Why Do Doctors
Not Prescribe TRT?

Why Do Doctors Not Prescribe TRT?

This guide will help answer questions like “why do doctors not prescribe TRT to everyone?”, along with other important factors to know about TRT. 

Table of Contents


A study shows the use of testosterone replacement therapy has tripled in recent years. About 0.9-2.9% of men in the United States are on TRT.1

However, there has been a debate among doctors about prescribing TRT. Read on to know more about the therapy and why doctors don’t always prescribe it for everyone.
Why do Doctors not Prescribe TRT

TRT Administration

Testosterone replacement therapy can be administered in many different forms. These can include:
  • Oral medication
  • Intramuscular injection
  • Inhalation 
  • Implants
  • Transdermal patches
  • Topical creams and gels
The frequency of the dosage of TRT generally depends on the route of administration. For example, daily administration is required for patients taking the medication orally. Other routes may require weekly and monthly administration. 
Depending on your needs and the plan your doctor comes up with, they may recommend one route of administration over another. This will vary from patient to patient. 

Why Do People Consider Taking TRT?

Testosterone replacement therapy is primarily used to treat testosterone deficiency, which may result from a medical condition or occurs with age. However, over the past few years, TRT is now used for non-medical purposes. Below are some of the reasons why people take TRT.

Sexual Health Issues

Testosterone is an important hormone in men, as it works to regulate sex drive and the production of sperm. Low levels of testosterone can have serious, long-term effects on men’s sexual health. Some of the symptoms of low testosterone in men include:

  • Erectile dysfunction 
  • Low sex drive
  • Smaller testicles 
  • Low sperm count or volume
  • Lesser spontaneous erections

People may consider TRT when they are experiencing low libido or other sexual health issues. It works by improving the level of testosterone in the body, which facilitates improvement in sexual function and boosts sperm count and volume. 

Low Energy Levels

Chronic fatigue is one of the major symptoms of low testosterone in men. When testosterone levels drop, the man may experience chronic fatigue and frequent tiredness. Testosterone replacement therapy helps to boost energy by increasing the hormone level in the body.

Decreasing Bone Density

Testosterone is an important hormone in maintaining healthy bones. When there is testosterone deficiency, men may experience a progressive bone loss called osteoporosis.2

Muscle Mass

Testosterone is also involved in building and maintaining muscle mass. The amount of muscle mass a man has depends heavily on the level of testosterone in the body. Hence, people with low testosterone levels will experience a great decline in their muscle mass and find it difficult to build it back. 

Some men resort to using TRT to increase their testosterone level to build back their muscle mass. In addition, some people, such as bodybuilders with no testosterone deficiency, use TRT to build their muscles.

Age-Related Factors

A study shows that the level of testosterone declines with age. The study further shows that the total testosterone levels fall at an average of 1.6% yearly as the person ages. Although the rate at which the decline happens is slow, it can result in low testosterone. Hence, some older men take testosterone replacement therapy to combat the effects of low levels of the hormone.3

Losing Weight

Taking TRT to lose weight is one of the non-medical uses of the therapy. The production of testosterone affects fat storage. Some men take TRT to increase their testosterone levels to attempt to lose weight.

Why Do Doctors Not Prescribe TRT Often?

Many doctors do not prescribe TRT because of the lack of evidence-based data and knowledge on the efficacy and long-term safety of the therapy.

The usage of TRT is highly debatable among medical practitioners. In 2015, the United States Food and Drug Administration released a drug safety communication regarding the use of TRT. Some serious side effects of hormonal therapy include cardiovascular diseases, stroke, and prostate cancer.4

What Else to Know About TRT

This is why doctors do not prescribe TRT as the first medical intervention when a man presents with low testosterone levels. Most of them usually treat the underlying condition first before initiating TRT. 
If the treatment of the underlying condition is successful, then they will not have to prescribe TRT at all. However, if the treatment noes not work, then the patient may have hypogonadism, which could necessitate TRT being prescribed.
Why do Doctors not Prescribe TRT

Does Immortal Male Have a Designated Doctor?

Immortal Male has a designated doctor. We also have other professionals, such as healthcare specialists and wellness advisors, that will provide you with high-quality care. 

These professionals are highly knowledgeable and can provide advice for men looking for treatment. In addition, these experts are passionate about positively impacting the patient and helping them experience the satisfaction they have been looking for. 

Where Can Someone Get TRT Prescribed to Them?

TRT should be prescribed by a doctor after the symptoms have been checked and there has been proper blood testing. Fortunately, you can get your symptoms thoroughly checked at Immortal Male. The doctor can then provide tested and proven medical research-based solutions. 
After this, the doctor and other health care professionals monitor you and ensure you reach the normal levels of testosterone in your body. 

Age Gracefully With Immortal Male

Low testosterone can affect a man’s entire life. Fortunately, men experiencing a low level of testosterone can get help at Immortal Male. We have innovative, tested, and proven medical research-based solutions that can make you the man you want to be. 

Contact Immortal Male today for more information. We can help create a treatment plan that will work to improve any symptoms you may be experiencing related to low testosterone levels.

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Journal of Clinical Endocrinology and Metabolism

Stephanie T. Page, John K. Amory, F. DuBois Bowman, Bradley D. Anawalt, Alvin M. Matsumoto, William J. Bremner, J. Lisa Tenover, Exogenous Testosterone (T) Alone or with Finasteride Increases Physical Performance, Grip Strength, and Lean Body Mass in Older Men with Low Serum T, The Journal of Clinical Endocrinology & Metabolism, Volume 90, Issue 3, 1 March 2005, Pages 1502–1510, https://doi.org/10.1210/jc.2004-1933B)