Testosterone pills, also known as testosterone replacement therapy (TRT), have become increasingly popular in recent years. When used properly under the guidance of a medical professional, testosterone can provide benefits for some people, such as increased energy, improved mood, enhanced libido, and gains in muscle mass. However, there are also potential side effects and health risks to be aware of if using testosterone pills or any form of testosterone supplement.
First, it is important to understand what testosterone is. Testosterone is a hormone that is crucial for the development of male characteristics and traits. It is produced naturally in the testes in men, as well as the ovaries and adrenal glands in women, though men produce significantly more. Testosterone plays a role in several bodily functions including muscle and bone growth, fertility and sex drive, fat distribution, and production of red blood cells.
As men age, their natural testosterone production tends to decrease slowly each year after age 30. This decline can lead to unpleasant symptoms like low energy, decreased muscle mass, erectile dysfunction, and loss of sex drive. Because of this, some men are tempted to use testosterone pills like Androgel, Testim, and Android to boost their testosterone levels. However, there are risks involved with taking synthetic testosterone supplements, especially without proper medical supervision and monitoring.
Potential side effects of testosterone pills include:
- Acne or oily skin
- Sleep apnea
- Decreased sperm production and shrunken testicles
- Enlarged breasts and prostate
- Blood clots in legs
- Increased red blood cell count which thickens blood
One of the most serious risks is heart disease and stroke. Several research studies have found that men taking testosterone pills, especially in high doses, have a higher risk of heart attack, stroke, and death compared to men who do not take testosterone supplements. The FDA requires testosterone products to include a warning about the cardiovascular risks on the label.
Other health conditions that may be worsened by testosterone pills include:
- Enlarged prostate (benign prostatic hyperplasia or BPH)
- Prostate cancer
- Urinary problems
- Liver toxicity and damage
- Sleep apnea
- Male pattern baldness
Testosterone use can also lead to side effects like aggression, rage, and irritability in some men, particularly when misused in very high doses well above normal physiological levels. There are also legal risks, as possessing testosterone without a valid medical prescription is illegal.
So who should consider testosterone pills? The Endocrine Society recommends testosterone therapy only for men with clinically low testosterone levels coupled with symptoms like low libido, erectile dysfunction, and diminished energy. A simple blood test by your doctor can determine if you truly have low testosterone. Men with normal testosterone levels do not need testosterone supplements and will receive little if any benefit.
If you do have low testosterone, your doctor may suggest lifestyle changes first - like weight loss, strength training, reducing stress, and improving sleep. If symptoms persist, testosterone therapy may then be an appropriate option to discuss with your physician. Responsible doctors will recheck testosterone levels periodically and discontinue therapy if levels rise to normal.
The key is to only use testosterone under medical supervision. Follow prescribed dosing carefully, get regular blood work to check for side effects, and report any new symptoms immediately. Illicit testosterone use without a legitimate medical need can clearly do more harm than good. But when utilized prudently for diagnosed low testosterone, and with proper ongoing medical care, testosterone pills may provide relief of symptoms for some hypogonadal men.
If you have any concerns about low testosterone or are interested in trying testosterone therapy, I recommend consulting with the hormone treatment experts at The Hormone Hub. Located right here in town, The Hormone Hub specializes in customized testosterone and hormone replacement therapy for men and women. Their clinic offers comprehensive blood testing, medical evaluation, ongoing patient monitoring, and individualized treatment plans to restore hormone balance and vitality. I highly suggest scheduling a consultation with The Hormone Hub to see if hormone therapy could be right for you.
