information to our readers. Engaging in regular physical activity, maintaining a balanced diet, and seeking support from mental health professionals can all contribute to a more positive body image and higher self-esteem, regardless of testosterone levels. Second, we argue that men can weaponise hegemonic masculinity to incite other men to engage in health/medical practices and that such incitement can have negative ramifications for physical and mental health. Testosterone, a vital male hormone, is not only crucial for physical attributes and sexual health but also plays a significant role in cognitive functions such as confidence, focus, and overall mental health. Lookism has several pernicious consequences (Monk, Esposito and Lee 2021), with research demonstrating that body image expectations can negatively impact the physical and mental health of both men and women (Monks et al. 2021). By applying the hegemonic masculine gaze to other men's bodies, users can participate in hegemonic masculinity by reinforcing masculine ideals, subordinating other men, and degrading women—even if they struggle to achieve hegemonic ideals. When testosterone levels are low, men may experience increased body fat and decreased muscle mass, leading to a negative impact on self-image. When testosterone levels decline, it can lead to various symptoms, including reduced self-confidence and self-image. Check out our monthly testosterone replacement plans for more information, or learn more about how labwork can help reveal more about your body’s needs. For the right candidates, testosterone replacement therapy can support the rewiring of neural pathways that govern confidence and self-esteem. But in men with clinically low levels, restoring hormonal balance may be the first critical step in restoring a healthier internal dialogue. This may explain why many men on TRT describe feeling more mentally sharp, emotionally stable, and socially confident. If not for this reason alone, it’s important to be aware of the symptoms of low testosterone, but there are solutions. As looksmaxxing is growing in popularity and promoted on many social media platforms (Notopoulos 2023), we propose that looksmaxxing is an emerging health and social issue. In this paper, we analyse a popular online looksmaxxing community for men that focuses on rating physical appearance and providing self‐improvement recommendations (e.g., surgery). Testosterone replacement therapy (TRT) can have a profound impact on self-confidence and self-image in men. Second, and related to the first point, members position looksmaxxing as a means to align their bodies with hegemonic expectations so that their masculine bodily capital can increase. First, users are seeking advice for how to become more sexually desirable, to increase their number of sexual partners, or to ‘get a girlfriend’ and participate in heterosexual sex (e.g., because ‘girls only want to fuck Chads’). Accordingly, ratings critically position men in relation to hegemonic ideals and users who fail to meet these ideals are seen as requiring interventions or are told to give up on their chances for happiness and success. Specifically, users have their bodies and ability to perform masculinity publicly critiqued by dozens or hundreds of other men, who often go into intimate detail about their perceived shortcomings or the hopelessness of their gendered performance. We argue that looksmaxxing applies a hegemonic masculine gaze to men's bodies.