Background
Several studies from the US and Europe have shown a population-level decline in serum testosterone in men from 1970's to early 2000's. However, to the best of our knowledge, no study examining population-level decline in testosterone has been published in more recent years. The study objective was therefore to examine secular trends in testosterone levels among Israeli men in the first and second decades of the 21 st century,
Methods
All incident total testosterone performed between1/2006 and 3/2019 among 102,334 male members of a large health organization.
Results A prominent trend of age-independent decline in the testosterone levels for most age groups. The results were highly significant ( Common.EditSubmissionSteps.Transform.EquationText )
Conclusions
The results show a highly significant age-independent decline in total testosterone that is unlikely to be explained by increasing rates of obesity.

Figure 1
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On 15 Feb, 2020
Received 12 Feb, 2020
On 31 Jan, 2020
Received 31 Jan, 2020
On 29 Jan, 2020
Invitations sent on 29 Jan, 2020
On 28 Jan, 2020
On 27 Jan, 2020
On 27 Jan, 2020
Posted 08 Jan, 2020
On 23 Jan, 2020
Received 22 Jan, 2020
Received 22 Jan, 2020
Received 19 Jan, 2020
On 16 Jan, 2020
On 08 Jan, 2020
On 07 Jan, 2020
Invitations sent on 07 Jan, 2020
On 07 Jan, 2020
On 06 Jan, 2020
On 06 Jan, 2020
On 05 Jan, 2020
On 15 Feb, 2020
Received 12 Feb, 2020
On 31 Jan, 2020
Received 31 Jan, 2020
On 29 Jan, 2020
Invitations sent on 29 Jan, 2020
On 28 Jan, 2020
On 27 Jan, 2020
On 27 Jan, 2020
Posted 08 Jan, 2020
On 23 Jan, 2020
Received 22 Jan, 2020
Received 22 Jan, 2020
Received 19 Jan, 2020
On 16 Jan, 2020
On 08 Jan, 2020
On 07 Jan, 2020
Invitations sent on 07 Jan, 2020
On 07 Jan, 2020
On 06 Jan, 2020
On 06 Jan, 2020
On 05 Jan, 2020
Background
Several studies from the US and Europe have shown a population-level decline in serum testosterone in men from 1970's to early 2000's. However, to the best of our knowledge, no study examining population-level decline in testosterone has been published in more recent years. The study objective was therefore to examine secular trends in testosterone levels among Israeli men in the first and second decades of the 21 st century,
Methods
All incident total testosterone performed between1/2006 and 3/2019 among 102,334 male members of a large health organization.
Results A prominent trend of age-independent decline in the testosterone levels for most age groups. The results were highly significant ( Common.EditSubmissionSteps.Transform.EquationText )
Conclusions
The results show a highly significant age-independent decline in total testosterone that is unlikely to be explained by increasing rates of obesity.

Figure 1
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