Testosterone Replacement Therapy (TRT) – FAQ
- Growth and maturation of prostate and other male sex organs
- Development of male hair distribution such as facial hair
- Changes in body muscle mass and strength and fat distribution
- Sex drive and sexual function
- Mood and energy level
- Bone strength
- Increased energy
- Decreased irritability and depression
- Improved muscle mass and strength
- Improved sexual desire
- Improved visuospatial cognitive function and verbal memory
- Higher motivation
- Decreased body fat (optimal results received through accompaniment of a diligent diet and exercise regimen)
- Possible improvement in erectile function
- Thicker skin
- Increase in red blood cells. This can be beneficial if you have anemia. However, it can be potentially dangerous because an increase in red blood cells can lead to blood clots, heart attack, or stroke.
- Prostate effects. If you have an enlarged prostate, testosterone may worsen your symptoms, particularly if you are more than 50 years of age. If you have a history of prostate cancer, you cannot receive testosterone therapy without prior clearance from the urologist who is overseeing your care.
- Skin reactions. Acne, oily skin, increased body hair, and flushing have been reported. These side effects are not very common, but if they occur, often they are transient.
- Infertility. Testosterone therapy down regulates production of a man’s sperm. Be upfront with your medical provider about your desire for children, and be sure to discuss the situation with your spouse or partner, if appropriate.
- Sleep apnea. This is a condition that disrupts breathing during sleep, and if already present, may be worsened by the use of testosterone therapy. If you snore or suspect you may have sleep apnea, be sure to talk to your medical provider about the situation. Considering a sleep study for further evaluation may be appropriate prior to starting therapy.
- Fluid retention. Although uncommon, you must use caution if you have a history of heart failure or kidney disease.
See the complete list of potential low testosterone treatment side effects for more information.
- Breast or prostate cancer
- A palpable prostate nodule
- Untreated obstructive sleep apnea
- Severe benign prostatic hyperplasia symptoms (AUA prostate symptom score > 19)
- Uncontrolled severe heart failure
- Unexplained PSA elevation
- Severe lower urinary tract symptoms associated with benign prostatic hypertrophy
- Unstable severe congestive heart failure (class III or IV)
Testosterone patches can create a significant rash at the site of application. They also don’t stick well, especially during the summer months.
Experience has shown that gels and patches may require dosage adjustments to obtain medically appropriate blood concentrations, and some patients may never absorb enough testosterone from gels or patches to improve symptoms. These modalities often have a higher conversion to less desirable hormones in the process of transfer through the skin.
The physicians at Low T Center regularly employ intramuscular testosterone injections because of their clinical effectiveness and convenience.
In addition, we take your vitals — blood pressure, pulse rate, weight — and do a full blood panel:
*The labs consists of a hormone panel, prostate, thyroid, cholesterol, A1C- glucose, liver function and more.
At your second visit , which is only about 35 minutes – you will meet with our medical provider where they will conduct a physical exam, and discuss the results of your labs, your vitals, your answers to our health assessment, your health goals and any recommended therapy. If you had low testosterone levels on your first blood draw, we will run a 2nd test during this visit to verify that you do have low testosterone and you could potentially begin therapy.