Giving treatment with testosterone (TRT) is a treatment used to restore testosterone levels in men with low testosterone (low T) due to aging, illness, or other factors. This process involves diagnosis, selection of the right treatment, monitoring and coordinated therapy to ensure optimal results.

Step 1: Diagnosis and evaluation

Before starting TRT, the doctor should ensure that the patient has low testosterone levels through:

  1. Blood tests – Testosterone levels fluctuate during the day, so a test in the morning is performed to ensure accuracy.
  2. Symptom assessment – Low levels of common symptoms of testosterone include fatigue, low libido, depression, muscle loss, and difficulty in concentration.
  3. History of Illness and Physical Examinations – Doctors check for the presence of major conditions such as obesity, diabetes, and pituitary disorders that can contribute to low T.

Step 2: Testosterone injection

Of the various methods of introduction of TRT, injections are most commonly used because of their effectiveness, savings and ability to provide accurate administration.

How Testosterone Injections Work

Testosterone injections are administered intramuscularly (IM) or subcutaneously (subq).

  • Intramuscular injection (IM): It is commonly introduced deep into the muscle, in the gl, lower back, or deltoid.
  • Subcutaneous injection (subq): It is commonly introduced into a fatty cloth at the bottom of the abdomen or thigh.

Injection Frequency

The dosage calendar depends on your individual needs and the specific formulation of testosterone.

  • Every 1-2 weeks: Communication with long-acting testosterone esters such as testosterone énanthate and cypionates.
  • Lower dosage (every 2-3 days): It helps maintain stable hormone levels and reduce side effects such as mood fluctuations and energy accidents.

 

The advantages of injections

 

  • Cost-effective compared to other TRT methods.
  • Flexible dosing allows for personalized treatment.
  • High bioavailability, meaning the body absorbs it efficiently.

Cons of injections

Hormone fluctuations may occur with infrequent dosing.
Requires injections at home or at a clinic, which may be uncomfortable for some.
Potential side effects include increased red blood cell count, acne, or mood swings if not properly monitored by a good clinic.

Step 3: Monitoring and Adjusting

After the start of TRT, regular subsequent actions with your doctor are required:

  • Use a blood test to check your testosterone levels.
  • Follow side effects such as acne, mood changes, or increased red blood cell count.
  • If necessary, adjust the dose or the frequency.

You can make an appointment for TRT in Jakarta and Bali. Learn more about the process of TRT here.