Can Testosterone Affect Cognitive Function? Systematic review finds modest, population-dependent effects on mood and cognition in adult men By Henry Thomas February 27, 2026 3 min MDSpire News Share Summary Takeaways Listen Insight Report Clinical Scorecard Quiz Poll 1 Testosterone therapy may provide modest benefits for mood and select cognitive outcomes in adult men, though effects are inconsistent. 2 In men with treatment-resistant depression, testosterone therapy significantly reduced depressive symptoms compared to placebo. 3 Cognitive improvements from testosterone therapy were domain specific, with benefits noted in verbal memory and visuospatial processing. 4 Quality of life and sexual function improved consistently across studies, while anxiety outcomes were mixed. 5 Testosterone therapy should be reserved for men with documented androgen deficiency and monitored under endocrinologic supervision.