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by Bailey Botsford Published 2 years ago Updated 2 years ago
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What is testosterone therapy used for?

Currently, testosterone therapy is approved primarily for the treatment of delayed male puberty, low production of testosterone (whether due to failure of the testes, pituitary or hypothalamus function) and certain inoperable female breast cancers.

What is testosterone replacement treatment?

The Pros and Cons of Testosterone Therapy Beginning in their mid-30s, men lose testosterone at an average of just under 2% per year.   Testosterone replacement treatment (TRT)aims to boost those low levels.

What should I know about testosterone injections?

Important information. You should not receive testosterone if you have prostate cancer, male breast cancer, a serious heart condition, or severe liver or kidney disease. Misuse of testosterone can cause dangerous or irreversible effects. Testosterone injections should be given only by a healthcare professional.

Who should get testosterone therapy?

As a result, there is some controversy about which men should be treated with supplemental testosterone. Testosterone therapy may make sense for women who have low testosterone levels and symptoms that might be due to testosterone deficiency. (It's not clear if low levels without symptoms are meaningful; treatment risks may outweigh benefits.)

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What does testosterone treatment do?

Testosterone is used primarily to treat symptoms of sexual dysfunction in men and women and hot flashes in women. Potential benefits include improved libido, increased bone mass, and increased sense of well-being.

What does testosterone treatment consist of?

Gels: AndroGel and Testim come in packets of clear testosterone gel. Testosterone is absorbed directly through the skin when you apply the gel once a day. AndroGel, Axiron, and Fortesta also come in a pump that delivers the amount of testosterone prescribed by your doctor. Natesto is a gel applied inside the nose.

What happens when you do testosterone?

Soon after beginning hormone treatment, you will likely notice a change in your libido. Quite rapidly, your genitals, especially your clitoris, will begin to grow and become even larger when you are aroused. You may find that different sex acts or different parts of your body bring you erotic pleasure.

What are the side effects of testosterone therapy?

What Are the Side Effects of Testosterone Replacement Therapy?Acne or oily skin.Mild fluid retention.Stimulation of prostate tissue, with perhaps some increased urination symptoms such as a decreased stream or frequency.Increased risk of developing prostate abnormalities.Breast enlargement.Increased risk of blood clots.More items...•

Why would a man take testosterone?

You may need testosterone therapy (TT) if you have Low-T. Both the FDA and the AUA suggest that TT be used to treat conditions you are born with, such as Klinefelter syndrome. You also may need TT if you harm or lose your testicles. If your testicles are removed because of a sickness such as cancer, you may need TT.

Why do people take testosterone?

The purpose of testosterone injections is to help regulate male hormone levels to help address problems related to low T. For men with low T, the benefits of these injections can include: an increased sex drive. improved symptoms of ED.

What age can I start testosterone?

Doctors can prescribe estrogen or testosterone at gradually higher amounts to mimic the puberty of the female or male gender. The Endocrine Society recommends that kids start taking these hormones around age 16, but doctors will start them as early as 13 or 14.

What are signs of low testosterone in males?

Symptoms of low testosterone depend on the age of person, and include the following:Low sex drive.Erectile dysfunction.Decreased sense of well-being.Depressed mood.Difficulties with concentration and memory.Fatigue.Moodiness and irritability.Loss of muscular strength.

What is normal testosterone by age?

Children: The first couple of months, a male baby should produce 75-400 ng/dL. By the time he's 10 to 11 years old, that should change to 7-130 ng/dL. Early Teens: Between 12 to 13 years old, a person should have 7-800 ng/dL. But by 15 to 16 years old, the ng/dL should be 100-1,200.

How much does it cost to get testosterone?

Generic options will also help lower out-of-pocket costs. Without insurance, injections are the least expensive type of testosterone replacement therapy and can range from $40 to $100 per month. Pellets—slow-release medications implanted under the skin—are typically $500 per month and may vary depending on your dose.

How can I boost my testosterone naturally?

Here are 8 evidence-based ways to increase testosterone levels naturally.Exercise and Lift Weights. ... Eat Protein, Fat and Carbs. ... Minimize Stress and Cortisol Levels. ... Get Some Sun or Take a Vitamin D Supplement. ... Take Vitamin and Mineral Supplements. ... Get Plenty of Restful, High-Quality Sleep.More items...•

Does testosterone increase size?

Testosterone is responsible for increased muscle mass. Leaner body mass helps control weight and increases energy. For men with low testosterone, studies show that treatment can decrease fat mass and increase muscle size and strength.

What Happens to Testosterone Levels With Age?

Testosterone levels generally peak during adolescence and early adulthood. As you get older, your testosterone level gradually declines — typically...

Does A Naturally Declining Testosterone Level Cause The Signs and Symptoms of Aging?

Not necessarily. Men can experience many signs and symptoms as they age. Some may occur as a result of lower testosterone levels and can include: 1...

Can Testosterone Therapy Promote Youth and Vitality?

Testosterone therapy can help reverse the effects of hypogonadism, but it's unclear whether testosterone therapy would have any benefit for older m...

What Are The Risks of Testosterone Therapy For Normal Aging?

Testosterone therapy has various risks. For example, testosterone therapy may: 1. Contribute to sleep apnea — a potentially serious sleep disorder...

Should You Talk to Your Doctor About Testosterone Therapy?

If you wonder whether testosterone therapy might be right for you, talk with your doctor about the risks and benefits. Your doctor will likely meas...

Before Taking This Medicine

You should not receive testosterone if you are allergic to it, or if you have: 1. prostate cancer; 2. male breast cancer; 3. a serious heart condit...

How Is Testosterone Injection given?

Testosterone is injected into a muscle. The injection is usually given every 2 to 4 weeks.Misuse of testosterone can cause dangerous or irreversibl...

What Happens If I Overdose?

Since this medication is given by a healthcare professional in a medical setting, an overdose is unlikely to occur.

Testosterone Side Effects

Get emergency medical help if you have any signs of an allergic reaction to testosterone: hives; difficult breathing; swelling of your face, lips,...

What Other Drugs Will Affect Testosterone?

Other drugs may interact with testosterone, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell each of your...

How often is testosterone injected?

These are implanted under the skin, usually around the hips or buttocks, and slowly release testosterone. They are replaced every three to six months. Injections. Various formulations are injected every seven to 14 days.

What is testosterone responsible for?

Produced by the testicles, it is responsible for male characteristics like a deep voice, muscular build, and facial hair. Testosterone also fosters the production of red blood cells, boosts mood, keeps bones strong, and aids thinking ability. Lack of testosterone, often nicknamed, low-t, can cause unwanted symptoms.

What are the risks of testosterone?

Prostate cancer is another concern, as testosterone can fuel its growth. As a result, the Endocrine Society recommends against testosterone supplementation for men in certain situations, including those who: 1 have prostate or breast cancer 2 have an elevated blood level of prostate-specific antigen (a blood test used to screen for prostate cancer) 3 have a prostate nodule that can be felt during a rectal exam.

How long does it take for testosterone to work?

Most men feel improvement in symptoms within four to six weeks of taking testosterone replacement therapy, although changes like increases in muscle mass may take from three to six months. – By Matthew Solan. Executive Editor, Harvard Men's Health Watch.

What causes low testosterone levels?

While falling testosterone levels are a normal part of aging, certain conditions can hasten the decline. Low t risk factors include: injury or infection. chemotherapy or radiation treatment for cancer. medications, especially hormones used to treat prostate cancer and corticosteroid drugs. chronic illness.

Why do men need testosterone replacement?

Millions of men use testosterone replacement therapy to restore low levels and feel more alert, energetic, mentally sharp, and sexually functional. But it's not that simple. A man's general health also affects his testosterone levels. For instance, being overweight, having diabetes or thyroid problems, and taking certain medications, ...

How long does it take for testosterone to come down after a syringe?

Various formulations are injected every seven to 14 days . Testosterone levels can rise to high levels for a few days after the injection and then slowly come down, which can cause a roller-coaster effect, where mood and energy levels spike before trailing off.

Testosterone's Role

Testosterone is the major sex hormone in males and plays a number of important roles, such as:

The Perils of Too Much Testosterone

Having too much naturally-occurring testosterone is not a common problem among men. That may surprise you given what people might consider obvious evidence of testosterone excess: road rage, fighting among fathers at Little League games and sexual promiscuity.

Too Little Testosterone

In recent years, researchers (and pharmaceutical companies) have focused on the effects of testosterone deficiency, especially among men. In fact, as men age, testosterone levels drop very gradually, about 1% to 2% each year — unlike the relatively rapid drop in estrogen that causes menopause.

Diseases and Conditions That Affect Testosterone

Men can experience a drop in testosterone due to conditions or diseases affecting the:

Testosterone Therapy

Currently, testosterone therapy is approved primarily for the treatment of delayed male puberty, low production of testosterone (whether due to failure of the testes, pituitary or hypothalamus function) and certain inoperable female breast cancers.

The Bottom Line

Testosterone is so much more than its reputation would suggest. Men and women need the proper amount of testosterone to develop and function normally. However, the optimal amount of testosterone is far from clear.

Why is testosterone injection used?

Testosterone injection is also used in women to treat certain types of breast cancer that have spread to other parts of the body. Testosterone should not be used to enhance athletic performance or to treat normal male aging. Testosterone injection is also used "off-label" for the treatment of gender dysphoria.

Why do men need testosterone injections?

Testosterone injection is used in men and boys to treat conditions caused by a lack of this hormone , such as delayed puberty or growth. It is only recommended for males with a known medical condition, such as a genetic disorder, problem with certain brain structures (called the hypothalamus and pituitary) or previous chemotherapy. ...

How do you know if you have excess testosterone?

Call your doctor at once if you notice any of these signs of excess testosterone: acne; changes in menstrual periods; male-pattern hair growth (such as on the chin or chest); hoarse or deepened voice; or. enlarged clitoris. Common testosterone side effects (in men or women) may include: breast swelling;

Can testosterone cause hives?

Testosterone side effects. Get emergency medical help if you have any signs of an allergic reaction to testosterone: hives ; difficult breathing; swelling of your face, lips, tongue, or throat. Get emergency medical help if you have any signs of a blood clot in the lung after using testosterone.

Is testosterone safe for pregnancy?

if you are pregnant or may become pregnant. To make sure testosterone is safe for you, tell your doctor if you have: heart disease or coronary artery disease; a history of heart attack, stroke, or blood clot; diabetes; enlarged prostate; high cholesterol or triglycerides (a type of fat in the blood);

What is testosterone therapy?

Testosterone therapy is available to treat men with low levels of testosterone. If you have low T, ask your doctor if this type of therapy might benefit you. Last medically reviewed on January 7, 2021.

What does low testosterone mean?

Low testosterone levels could be a sign of pituitary gland problems. The pituitary gland sends a signaling hormone to the testicles to produce more testosterone. A low T test result in an adult man could mean the pituitary gland isn’t working properly.

How much testosterone is in the blood?

There’s a wide range of normal or healthy levels of testosterone circulating in the bloodstream. Normal male testosterone levels range between 280 and 1,100 nanograms per deciliter (ng/dL) for adult males, and between 15 and 70 ng/dL for adult females , according to the University of Rochester Medical Center.

What causes testosterone levels to drop?

While testosterone production naturally tapers off as a man ages, other factors can cause hormone levels to drop. Injury to the testicles and cancer treatments such as chemotherapy or radiation can negatively affect testosterone production. Chronic health conditions and stress can also reduce testosterone production.

What are the symptoms of low testosterone?

Low testosterone levels. Low levels of testosterone, also called low T levels, can produce a variety of symptoms in men, including: decreased sex drive . less energy. weight gain. feelings of depression. moodiness. low self-esteem.

Can high testosterone cause adrenal hyperplasia?

High testosterone levels may also occur in less serious conditions. For example, congenital adrenal hyperplasia, which can affect males and females, is a rare but natural cause for elevated testosterone production. If your testosterone levels are extremely high, your doctor may order other tests to find out the cause.

Does testosterone affect sex drive?

Testosterone is most commonly associated with sex drive in men. It also affects mental health, bone and muscle mass, fat storage, and red blood cell production. Abnormally low or high levels can affect a man’s mental and physical health. Your doctor can check your testosterone levels with a simple blood test.

What is testosterone replacement therapy?

Testosterone replacement therapy is the process of replacing the testosterone that is lost as a result of an injury, a condition that is present at birth, or a disease that causes low testosterone levels. It can also be given to replace testosterone levels that have fallen as a result of an orchiectomy (removal of one or both testicles).

What is the term for the removal of both testicles due to cancer?

Cancer (testicular, prostate, or male breast cancer) Bilateral orchidectomy (removal of both testicles due to cancer or other conditions such as testicular torsion) Injuries to the testicles. Delayed puberty. The normal aging process.

What causes low testosterone levels?

Conditions That Cause Low Testosterone. There are a number of conditions that could cause low testosterone levels, which include: Primary hypogonadism (when testes do not properly function) Secondary hypogonadism (when production of testosterone suppressed due to a tumor of the pituitary gland or hypothalamus) ...

How often is Natesto given?

Natesto is the first FDA-approved intranasal testosterone therapy. Typically, it is administered three times a day per nostril . It is important for men interested in future fertility not to receive standard testostosterone replacement therapy since this can lead to low or no sperm count and infertility issues.

What is it called when you don't produce enough testosterone?

Male hypogonadism is a condition in which the testicles do not produce enough testosterone, do not produce sperm or both. According to one study, 20% of men over age 60, 30% of men over age 70, and 50% of men over age 80 have hypogonadism. A man may be born with hypogonadism, or it may develop later in life.

What is the role of testosterone in sexual development?

Testosterone is responsible for the development of primary sexual characteristics: male genitalia. It is also responsible for secondary sexual characteristics including muscle bulk, deep voice, and hair pattern.

Does testosterone decrease with age?

Testosterone and Aging. Testosterone levels naturally decrease as a man ages, starting at around age 30, and continue to decline throughout life. Although TRT has become a popular treatment, many experts do not recommend TRT for age-related symptoms of low testosterone.

Is testosterone replacement therapy safe?

Medically Reviewed by Carol DerSarkissian, MD on August 07, 2019. If you've been diagnosed with an abnormally low T, testosterone replacement therapy (TRT) offers a lot of benefits. But there are risks, too.

Does TRT help with testosterone?

If you have an abnormally low T, boosting your testosterone levels with TRT can help bring your energy levels back to normal. It can also restore your sex drive. You may notice a drop in body fat and a buildup of muscle mass after TRT.

Does TRT help with ED?

If you have low testosterone, TRT may help restore your ability to have healthy erections and can boost your sex drive. But ED has many other possible causes. Low testosterone may not be the whole story behind your ED. Talk to your doctor to determine what's at the root of your erection problems.

Why Does Testosterone Decrease with Age?

The short answer is…no one knows for sure. In fact, we don’t even know if testosterone has to decrease with age. One recent study concluded that aging has no effect on testosterone levels — it’s your overall health that’s the cause.

What Are the Symptoms of Low Testosterone?

If your T-levels are relatively normal and/or dropping slowly, you may not notice any symptoms — and what symptoms you do notice will likely just be written off to old age.

What is TRT?

TRT is a process by which you increase the amount of testosterone in your body using prescription medications. These medications can come in the form of injections, pills, patches, or even a gel or cream.

Who Should I See About Testosterone Replacement Therapy?

If you think you have low testosterone, you should bring it up with your primary care physician. They can order the necessary tests and coach you through the steps you’ll need to take to start the therapy.

How Can I Get TRT?

Start by talking to your doctor about your symptoms. They’ll most likely want to administer a blood test to check your hormone levels. If so, schedule it for the morning, when your T-levels are at their peak.

What Happens to My Body When Having TRT?

The first thing you should notice is an increase in your sex drive. This happens within three weeks and reaches its full potential within six weeks.

What Are the Benefits of TRT?

These will vary from person to person, but in general, you should notice some or all of the following:

Is testosterone good for sex drive?

Given the limited research on effectiveness and safety and the number of potential serious side effects, testosterone isn' t a common treatment for sexual dysfunction. Testosterone therapy might be appropriate if: You have reduced sex drive, depression and fatigue after surgically induced menopause, and estrogen therapy hasn't relieved your symptoms.

Is testosterone off label?

Testosterone preparations are not approved by the Food and Drug Administration for use in women. So if testosterone is prescribed, it's for off-label use.

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