General patient information
Testosterone replacement therapy (TRT) is medical treatment used for some people with clinically assessed testosterone deficiency. It is not suitable for everyone. Decisions about treatment require an individual assessment by a qualified healthcare practitioner.
This page provides general education only. It does not recommend a medicine or replace medical advice, diagnosis or treatment.
Assessment before treatment
Symptoms such as tiredness, changes in mood or reduced libido can have many causes. Symptoms alone do not establish testosterone deficiency. A clinician may review symptoms, medical history, current medicines and appropriately timed blood tests before discussing whether treatment is indicated.
Discussing benefits and risks
The potential benefits and risks of TRT depend on the individual and the reason for treatment. Discuss your health conditions, fertility plans and treatment goals with your prescriber. Testosterone treatment can suppress sperm production and affect fertility.
TRT should not be viewed as a general treatment for ageing, weight loss, bodybuilding or improved sporting performance.
Ongoing monitoring
Treatment requires follow-up with the prescribing clinician. Monitoring may include reviewing symptoms, side effects, testosterone levels and other blood tests or examinations appropriate to your circumstances. Your clinician should explain the follow-up plan and when treatment should be reviewed.
Do not start, stop or change a dose without discussing it with your prescriber.
Using prescribed medicines safely
Follow the instructions for your specific medicine. Different formulations have different administration, storage and safety requirements. Ask your pharmacist or prescriber if instructions are unclear, if a dose is missed or if you experience unwanted effects. Never share prescription medicines.
Some topical testosterone products can transfer to other people through skin contact. Follow the product instructions to prevent accidental exposure, particularly to children and pregnant people.
Questions to ask your prescriber
- What is causing my symptoms, and what tests are needed?
- Why is TRT being considered in my situation?
- What benefits are realistic, and what are the risks?
- How could treatment affect my fertility?
- What monitoring will I need?
- What side effects should I report, and when should I seek urgent help?
- When will we review whether treatment should continue?
Further information
Ask your prescriber or pharmacist for the Consumer Medicine Information for your specific medicine. For Australian medicines information, refer to the Therapeutic Goods Administration (TGA) and Healthdirect Australia.