TRT in the UK

Are You A Good Candidate For TRT?

Are You A Good Candidate For TRT?

By Mike Kocsis | 7 minutes read | Last updated: May 7, 2024
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  • Medically Reviewed by Dr. George Touliatos

    Evidence Based Research

    Testosterone is important for the normal functioning of various organs, such as muscles, bones, and sex organs. However, its levels do not stay the same throughout a man’s life for various reasons.

    Some men become testosterone deficient if they have serious underlying health issues such as tumours while others may develop testosterone deficiency as they age. Testosterone deficiency or low T can impact your social, family and work life in various ways. Getting a suitable treatment such as TRT may help you feel better again.

    TRT is a popular treatment used worldwide to restore serum testosterone levels. It offers numerous benefits; however, it is not suitable for all. Doctors prescribe it only to those who are the right candidates for TRT.

    Not sure whether TRT is right for you or not? Keep reading the article to find out!

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    What is TRT?

    TRT is the abbreviation of testosterone replacement therapy. It is an FDA-approved procedure used to increase testosterone levels in men who are unable to produce it naturally.

    In TRT, synthetic testosterone is administered in the body in different ways to ensure you have 300 ng/dL or more serum testosterone. TRT has different types based on how the hormone is administered. Some of these types are:

    Testosterone gels: They are applied to the skin at least once a day. You should let the gel dry fully before you have skin-to-skin contact with another person to avoid gel transfer.

    Testosterone pellets: They are of rice grain size and are implanted under the skin. They contain crystallised testosterone and provide low doses for 3 to 6 months.

    Testosterone patches: They are applied to the dried skin once a day. They may cause mild to severe skin reactions.

    Testosterone injections: They are available in the market in various doses and are usually taken once a week. You can inject testosterone yourself or let your physician do that for you.

    Oral testosterone: Testosterone capsules or pills are also available in the market. They may cause diarrhoea or liver toxicity.

    These testosterone products have their particular pros and cons. Testosterone gels are one of the most widely used forms of TRT because they are more convenient than other TRT forms.

    You should discuss the effects and benefits of each TRT form with your doctor to identify the one that best suits your condition. 


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    Who should consider TRT?

    TRT is often prescribed to men who have low T and experience the following symptoms.

    Decline in sex drive

    Testosterone is a male sex hormone that plays an important role in libido. Sex drive reduces in men as they get older. However, it drops more drastically in men with low T.

    Trouble achieving an erection

    Testosterone is involved in achieving and maintaining an erection. It stimulates nitric oxide production, which initiates reactions required to get an erection. That is why when men don’t have enough serum testosterone, they lose the ability to gain an erection.

    Facial and body hair loss

    Testosterone is an androgen hormone that helps improve hair growth. However, having too much or too little of it can adversely affect your hair growth. It’s not uncommon for men with low T often lose their body and facial hair.

    Low energy levels

    Fatigue and lethargy are among the most common low t symptoms. If your testosterone levels are low, you may consistently feel fatigued even after resting for hours.  

    Hot flashes

    Hot flashes are another sign of low T. They produce a warm sensation throughout your body, particularly in the upper body part. Your skin gets red and starts to sweat. They usually occur at night and may make you feel chilled afterwards.

    Increased body fat

    Testosterone reduces body fat accumulation and promotes leanness. However, when you become testosterone deficient, you start gaining extra fat and weight. It often leads to gynecomastia, a condition in which you develop enlarged breast tissue.

    Reduced muscle mass

    Studies show that testosterone increases muscle mass in men. That is why men with low T often report low muscle mass and strength.

    Low bone density

    Testosterone strengthens bones. When you don’t have enough testosterone, your bones start losing their density, and they become fragile. The risk of osteoporosis and bone fracture also increases.

    Reduced testicle size

    Your body needs testosterone to develop testicles and maintain their health. So, low T could contribute to reduction in penis size. Some other health conditions that may cause small testicles are hypogonadism, obesity and prostate surgery.

    Low blood count

    According to a study, testosterone deficiency in older men can lead to anaemia (lack of red blood cells). Increasing the testosterone level back to normal tends to correct the anaemia.

    Mood changes

    Low T can disturb your mental capacity and mood. You may feel depressed most of the time and lose your desire to socialise with others.

    Trouble concentrating

    Do you find it hard to concentrate on a task without getting distracted? It could be because of low testosterone levels. Restoring your testosterone may help you regain your ability to focus and concentrate.


    Who should not consider TRT?

    Overall, TRT is a beneficial procedure. It has helped plenty of men get rid of low T symptoms and improve the quality of their life. However, it has some possible side effects, due to which doctors do not prescribe this procedure to all low-T patients.

    If you are suffering from certain medical conditions, taking TRT can worsen your health. Men having breast cancer or prostate cancer are advised to avoid this procedure. Similarly, men with sleep apnea and untreated heart problems should also not have it.

    Some athletes and bodybuilders take testosterone to enhance performance even when they have normal serum testosterone concentrations.

    They buy testosterone products from e-commerce stores or gyms without knowing what they contain. These products are unhealthy and pose serious health hazards. You should not take testosterone without getting checked by a doctor.


    TRT side effects

    Men, after starting TRT, report following side effects of the procedure.

    • Acne or oily skin
    • Increase in the number of red blood cells
    • Increase in breast size and soreness
    • Increase in prostate size
    • Infertility

    Studies about TRT show mixed results. Some conclude that it may increase the risk of prostate cancer and heart attack, while others say there is no correlation between these problems and TRT. 

    More research needs to be done on TRT effects. It is best to have TRT under the direction of an experienced and qualified physician.


    What to expect with TRT?

    Once you start taking testosterone, you may notice its effects within a few weeks. Your physician will ask you to have regular checkups to monitor your testosterone levels. They will optimise your testosterone dose to make sure you meet your health goals and get the best possible results while experiencing fewer side effects.

    TRT is a life-long treatment. If you stop having it, your testosterone level will drop again, and low T symptoms will reappear. That is why you should mentally and financially prepare yourself before starting the procedure to avoid trouble in the future.



    Can TRT treat Erectile Dysfunction?

    TRT may help improve mild ED symptoms, but it is possible only if your ED is because of low testosterone levels and not some other condition. Discuss your symptoms with a doctor to identify the root cause of the problem.


    Can I increase my testosterone levels naturally?

    It depends on why you have low testosterone levels. If they are due to obesity or poor lifestyle habits, getting rid of them can help you improve your testosterone levels.


    Who should I see for TRT?

    To get the best TRT results, you should see a physician who specialises in hormone deficiencies and their treatments. Here at Balance My Hormones we have specialised TRT doctors ready to guide you through your TRT journey. Click the contact button below to get in touch. 


    How to diagnose low T?

    If you have low T symptoms, you should visit a physician to find out what is causing them. They will conduct a physical examination and have a total testosterone levels test to diagnose the problem.


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    Are you a good candidate for TRT?

    If your testosterone levels are slightly lower than normal, getting TRT may not be the best choice. In such cases, doctors often suggest lifestyle changes.

    In case you have prominent low T symptoms, and they are influencing your life, getting TRT from a knowledgeable physician can produce a positive impact.

    Men with certain medical conditions, such as untreated heart problems and prostate cancer, should avoid TRT as it may further deteriorate their condition.

    Reach out to a doctor today to learn more about TRT and determine whether you should have it or not.



    References/Bibliography/Scientific studies/Further reading

    Spitzer, M., Huang, G., Basaria, S., Travison, T.G. and Bhasin, S., 2013. Risks and benefits of testosterone therapy in older men. Nature reviews Endocrinology9(7), pp.414-424.

    Isidori, A.M., Giannetta, E., Greco, E.A., Gianfrilli, D., Bonifacio, V., Isidori, A., Lenzi, A. and Fabbri, A., 2005. Effects of testosterone on body composition, bone metabolism and serum lipid profile in middle‐aged men: A meta‐analysis. Clinical endocrinology63(3), pp.280-293.

    Kovac, J.R., Rajanahally, S., Smith, R.P., Coward, R.M., Lamb, D.J. and Lipshultz, L.I., 2014. Patient satisfaction with testosterone replacement therapies: the reasons behind the choices. The journal of sexual medicine11(2), pp.553-562.

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    Evidence Based Research

    This article has been researched and written based on scientific evidence and fact sheets that have then been crossed checked by our team of doctors and subject matter experts.

    References, sources and studies used alongside our own in-house research have been cited below, most of which contain external clickable links to reviewed scientific paper that contain date stamped evidence.

    Our team of healthcare experts and GMC registered doctors are licensed to UK GMC standards. We strive to provide you with the latest evidence based, researched articles that are unbiased, honest and provide you with accurate insights, statistics and helpful information on the discussed topic to ensure you gain a better understanding of the subject. You can read more about our Editorial Process by clicking here.

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    About the Author: Mike Kocsis

    Mike KocsisMike Kocsis has an MBA with a focus on healthcare administration and is an entrepreneur and medical case manager for Balance My Hormones Ltd which offers medical services in the UK and Europe. Mike has over 20 years of experience in the healthcare sector, much of that working with people who have hormone imbalances. Mike has appeared on podcasts and radio and is an expert speaker on the subject of hormone imbalance. He specialises in Testosterone Replacement Therapy (TRT) and Hormone Replacement Therapy (HRT) and has helped thousands of people suffering from hormone imbalances recover and regain control of their lives. You can follow him on LinkedIn and on the Balance My Hormones YouTube Channel.

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