Who qualifies for testosterone replacement therapy?
Testosterone therapy is a prescription decision, not a menu item. Who qualifies depends on two things: what your blood tests show and what your health history rules out.
The test and symptom requirement
The Endocrine Society states the entry requirement plainly: "To get a diagnosis of hypogonadism, you need at least two early morning (7–10 AM) blood tests that reveal low testosterone in addition to signs and symptoms typical of low testosterone." Both parts matter. A single test, or symptoms alone, do not meet that description.
Who is told not to use it
The same organization lists the cautions: "Men with known or suspected prostate or breast cancer should not receive testosterone therapy. You should also talk to your doctor about the risks of testosterone therapy if you have, or are at risk for, heart disease or stroke. In addition, if you are planning fertility, you should not use testosterone therapy."
Each caution points to a question your provider should ask you before a prescription, not after.
Where to read more
MedlinePlus explains the testosterone levels test so you know what a blood draw is measuring. The Endocrine Society keeps guideline resources on testosterone therapy for hypogonadism and has published a statement on testosterone replacement therapy.
Questions to ask before you agree to treatment
- How many blood tests will you run, and at what time of day? The Endocrine Society's description calls for at least two early morning tests.
- Which of my symptoms point to low testosterone?
- Do my history and family risks include prostate or breast cancer, heart disease or stroke?
- Are we planning a family anytime soon?
One last observation
A provider who offers therapy without asking about the tests, the history and your family plans is skipping the steps the guidance describes. In West Sacramento or anywhere else, that skipped step is the warning sign.