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Understanding The Risks Of Testosterone Replacement Therapy (TRT) In Australia

Updated: Feb 25

man accessing low testosterone treatment

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Testosterone Replacement Therapy (TRT) offers promising benefits for men grappling with symptoms of low testosterone (see our blog on potential benefits here). However, understanding the potential risks and exploring alternatives are essential steps before embarking on TRT in Australia.


What Are The Symptoms of Low Testosterone?


The American Urology Association (AUA) identifies low blood testosterone (Low-T) as less than 300 nano-grams per deciliter (ng/dL), and Low-T is often accompanied by a range of symptoms. These symptoms or conditions may accompany Low-T in several ways, and Studies have shown that low testosterone manifests in various physical, mental, and sexual symptoms. Recognising these signs is crucial for initiating the discussion about TRT:


  • Mental: Depression, reduced self-confidence, difficulty concentrating, disturbed sleep.

  • Physical: Declining muscle and bone mass, increased body fat, fatigue, swollen or tender breasts, flushing or hot flashes.

  • Sexual Function: Lower sex drive, fewer spontaneous erections, difficulty sustaining erections.


Navigating the Low-T Marketing Boom:


Pharmaceutical marketing has heightened awareness about low-T treatment, prompting more men to inquire about TRT. However, fatigue alone may not warrant TRT consideration. Comprehensive assessment and pathology testing are crucial for accurate diagnosis, as well as understanding a patient’s unique situation. The best way to get started with this is to carry out blood testing (pathology) and share this with your practitioner.


Pharmaceutical marketing has heightened awareness about low-T treatment, prompting more men to inquire about TRT. However, Fatigue alone may not warrant TRT...

What Are The Potential Risks of Testosterone Therapy?


While TRT offers benefits, potential risks underscore the importance of informed decision-making:


  • Immediate Side Effects: Acne, disturbed breathing, breast swelling, swelling in ankles, and high red blood cell counts.

  • Long-term Risks: Cardiovascular problems, including heart attacks, strokes, and heart disease-related deaths, particularly in older men.

  • Prostate Cancer Concerns: Some physicians caution against TRT due to potential stimulation of prostate cancer cells.


Our Advice: Take a Cautious Approach To TRT


Before opting for TRT, or alongside it, you should consider alternative strategies and evaluate health status comprehensively:

  • Address Lifestyle Factors: Balanced diet, regular exercise, and adequate sleep can mitigate symptoms attributed to low testosterone.

  • Accurate Assessment: Timing and interpretation of testosterone tests are critical for diagnosis. Seek multiple opinions if needed. At The Functional Doctors, pathology testing is carried out frequently in order to ensure we have an accurate view of the impact medication is driving.

  • Monitoring and Follow-up: Regular check-ups and lab tests ensure therapy effectiveness and monitor potential side effects. At the Functional Doctors, we usually start patients on cycles with 12 week reviews.


Setting Realistic Expectations For TRT


TRT is not a panacea and may not restore youthfulness or prevent age-related conditions. Managing expectations and understanding potential limitations is vital:

  • Sexual Function: TRT may enhance libido but might not resolve erectile dysfunction entirely.

  • Treatment Outcomes: TRT benefits vary, and its impact on longevity, heart health, and cognitive function remains uncertain.


Before Aussie men embrace TRT, they should weigh the potential risks against perceived benefits and consider alternative strategies. With informed decision-making, comprehensive assessment, and ongoing monitoring, individuals can navigate TRT considerations effectively, ensuring optimal outcomes and well-being. 


If you’d like to understand whether you could be a good candidate for TRT, or just to learn more about the treatment, you can visit our dedicated service for TRT patients, cactusmen.com.au. As leaders in Telehealth and offering 100% private telehealth services, cactusmen.com.au provides specialised TRT care nationwide in Australia. Wherever you are, we're here for you - visit CactusMen today to get started with blood tests for new patients or begin your clinic transfer if switching from another clinic!


 
 


While we've ensured that everything you read on our blogs is medically reviewed and approved, the information is not intended as a substitute for professional medical advice, diagnosis, or treatment. You should never rely on this blog for specific medical advice, and if you have any questions or concerns specific to your personal case, you should speak to your doctor or reach out to our team directly.

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