Hormone replacement therapy HRT sign and stethoscope

Should You Get Testosterone Replacement Therapy?

For men who are starting to feel like their vitality has diminished over time; evaluating whether low testosterone levels might be playing a role becomes essential. Testosterone serves as the vital hormone responsible for providing individuals with sensations of strength,vitality and masculinity while also having an impact on various aspects such as sexual desire, muscle mass, bone density, mood regulation, and energy provision. That being said,having low testosterone does not necessitate relying on testosterone replacement therapy(TRT)to address these issues. This article aims at having candid discussion that prioritizes comprehending all sides of the argument.

What Causes Low Testosterone and How Does It Affect You?

The main centers of testosterone synthesis in men are their testicles. During puberty and early adulthood, high levels peak, paving the stage for steady declination over the aging years.This is completely normal territory, which normally does not highlight any severe quandaries. However, some males undergo accelerated declamation due to a variety of problems such as obesity, diabetes, thyroid issues, and liver or kidney disease, to name a few. Others include infections, medications, generic disease damage, testicular surgery, and radiation therapy. 

To detect low testosterone, a blood test is performed to assess the amount of unbound hormones or free testosterone in the bloodstream.Because free testosterone is the active form of hormone, different clinics will use different ways to determine these levels, but in general, normal values range from 9 nanograms per deciliter (ng/dL) to 30 ng/dL. If the associated result oscillates below this range, symptoms associated with low testosterone levels can be anticipated. 

The most common symptoms include decreased sexual desire and erectile dysfunction, loss of muscular mass and deterioration of strength, increased fat depositions, and breast tissue enlargement. Furthermore, people frequently complain about waning vigor, exhaustion, and mental difficulties such as difficulty concentrating and a deteriorating memory capacity. Mood swings that contribute to irritation are common as well. Low T is also associated with a significant increase in symptoms associated with depression and anxiety. Low testosterone not only exacerbates the aforementioned symptoms, but it also has a detrimental impact on overall life quality. It reduces overall self-belief, motivation, and happiness, eventually harming interpersonal relationships. Furthermore, an increased sensitivity to some health-related disorders, such as:

  • Osteoporosis
  • Anemia
  • Cardiovascular problems
  • Diabetes
  • Metabolic Syndrome

How Does Testosterone Replacement Therapy Work and What Are the Benefits?

Testosterone replacement therapy (TRT) is a treatment that uses synthetic testosterone to treat low testosterone levels. Injections, patches, gels, pellets, and testosterone boosters are all possible forms of this medication. It seeks to treat a variety of symptoms linked with low testosterone levels, including sex drive, erectile function, muscle mass and strength, body fat distribution and breast tissue development, mood and well-being, and energy levels and vitality. However, it is crucial to highlight that testosterone replacement therapy is not a panacea that can solve all problems.

This treatment does have some dangers and adverse effects that must be considered. Acne and greasy skin, fluid retention leading to weight gain, an enlarged prostate, and urinary difficulties are some of the potential side effects. It may also cause increased red blood cell count in conjunction with elevated blood pressure levels, which increases the risk of blood clots and heart issues, as well as decreased sperm count and fertility. Furthermore, it is important to note that testosterone replacement therapy may not be effective for everyone. Some people may not respond well to this medication, or they may require higher doses to have any positive results. Furthermore, there may be underlying illnesses causing these symptoms (such as sleep apnea, anemia, or depression) that require additional treatment to improve your quality of life. Given these considerations, patients seeking testosterone replacement therapy should check with a doctor before beginning this medication. In addition to lifestyle adjustments recommended by your doctor's expertise in this area, regular level monitoring will be advised.

Who Needs Testosterone Replacement Therapy?

Diagnosis Low testosterone and pen on a desk

Testosterone replacement therapy is not for everyone. It is only recommended for men who have low testosterone levels confirmed by a blood test and who have symptoms that affect their quality of life. It is also only recommended for men who do not have any contraindications for taking testosterone, such as:

  • Prostate cancer or breast cancer
  • Severe sleep apnea
  • Recent heart attack or stroke
  • Blood clotting disorders or history of blood clots
  • Desire to have children

Testosterone replacement therapy is also not recommended for men who have normal or high testosterone levels or who do not have any symptoms of low testosterone. Taking too much testosterone can cause serious health problems, such as:

  • Liver damage or tumors
  • Aggressive or violent behavior
  • Mood swings or psychosis
  • Prostate enlargement or cancer
  • Infertility or testicular shrinkage

Taking too much testosterone can also lower your natural production of testosterone, making you dependent on the therapy and causing withdrawal symptoms if you stop taking it.


Testosterone, a hormone that influences many elements of your life, has the ability to negatively damage your health in a variety of ways. For individuals with low testosterone levels and concomitant symptoms that have a detrimental impact on their quality of life, testosterone replacement therapy may be a viable alternative. However, it is critical to note that testosterone replacement therapy is not a magical remedy capable of effortlessly fixing all of your difficulties. As with any medical intervention, there are dangers and side effects that must be considered. It is critical to understand that testosterone replacement therapy is not universally applicable and that a thorough discussion with your doctor about its suitability for you and how to use it safely and efficiently is required. Other paths for improving your quality of life should be prioritized as well, because testosterone alone does not decide your well-being. This includes eating a nutritious diet, regular physical activity, natural testosterone booster supplements, getting enough sleep, and controlling stress level.

James Freeman


Meet James Freeman, a California native whose passion for fitness emerged during challenging times, reshaping his life. With over two decades of coaching experience, he's not just a coach; he's a real-life example, shedding over 100 pounds in a journey to a healthier lifestyle. Beyond his coaching career, James is passionate about inspiring at-risk youth and promoting wellness in schools. In his downtime, he enjoys swimming and cycling, connecting with nature. Join him on his Instagram and LinkedIn profiles for insights into his empowering fitness journey.