Testosterone Therapy

TRT prescription is usually in the form of testosterone gel, cream, or long-acting injections for the first two to six months.

Some men develop depression, loss of sex drive, erectile dysfunction, and other physical and emotional symptoms when they reach their late 40s to early 50s.

Other symptoms common in men this age are:

  • mood swings and irritability
  • loss of muscle mass and reduced ability to exercise
  • fat redistribution, such as developing a large belly or “man boobs” (gynecomastia)
  • a general lack of enthusiasm or energy
  • difficulty sleeping (insomnia) or increased tiredness
  • poor concentration and short-term memory

These symptoms can interfere with everyday life and happiness, so it’s important to find the underlying cause and work out what can be done to resolve it.

Personal or lifestyle issues

Lifestyle factors or psychological problems are often responsible for many of these symptoms.

For example, erectile dysfunction, loss of libido, and mood swings may be the result of either:

  • stress
  • depression
  • anxiety

There are also physical causes of erectile dysfunction, such as changes in the blood vessels, which may happen alongside any psychological cause.

Psychological problems are typically brought on by work or relationship issues, divorce, money problems, or worrying about aging parents.

A “midlife crisis” can also be responsible. This can happen when men think they have reached life’s halfway stage.

Anxieties over what they have accomplished so far, either in their job or personal life, can lead to a period of depression.

Other possible causes of “male menopause” include:

  • lack of sleep
  • a poor diet
  • lack of exercise
  • drinking too much alcohol
  • smoking
  • low self-esteem

Late-onset hypogonadism

In some cases, where lifestyle or psychological problems do not seem to be responsible, the symptoms of the “male menopause” may be the result of hypogonadism, where the testes produce few or no hormones.

Hypogonadism is sometimes present from birth, which can cause symptoms like delayed puberty and small tests.

Hypogonadism can also occasionally develop later in life, particularly in men who are obese or have type 2 diabetes.

This is known as late-onset hypogonadism and can cause the “male menopause” symptoms.

A diagnosis of late-onset hypogonadism can usually be made based on your symptoms and the results of blood tests used to measure your testosterone levels.

What to do?

If you’re experiencing any of these symptoms, see your doctor. They’ll ask about your work and personal life to see if your symptoms may be caused by a mental health issue, such as stress or anxiety.

Do I need hormone replacement therapy (TRT)?

Your doctor may also order a blood test to measure your testosterone levels. If the results suggest you have a testosterone deficiency, you may be referred to a doctor, a specialist in hormone problems. If the specialist confirms this diagnosis, you may be offered testosterone replacement to correct the hormone deficiency, which should relieve your symptoms.

This treatment may be either:

  • tablets
  • patches
  • gel
  • implants
  • injections

Testosterone treatment (TRT)

TRT is usually given by testosterone gel, cream, or long-acting injections for the first two to six months. Testosterone replacement therapy (TRT) has been shown to be highly effective in relieving the symptoms of testosterone deficiency – in particular in restoring energy, health, and sex drive.

TRT is often needed long-term and can safely be continued in these forms if good symptom relief is maintained or changed to other types if needed.

How safe is hormone replacement therapy for men?

To ensure the safety and effectiveness of treatment, including giving the right dosage, it is essential that the results of treatment are carefully monitored, both to establish the diagnosis and to monitor the treatment carefully, blood tests, and laboratory measurements are required at regular intervals.
Testosterone treatment including testosterone replacement therapy has been in use in the USA and other countries for over half a century and has a remarkably good safety record over that time.

If you have any questions, you can ask our specialists by filling out the contact form.