Men's Testosterone Replacement Therapy (TRT)
General Information
​
Men's TRT (Testosterone Replacement Therapy) is a medical treatment designed to restore normal levels of testosterone in men who have low or deficient testosterone (a condition known as hypogonadism). Testosterone is a vital hormone responsible for many physical and emotional functions in men, including muscle mass, bone density, energy levels, mood regulation, libido, and overall well-being. As men age, their natural testosterone levels tend to decline, often starting in their 30s, which can lead to a variety of symptoms and health issues. At NPS Wellness, we offer a monthly membership for $199 that includes visits with our nurse practitioner, labs, and weekly testosterone injections. Interested? Find out more here.
​
How Men's TRT Works:
​
TRT involves administering synthetic testosterone to replace or supplement the body’s natural production. The therapy can help restore testosterone levels to a normal range, improving physical health, mental clarity, and quality of life.
​
Methods of Administration:
​
Testosterone replacement therapy can be delivered through various methods, tailored to the individual's preferences and lifestyle:
​
-
Injectable Testosterone: This is one of the most common and effective methods. Testosterone injections are typically administered intramuscularly, either weekly or biweekly, depending on the prescribed dosage. Common forms include testosterone enanthate or cypionate.
-
Topical Gels or Creams: These are applied to the skin, typically on the shoulders, arms, or abdomen. The gel is absorbed through the skin, allowing testosterone to enter the bloodstream. These treatments are usually applied once daily.
-
Testosterone Patches: Applied to the skin, similar to a topical gel, testosterone patches release a steady amount of the hormone into the bloodstream throughout the day. Patches are typically worn on the back, abdomen, upper arm, or thigh.
-
Testosterone Pellets: Small pellets containing testosterone are implanted under the skin, usually around the hip area, where they slowly release the hormone over several months. This method requires fewer administrations than injectable or topical treatments.
-
Buccal Tablets: These are placed on the gum or inside the cheek, where they dissolve and release testosterone directly into the bloodstream.
​
Benefits of TRT for Men:
​
-
Increased Energy and Vitality: Restoring testosterone levels can help reduce fatigue, boost energy, and improve overall vitality.
-
Improved Libido: Low testosterone is often associated with a reduced sex drive. TRT can help restore libido and improve sexual performance.
-
Enhanced Mood and Mental Clarity: Many men experience mood swings, irritability, and depression when testosterone levels drop. TRT can help stabilize mood, reduce anxiety, and improve mental focus and clarity.
-
Increased Muscle Mass and Strength: Testosterone plays a key role in muscle growth. With TRT, men often experience an increase in muscle mass, strength, and endurance.
-
Better Bone Health: Testosterone helps maintain bone density. TRT can reduce the risk of osteoporosis and fractures by promoting stronger bones.
-
Improved Sleep: Low testosterone levels are sometimes linked with sleep disturbances. TRT can help improve sleep quality and reduce symptoms of insomnia.
-
Fat Loss: TRT can help reduce body fat, especially abdominal fat, by increasing muscle mass and metabolism.
​
Potential Risks and Side Effects:
​
While TRT can offer significant benefits, it’s important to be aware of potential risks and side effects, which may include:
​
-
Increased Red Blood Cell Count: TRT can lead to a condition called polycythemia, where the body produces too many red blood cells. This can increase the risk of blood clots.
-
Sleep Apnea: Some men on TRT may experience worsening of sleep apnea, a condition where breathing stops temporarily during sleep.
-
Prostate Health: There is ongoing research on whether TRT can increase the risk of prostate issues, including benign prostatic hyperplasia (BPH) or prostate cancer. Men undergoing TRT should be monitored for prostate health.
-
Acne and Skin Issues: Increased testosterone can lead to acne or oily skin, especially when using topical treatments.
-
Mood Changes: While many men experience improved mood, others may feel more irritable or aggressive on TRT.
​
Monitoring and Medical Supervision:
​
Men undergoing TRT require ongoing monitoring by a healthcare provider. This typically includes regular blood tests to track testosterone levels, red blood cell count, and prostate-specific antigen (PSA) levels, as well as assessments of overall health and potential side effects. This ensures that the treatment is effective and safe.
Who is a Candidate for TRT?
​
TRT is typically recommended for men with clinically low testosterone levels and symptoms such as fatigue, depression, reduced libido, and loss of muscle mass. A healthcare provider will assess testosterone levels through blood tests and determine if TRT is an appropriate treatment option.