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When is TRT needed? What are the criteria for low testosterone?

10/31/2024

TRT, commonly needed for older men, stands for Testosterone Replacement Therapy and is a medical treatment to treat low testosterone levels in men. Low testosterone levels may cause a range of symptoms in men, such as fatigue, depression, decreased libido, decreased muscle mass, and decreased bone density.

The purpose of TRT is to restore testosterone levels in the body by synthesizing testosterone, thereby treating a range of symptoms associated with low testosterone.

Underwhat circumstances is TRT needed?

Testosterone levels in men decline with age, and if they drop to a low level, it can cause some physical and emotional symptoms. include

Decreased libido: Persistent decreased libido or erectile dysfunction.

Fatigue and low energy: A persistent feeling of tiredness and lack of motivation, despite adequate rest.

Emotional problems: depression, anxiety, irritability, or emotional instability.

Loss of muscle mass: Difficulty maintaining muscle mass and strength despite exercise.

Decreased bone density: Increased risk of osteoporosis or fracture.

Decreased cognitive function: loss of concentration, memory loss, or confusion.

Increased body fat: Especially abdominal fat.

Of course, TRT is not necessary for the above symptoms. Only for those who with low testosterone in order to get TRT. If you do not get a prescription from your doctor, you will not be cover by an insurance agency.

The normal testosterone level is 300-1000 ng/dL, and when the serum total testosterone level is below 300 ng/dL, it is low testosterone. But doctors will often order multiple blood tests in the morning (when testosterone levels are high) to ensure accuracy. In addition, the patient’s clinical symptoms are evaluated.

Low testis due to disease or injury

In addition to the low testosterone levels required by the body’s natural aging, certain diseases or physical injuries may cause low testosterone levels and require TRT to restore testosterone levels. These include testicular injury, hypothalamic or pituitary dysfunction, chronic diseases such as type 2 diabetes, obesity, kidney failure, liver disease, and decreased testosterone levels.

AIDS or other immune system diseases: These conditions may affect testosterone production.

The use of certain medications, such as steroids or opioids, may inhibit the natural secretion of testosterone.

Special needs

Some men may choose TRT for muscle mass, sexual function, or emotional stability, but this usually needs to be carefully under medical supervision because of the potential side effects of abuse.

Comprehensive evaluation of TRT application

In addition to the blood test results, the doctor will usually evaluate the patient’s symptoms, medical history, and overall health to determine whether needed TRT appropriate. Even if testosterone levels are low, if the patient has no obvious symptoms, the doctor may recommend observation or other treatment options rather than immediately performing TRT.

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