Pros and Cons of Testosterone Replacement Therapy (TRT)

Why Consider TRT?

Beginning in their mid-30s, the average man experiences a testosterone decrease of 1-2% per year. Left untreated, that drop may eventually lead to hypogonadism or low testosterone. One in 5 men experience this condition in their 60s, and the older men get, the more likely they are to suffer from this condition.

The purpose of testosterone replacement therapy (TRT) is to increase testosterone levels to that of a healthy man. Testosterone contributes to many important biological functions including sexual functioning, mood, cognition, and body composition.

As is the case with any medical treatment, there are pros and cons to consider.

Pros of TRT

Increased energy: Fatigue is a common symptom of low testosterone levels. TRT can alleviate fatigue and restore vitality.
Stronger sex drive: An issue that leads many men to consider TRT is inconsistency in their sexual functioning. TRT can restore libido and proper sexual function. (Note: not all cases of erectile dysfunction are a result of low testosterone.)
Elevated mood: Mood-related symptoms of low testosterone levels include depression, fatigue, and irritability. TRT can alleviate these symptoms.
Improved cognition: Men with higher testosterone levels are less likely to suffer from Alzheimer’s disease. Additionally, there’s a strong correlation between testosterone and cognitive abilities such as verbal memory, processing speed, and spatial memory.
Increased muscle mass: Increased muscle mass leads to a stronger, healthier body composition, as well as increased confidence.
Increased bone density: Testosterone plays a major role in bone density. As men age and testosterone levels drop, bone density may also decrease. Having strong bones helps in injury prevention and athletic performance.
Reduced symptoms of type 2 diabetes: TRT can improve the symptoms of type 2 diabetes by helping to improve body composition, thus reducing instances of obesity and insulin resistance.

Cons of TRT

Fluid retention: This symptom doesn’t cause serious health challenges; however, it may be troublesome for men seeking to improve their physical appearance.

Acne: Testosterone typically leads to increased stimulation of oil glands, which can cause increased levels of acne.

Lower sperm count: This is an important consideration for individuals who are younger or seeking to have children. Decreased sperm count is not typically permanent.

Gynecomastia: TRT may cause the growth of fatty tissue on the chest, giving the appearance of having breasts, a condition known as gynecomastia.

Increased aggression: While most people experience an improved mood as a result of TRT, some report mood swings and increased feelings of aggression.

What’s the Best Treatment for You?

If you’re struggling with the symptoms of low testosterone, speak with a professional. Get the information you need to determine the cause of your symptoms and identify the best solution. The goal should be to feel your best. Proper treatment and support can help you recapture your vitality and live a more fulfilling life.