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Is Hormone Replacement Therapy right for you?

Hormone Replacement Therapy (HRT) for men, also referred to as testosterone replacement therapy, is a medical treatment that involves supplementing testosterone levels in men whose bodies are not producing enough of the testosterone hormone. It is primarily used to treat symptoms of low testosterone (also called “low T”) in men of all ages, including young men, middle-aged, and older men.

While testosterone levels naturally decline as a result of the aging process, some men may not experience symptoms of low testosterone and those that do may benefit from HRT. Whether or not HRT is right for men depends on several factors, including overall condition of health, medical history, and degree of symptoms.

Men who experience symptoms of low testosterone, such as fatigue, decreased muscle mass, decreased libido, difficulty achieving and maintaining an erection, hot flashes, hair loss, decreased muscle mass, increased body fat, and depression may benefit from hormone replacement therapy. However, HRT is not appropriate for men with certain medical conditions, such as cancer, high red blood cell counts, or sleep apnea.

The decision to undergo HRT should be made in consultation with a provider who can evaluate the man’s health status and assess if HRT is appropriate. Regular monitoring of testosterone levels and potential side effects is also important for anyone undergoing HRT.


What are the benefits of HRT for men?

HRT for men may provide several benefits for men of all ages with low testosterone levels. Some of the potential benefits of HRT for men include:

  • Improved sexual function: Men with low testosterone levels may experience decreased libido, erectile dysfunction, and other sexual problems. HRT may help to improve sexual function and increase libido.
  • Increased muscle mass and strength: Testosterone is an important hormone for building and maintaining muscle mass and strength. HRT may help increase muscle mass, improve physical performance, and reduce body fat.
  • Improved bone density: Testosterone plays a key role in maintaining bone density, and men with low testosterone levels may be at increased risk of osteoporosis. HRT may help improve bone density and reduce the risk of fractures.
  • Increased energy and reduced fatigue: Men with low testosterone levels may experience fatigue and decreased energy levels. HRT may help increase energy levels and improve sleep.
  • Improved mood and cognitive function: Testosterone may play a role in mood regulation and cognitive function. HRT may help improve overall mood and cognitive function and enhance sleep.

It is important to note that the benefits of HRT may vary depending on the individual and that not all men with low testosterone levels require HRT. 

testosterone therapy for men

How is HRT administered?

There are several ways to administer testosterone replacement therapy. The choice of how to administer method may depend on individual preferences, medical history, and the healthcare provider’s recommendations. Some of the most effective ways to administer HRT for men include:

  • Injections: Testosterone injections are given into the muscle, typically every two to four weeks. The injection is usually given in a healthcare provider’s office.
  • Subcutaneous pellets: Testosterone pellets are inserted under the skin, typically in the buttocks or hip area. The pellets slowly release testosterone over the course of several months.

While topical gels and creams applied to the skin, typically on the shoulders or upper arms and absorbed into the bloodstream, and skin patches, typically placed on the abdomen, thigh, or upper arm, are potential treatments, they may not be as effective as injections or pellets.

Each method of administration has advantages and disadvantages, and your provider provider will help determine the method that may be best suited for each person’s needs.

How to prepare for HRT

If you are a man considering HRT, there are several steps you can take to prepare for the treatment. The first step is to schedule a consultation to determine if you have low testosterone levels and if HRT is appropriate for you. During the consultation, your provider will conduct an intake process that will include a review of your medical history and order blood tests to check your testosterone levels.

Once it has been determined that you are a candidate for HRT, we will review the potential benefits and risks of HRT so that you may decide if HRT is right for you.  The best method of administration will be determined and treatment instructions will be provided.

Taking too much testosterone can increase the risk of side effects, while taking too little may not provide the desired benefits. Regular monitoring of testosterone levels and potential side effects is important and you will be advised regarding how often you should have your testosterone levels checked and any other monitoring that may be necessary.

What to expect?

The effects of HRT can vary depending on the individual and the method of administration. However, here are some general things that men can expect after undergoing HRT:

  • Increased energy and improved mood: One of the most common benefits of HRT for men is increased energy and improved mood. Many men report feeling more alert, motivated, and optimistic after starting HRT.
  • Improved sexual function: HRT can improve sexual function in men, including increased libido, improved erectile function, and better overall sexual satisfaction.
  • Increased muscle mass and strength: HRT can increase muscle mass and strength, especially when combined with regular exercise.
  • Decreased body fat: HRT can also decrease body fat, particularly in the midsection.
    Changes in hair growth: HRT may cause increased hair growth in some areas, such as the face and chest, but decreased hair growth in other areas, such as the scalp.
  • Changes in cholesterol levels: HRT can improve cholesterol levels, including reducing levels of LDL (bad) cholesterol and increasing levels of HDL (good) cholesterol.
  • Potential side effects: While HRT can be beneficial for many men, it may also have potential side effects, such as acne, mood changes, and increased risk of blood clots.

It is important to note that the effects of HRT may take several weeks or months to become noticeable, and regular monitoring of testosterone levels and potential side effects is important.