Testosterone therapy, also known as testosterone replacement therapy (TRT), is a treatment that aims to raise low testosterone levels. Testosterone is the main male sex hormone, playing key roles in puberty, muscle mass, bone density, red blood cell production, and more.
As men age, their testosterone naturally decreases by about 1% per year after age 30. Low testosterone, known as hypogonadism, can cause issues like low energy, depressed mood, erectile dysfunction, and loss of muscle mass. TRT can help counteract many hypogonadism symptoms.
The goal of TRT is to return testosterone levels to a healthy normal range to alleviate low T symptoms. There are several forms of TRT:
It’s crucial to have testosterone levels monitored via bloodwork when undergoing TRT. Too high or too low testosterone on therapy can cause side effects.
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To start TRT, men undergo lab testing to accurately measure testosterone levels and check overall health. A doctor then determines if low testosterone is causing symptoms that interfere with quality of life. If TRT may help, they will discuss treatment options, set goals, outline risks, and design an appropriate regimen.
Regular follow-up is necessary on TRT to evaluate treatment effectiveness and adjust dosages accordingly via lab work and symptom reviews. This helps optimize testosterone levels, monitor for side effects, and determine if therapy adjustments or discontinuation may become necessary.
Potential benefits of testosterone therapy include:
However, TRT does carry potential side effects like acne, hair loss, prostate issues, testicular shrinkage, sleep apnea worsening, infertility and polycythemia (thick blood). It’s unwise for those with conditions like prostate or breast cancer.
Working with an experienced hormone doctor provides the best environment for safe, successful TRT. Labs and symptoms should be evaluated every 3-6 months to determine efficacy and fine-tune treatments until individualized testosterone therapy goals are met.
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