Testosterone: To Treat Or Not To Treat?

Testosterone therapy remains a controversial topic within mainstream medicine. Despite its decades-long presence with clinically proven benefits, concerns about potential links to prostate cancer and cardiovascular events kept it taboo for many years. In recent decades, a select number of experts have dedicated their lives to understanding this further and bringing clarity to this contentious medical issue. Based on the work of these experts and updated clinical data, leaders in the field now agree that testosterone therapy, when applied to the right patient candidate, is safe and effective, with overwhelming benefits. The narrative surrounding increased risks of prostate cancer and cardiovascular events has not been substantiated upon reviewing past clinical data. Newer evidence overwhelmingly demonstrates safety, efficacy, and benefits. Here is what you need to know.

1. If you are a candidate for testosterone therapy and choose treatment, it is best to align yourself with a skilled, trained, up-to-date medical doctor. You will need ongoing testing and monitoring to minimize the risks of erythrocytosis and understand the evolution of your PSA, which can increase due to testosterone therapy. An increased PSA does not necessarily indicate prostate cancer, but close monitoring is essential.
2. Some causes of low testosterone may require further investigation or evaluation. Choosing a medical provider who can differentiate between the various causes of low testosterone is crucial. In some instances, a Pituitary MRI may be necessary, and the insights gained can be life changing.
3. There are various ways to replace testosterone, and partnering with your medical doctor is crucial to determining the best option for you.
4. Testosterone is a vital hormone for health and well-being. Low testosterone can have detrimental impacts on all aspects of health, including cardiovascular health, bone density, mood, muscle mass, and more.
5. Align with a doctor who is interested and curious about your symptoms and is not just treating a number. This means treating you as a whole person and addressing your symptoms, not merely reacting to a level based on outdated data.