Overview
Testosterone replacement is approved for males with primary or hypogonadotropic hypogonadism confirmed by symptoms and repeated morning blood tests. Safety and efficacy for age-related low testosterone have not been established.
How it works
Testosterone therapy supplements the body's own testosterone to bring levels into a normal physiologic range in patients with a confirmed deficiency.
Potential benefits
- May improve symptoms of confirmed deficiency, such as low libido and energy, in indicated patients
- Support of bone density and muscle mass in hypogonadal men
Individual results vary. Outcomes are not guaranteed.
Who may qualify
- Consistent symptoms plus low morning testosterone confirmed on at least two occasions
- Evaluation for underlying causes
- Licensed clinician determines suitability
Important safety information
Contraindications
- Breast or known/suspected prostate cancer
- Pregnancy or breastfeeding
Warnings & precautions
- Blood pressure increases (some products), elevated hematocrit, possible cardiovascular risk
- Worsening of BPH or sleep apnea, blood clots, reduced sperm count and fertility
- Secondary exposure risk with topical gels to children and partners
Common side effects
- Acne, skin irritation at application site
- Fluid retention, breast tenderness
- Mood changes
Drug interactions
- Anticoagulants, insulin, corticosteroids
Pregnancy
Contraindicated in pregnancy. Can cause fetal harm; avoid partner exposure to topical products.
Monitoring
Testosterone levels, hematocrit, PSA where appropriate, blood pressure, and symptom review.
This summary is not complete. Review the full prescribing information and discuss risks with your clinician.
Treatment process
01
Evaluation
Secure assessment and clinician review.
02
Prescribing
Issued only if clinically appropriate.
03
Fulfillment
Through a licensed pharmacy, subject to availability.
04
Follow-up
Ongoing monitoring and support.
Frequently asked questions
Do I need lab work?
Yes. Diagnosis requires lab confirmation, and ongoing monitoring is required.
Will testosterone affect fertility?
It can reduce sperm production. Discuss family planning with your clinician before starting.
Is a compounded version the same as the FDA-approved product?
No. Compounded medications are not FDA-approved, have not been reviewed by the FDA for safety, effectiveness, or quality, and are not equivalent to approved products. They may only be prescribed when legally permitted and clinically appropriate.

