Testosterone Therapy: Gains for Desire, But Don’t Expect a Miracle Cure, Experts Warn
Madrid, Spain – Millions of men experiencing age-related declines in energy, libido, and overall well-being are turning to testosterone therapy (TRT). But a leading urologist is urging caution, emphasizing that TRT isn’t a universal fix and requires rigorous medical assessment. This breaking news comes as demand for TRT continues to surge, fueled by direct-to-consumer marketing and a growing awareness of declining testosterone levels with age. This article is optimized for Google News and SEO to deliver the latest information quickly.
The Importance of Confirmed Deficiency
Dr. Francois Peinado, Head of the Urology Service and Coordinator of the Men’s Unit at the Ruber Juan Bravo University Hospital, stresses the critical need to confirm clinical hypogonadism before initiating TRT. This means consistently low testosterone levels accompanied by noticeable symptoms directly attributable to the deficiency – not just a dip within the normal range. “Starting hormonal treatment is not a trivial decision,” Dr. Peinado explains. “It must be based on solid clinical criteria, both to maximize the benefits and minimize the possible risks.”
What TRT *Can* Do: Improved Desire & Energy
Recent systematic reviews indicate that TRT can effectively improve sexual desire and boost energy levels in men with moderate testosterone deficiency. However, expectations need to be managed. The therapy isn’t a panacea. Dr. Peinado notes that not all symptoms a man attributes to low testosterone will respond to treatment. And, crucially, the effects on erectile function are described as modest.
Beyond Erectile Function: What TRT Doesn’t Fix
The research also clarifies what TRT doesn’t do. It doesn’t appear to improve cognitive function in men without pre-existing cognitive issues. It won’t prevent the progression of prediabetes, nor will it improve blood sugar control in those already diagnosed with diabetes. This is vital information for men considering TRT as a solution for broader health concerns.
Safety Concerns & Cardiovascular Risk
For years, concerns lingered about the potential cardiovascular risks of TRT. However, recent studies offer some reassurance. Research suggests there’s no significant increase in the risk of heart attack or stroke in men with pre-existing cardiovascular disease undergoing TRT compared to those receiving a placebo. Similarly, strong evidence linking TRT to an increased risk of prostate cancer remains elusive.
Potential Side Effects: What You Need to Know
Despite the encouraging cardiovascular findings, TRT isn’t without potential side effects. Erythrocytosis – an overproduction of red blood cells – is a common concern, potentially increasing the risk of blood clots. Reduced endogenous testosterone production, decreased sperm count (oligospermia), or even complete absence of sperm (azoospermia) are also possible.
Preserving Fertility: Alternatives to TRT
For men concerned about fertility, alternatives like selective estrogen receptor modulators (SERMs), such as clomiphene, offer a promising option. SERMs can stimulate the body’s own testosterone production without suppressing sperm production. However, the best course of action is always a personalized discussion with a specialist.
A Collaborative Approach to Testosterone Therapy
The message from Dr. Peinado is clear: the decision to start TRT should be a collaborative one, made jointly between doctor and patient. This requires a thorough clinical evaluation, repeated and accurate lab tests (specifically, fasting morning levels), and an honest conversation about realistic expectations, potential benefits, and inherent risks – both in the short and long term. Understanding the nuances of testosterone therapy is paramount for men seeking to reclaim their vitality and improve their quality of life.
Staying informed about your health is crucial. Archyde is committed to delivering the latest medical breakthroughs and expert insights to empower you to make informed decisions. Explore our Men’s Health section for more articles on hormone health, preventative care, and overall well-being.
