Does Nicotine Increase Testosterone Levels?

Medically Reviewed by

Dr Diana Khachaturyan
Updated on: Oct 22, 2025 | 2 min read

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Many people believe nicotine boosts testosterone and energy, especially after smoking or vaping. In reality, nicotine affects several hormones in complex ways. Some short-term effects may raise testosterone slightly, but long-term use can lower hormone levels and harm overall health. 

does nicotine increase testosterone

Does Nicotine Increase Testosterone?

Nicotine is a chemical found naturally in tobacco leaves. People take it mainly through cigarette smoking, vaping, or nicotine gums and patches.

Gums and patches usually contain much smaller doses of nicotine, which means they rarely change hormone levels. However, smoking and vaping deliver nicotine faster and in higher amounts, which may affect the body differently over time.

Short-Term Effect: Temporary Rise

Some short studies found that nicotine can cause a small, short-term rise in testosterone. This may happen because nicotine slightly increases adrenaline and blood flow for a short period.

For example, after smoking a cigarette, some men may feel more alert and even experience a temporary mood lift or energy boost. However, this effect fades quickly and does not mean nicotine truly raises testosterone in a healthy way.

Long-Term Effect: Gradual Decrease

When nicotine stays in the body for a long time, it creates oxidative stress, an imbalance that damages blood vessels and cells. Over time, this damage can lower testosterone production in the testes and reduce hormone regulation in the brain.

Several studies show that men who smoke regularly often have lower testosterone than those who do not. The same is true for frequent vapers. This long-term decline can also affect sperm health, sexual performance, and energy levels.

Interestingly

Many athletes (including those in basketball) may use cigarettes, vaping, or nicotine gum. In one study of baseball players, nicotine gum use led to a temporary drop in salivary testosterone within 30 minutes. This suggests that even mild nicotine exposure may interfere with hormonal balance during training or recovery. Over time, repeated exposure could contribute to lower baseline testosterone in competitive athletes.

Nicotine and Testosterone: Summary Table

Nicotine Source Short-Term Effect Long-Term Effect Overall Impact on Testosterone
Cigarettes Temporary rise in alertness and slight hormone increase Decrease due to oxidative stress and poor circulation Negative over time
Vaping Possible short boost similar to cigarettes Drop in testosterone and reduced sperm quality Negative over time
Gums/Patches Usually no major effect No major hormone impact if used short term Neutral

Can Quitting Nicotine Normalize Testosterone Levels?

The good news is that the body can recover once nicotine use stops. Studies suggest that testosterone levels start to normalize within weeks or months after quitting smoking or vaping.

Benefits of Quitting Nicotine

  • Restored hormone balance - the body produces testosterone more effectively.
  • Improved sperm quality - fewer damaged cells and better fertility.
  • Better cardiovascular and energy levels - blood circulation improves, which helps hormonal health.

When the body clears nicotine, blood flow and oxygen levels increase, supporting normal testosterone production again.

What About Women

Nicotine affects hormone balance in both men and women. In women, long-term nicotine exposure can slightly lower estrogen and increase stress hormones. This may cause mood changes or irregular cycles. However, just like in men, hormone levels often improve after quitting.

Caffeine and Testosterone: Similar or Different?

Caffeine, found in coffee and energy drinks, has a very different effect from nicotine. In moderate amounts, caffeine may slightly raise testosterone by improving alertness and blood flow. However, high doses can increase stress hormones, which may cancel out the benefit.

Overall, caffeine is safer and does not harm testosterone the way nicotine does when used responsibly.

How to Maintain Healthy Testosterone

You don’t need nicotine or caffeine to support your hormones. Natural habits are far more effective for keeping testosterone at a healthy level:

  • Exercise often - strength and cardio workouts improve blood flow and hormone production.
  • Eat a balanced diet - include protein, healthy fats, and zinc-rich foods.
  • Reduce stress - chronic stress raises cortisol, which lowers testosterone.
  • Sleep well - aim for 7-8 hours of rest per night for steady hormone levels.
  • Stay hydrated - water supports cell and metabolic function.

A healthy lifestyle supports testosterone far better than any short-term stimulant.

Frequently Asked Questions

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Final Thoughts

Nicotine may cause a brief rise in testosterone, but over time it lowers hormone levels and harms reproductive and heart health. Quitting nicotine allows the body to recover naturally and improves both energy and well-being. If you want to keep your hormones strong, focus on healthy living, not quick fixes.

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