What is testosterone therapy?
Testosterone therapy, also known as TRT (testosterone replacement therapy), is a treatment that attempts to normalize testosterone levels in men who have low testosterone, also called hypogonadism or low T. The goal of testosterone therapy is to raise testosterone levels back to normal healthy ranges in order to alleviate symptoms caused by low T.
Who needs testosterone therapy?
Testosterone therapy may be appropriate for men who have significantly low testosterone levels accompanied by symptoms such as:
- Low sex drive and erectile dysfunction
- Decreased energy and fatigue
- Loss of muscle mass and strength
- Increased body fat and difficulty losing weight
- Mood changes like depression or irritability
- Difficulties with concentration and memory
A simple blood test can determine if a man has clinically low testosterone levels. Men over age 30 with consistent symptoms of low T are candidates for testing.
How is testosterone therapy administered?
There are several delivery methods for testosterone replacement:
- Injections: Testosterone injections into the muscle are commonly administered every 1-2 weeks. This provides a spike in testosterone levels after the shot followed by a gradual decline over time.
- Gels: Topical testosterone gels provide daily application of testosterone to the skin to maintain more stable blood levels.
- Patches: Transdermal testosterone patches can be applied daily to deliver testosterone through the skin and into the bloodstream.
- Pellets: Testosterone pellets can be implanted underneath the skin every 3-6 months to release testosterone slowly over time.
Doctors at Rebalance Clinic can work with patients to determine the most appropriate testosterone therapy based on the patient's preferences, needs, and sensitivities.
What are the expected results?
Patients generally notice improvements in hypogonadal symptoms within 3-6 weeks after starting testosterone therapy. The full effects are usually achieved within 3-6 months. Improvements may include:
- Increased sex drive and sexual function
- More energy, improved mood, and cognitive function
- Increased muscle mass and strength
- Decreased body fat and easier fat loss with diet and exercise
- Better sleep quality and less fatigue
The goal is to find the lowest effective testosterone dosage that relieves symptoms for each patient. Lifelong treatment may be necessary for most patients to maintain normal testosterone levels.
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