Men's Health - Testosterone Replacement Therapy

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 Common signs of low testosterone include fatigue, low libido, erectile dysfunction, reduced muscle mass, depression, irritability, trouble concentrating, and decreased bone density. If you're experiencing these symptoms and suspect low testosterone, a blood test can confirm your levels. 

TRT can be administered in several ways:

• Injections: Testosterone is injected into the muscle, typically every 1–2 weeks.
• Patches: A patch is applied to the skin daily, allowing testosterone to be absorbed.
• Gels: Testosterone gels are applied to the skin daily, which absorb into the bloodstream.
• Pellets: Small pellets are implanted under the skin every few months, releasing testosterone slowly over time.
• Oral formulations: Some oral tablets or buccal patches are available, but they may have a higher risk of liver side effects.

 Yes, TRT can have side effects, which may include:

• Acne or oily skin
• Sleep apnea or worsening of existing sleep apnea
• Increased red blood cell count (which could increase the risk of blood clots)
• Fluid retention, which may cause swelling in the ankles
• Enlarged breasts (gynecomastia)
• Decreased fertility (because TRT can suppress sperm production)
• Increased risk of cardiovascular issues in some men, especially those with preexisting heart conditions

That's why it's important for levels to be monitored closely.

 Yes, many men who have low testosterone and experience erectile dysfunction or a decreased libido see improvements in sexual function after starting TRT. However, it's not a guaranteed solution for everyone, and other factors (like underlying health conditions or medications) could also impact sexual health. 

TRT can be safe for long-term use when monitored by a health care provider. Regular follow-up appointments and blood tests are crucial to ensure testosterone levels stay in the optimal range and to detect any potential side effects early. The risks associated with long-term TRT can vary, and some men may be more susceptible to issues like cardiovascular problems or blood clotting. 

 Yes, TRT can decrease sperm production and reduce fertility. This is because introducing external testosterone can signal the body to stop producing its own, which can lead to reduced sperm count. If fertility is a concern, it's important to discuss  options to preserve fertility with your provider.

 The time frame can vary, but many men start noticing improvements within a few weeks to a few months. Energy levels, mood, and libido may improve relatively quickly, while changes in muscle mass or bone density may take several months to become noticeable. 

Testosterone plays a role in maintaining muscle mass, which can affect metabolism. While TRT itself is not a weight-loss treatment, restoring testosterone to normal levels can help reduce fat and build muscle, leading to improved body composition. It’s still important to maintain a healthy diet and exercise routine alongside TRT. 

TRT may not be suitable for men with certain health conditions, including:

• Prostate cancer or other cancers
• Severe sleep apnea
• Heart disease or high red blood cell count
• Severe liver disease
• Uncontrolled diabetes

It’s important to discuss your medical history with your provider to determine if TRT is safe for you.

Coverage for TRT depends on your insurance plan and whether you have a diagnosed medical need for it. In many cases, insurance will cover TRT if you have a documented testosterone deficiency, but out-of-pocket costs can vary. It’s a good idea to check with your insurer to understand your coverage options. We are a cash pay office and do not submit any claims to insurance. You may provide receipts to your insurance for possible reimbursement. 

No, we do not accept insurance or submit claims on your behalf. We are a cash pay office. You may provide receipts to your insurance for possible reimbursement. 

Yes! We accept Flex Spending Account (FSA) and Health Savings Account (HSA) cards as long as they have a Visa, Master Card, American Express, or Discover symbol on the card. The card must be active and not expired.