Testosterone replacement therapy, often called TRT, has several potential benefits for men with low testosterone levels ("low T"). TRT can help increase energy, improve mood, build muscle mass, strengthen bones, boost sex drive and performance, and reduce body fat. However, results vary widely among individuals. It's important to have realistic expectations when considering TRT.
What are the risks associated with testosterone therapy?
There are some health risks to weigh before starting testosterone replacement. Possible side effects include acne, edema (fluid retention), gynecomastia (male breast enlargement), problems urinating, sleep apnea worsening, reduced sperm production, blood clots, and overstimulation of the prostate or heart. However, risks can be minimized through doctor supervision and regular blood testing. Don't let the risks scare ya; the rewards are likely worth it for many fellas.
How is testosterone administered during hormone replacement therapy?
Testosterone can be administered in several ways during replacement therapy. Most commonly, TRT involves getting testosterone injections (shots) every 7-14 days. Other options include testosterone gels/creams daily, skin patches daily, implants every few months, or tablets daily. Each TRT delivery method has its own pros, cons, effectiveness, and needed dosage/timing which the doc can explain.
What symptoms may indicate I need testosterone replacement therapy?
If a blood test confirms low testosterone levels, TRT may help resolve unpleasant hypogonadal symptoms. Symptoms that often improve with TRT include low energy/extreme fatigue, depleted muscle mass, weight gain (esp. belly fat), difficulty concentrating, irritability or depression, erectile dysfunction, reduced facial/body hair growth, hot flashes, and loss of motivation or sex drive. Bring up any ongoing bothersome symptoms with your healthcare peep.
Should testosterone replacement therapy be lifelong if I start it?
Testosterone replacement isn't always a lifelong commitment. The goal of TRT is to get testosterone levels optimized, which may only require short-term treatment in some gents. However, if low T was due to damage to the testes or pituitary gland, lifelong hormone therapy may be needed to feel your best. Testosterone requirements can also change over time. Staying in touch with your doc while receiving TRT allows for periodic reassessment.
