Earlier observational studies suggested that long-term use of testosterone could increase the risk of cardiovascular disease. Testosterone is also known to stimulate the growth of prostate cancer in men who have been diagnosed with this condition. Recent clinical trials, which provide more accurate information compared to observational studies, have provided some peace of mind regarding the risk of heart and prostate cancer. For men who are clearly deficient in testosterone, there is no apparent increased risk of having a heart attack or stroke or of developing a new prostate cancer from testosterone replacement therapy.
A low testosterone level alone doesn't need treatment.
Testosterone replacement therapy
can have side effects and the long-term risks are unknown. Only men with symptoms of low testosterone and blood levels that confirm that this is the cause of the symptoms should consider replacing testosterone. Talking to your doctor is the only way to know if testosterone therapy is right for you. Below, we highlight some of the reasons for this recommendation and what makes TRT a safe therapy for indefinite use.If your doctor suspects that your testosterone levels are low, he or she will do a blood test, probably first thing in the morning. By age 70, an average man's testosterone is 30% below its peak level, but it's usually still within the normal range. Taking the medication is often a lifelong commitment (unless your low testosterone is due to a medical condition), so you'll need to be monitored continuously by a doctor. One of the many reasons to continue with TRT is that it's safe to stop treatment at any time if you no longer want to continue or feel that you are no longer benefiting. They'll perform a physical exam, analyze your symptoms, medical history, and goals, and schedule appropriate lab tests based on that conversation.
No content on this site, regardless of date, should be used as a substitute for direct medical advice from your doctor or other qualified clinical professional. However, doctors don't usually recommend TRT as a first option for treating low testosterone, even in men who have these symptoms. The individual can expect improvements in their blood testosterone levels within a week, however, symptoms may take longer to improve. Testosterone decreases in women as they age, especially after menopause, but most of the time, TRT isn't necessary.
If a man's testosterone is below the normal range, it's best to repeat it one more time to be safe before starting testosterone therapy, often keeping it indefinitely. Before prescribing testosterone, your doctor must check your testosterone levels and make sure that your low testosterone level isn't due to something else, such as an illness. Use caution when letting children or their loved ones touch the treated area or unwashed clothing that was in contact with the gel, as testosterone may be transferred to them. A relatively small number of men experience the immediate side effects of testosterone supplementation, such as acne, breathing disorders while sleeping (worsening of sleep apnea), breast swelling or tenderness, or swelling in the ankles.
If you have low testosterone levels, TRT can help you regain your ability to have healthy erections and may increase your sexual desire.
