Why Won't Doctors
Prescribe TRT?

Why Won't Doctors Prescribe TRT?

Read on to explore “why won’t doctors prescribe TRT?” Find alternative options for hormone balance with certified doctors at Immortal Male.  

Table of Contents

Some Reasons Why Doctors Won’t Prescribe Testosterone Replacement Therapy

Testosterone replacement therapy (TRT) is a treatment often used to address symptoms of low testosterone in men.1 Despite its many health benefits, many doctors might hesitate to prescribe TRT for many reasons. So why won’t doctors prescribe TRT?

While many doctors can and will prescribe TRT, some refrain from doing so for multiple reasons. These may include:
Why Won't Doctors Prescribe TRT?

Potential Health Risks

There’s ongoing concern about the potential risks of TRT. Some studies suggest it may increase the risk of heart disease or prostate cancer.2

However, more research is needed to determine this definitively. Despite this, many doctors may be wary of prescribing TRT because of these potential risks.

Ineffectiveness for Certain Conditions

TRT can help with certain symptoms of low testosterone, but it’s not a cure-all. If a patient’s symptoms aren’t linked to low testosterone, TRT may not be beneficial.

Risk of Overuse or Misuse

There’s a potential for misuse of testosterone. This is because it’s a controlled substance in many places due to its performance-enhancing capabilities.3 Doctors might hesitate to prescribe it out of concern that it could be misused.

Natural Aging Process

Testosterone levels decline as part of the natural aging process of men. Some doctors may not want to prescribe TRT as a treatment due to this decline occurring for many men during the aging process.


Once you start TRT, the body may slow its own production of testosterone. This can lead to dependency on the treatment. Dependency can make it hard for individuals to stop the therapy without experiencing withdrawal symptoms.4

Need for Regular Monitoring

TRT requires regular blood tests and doctor visits. This helps to check testosterone levels and adjust the dosage as necessary. This can be inconvenient for both the individual and doctor in some cases. This may lead doctors to not prescribe TRT, especially if they are busy.
If you’re wondering, “why won’t doctors prescribe TRT?”, it’s important to have a thorough discussion about the potential benefits and risks. Every individual is unique, so treatment should always be individualized.

Criteria Doctors May Follow When Prescribing TRT

Are you wondering if there are other reasons as to why won’t doctors prescribe TRT? When considering whether to prescribe testosterone replacement therapy, doctors often follow guidelines.
These guidelines are established by professional health organizations like the Endocrine Society and the American Urological Association. These organizations provide criteria for doctors to meet best practice when prescribing TRT.

What Criteria Do Doctors Follow?

Here are some of the key criteria and guidelines doctors may follow when looking into prescribing TRT:
  • The presence of symptoms suggesting low testosterone
  • Confirmation of low testosterone levels. The Endocrine Society suggests that a total testosterone level of less than 300 ng/dL is indicative of low testosterone.5
  • Doctors should rule out other potential causes of the symptoms before starting TRT.
  • Consideration of a person’s general health and potential risks.
  • Before starting TRT, individuals should be informed about the potential benefits and uncertainties associated with this treatment. This includes the potential need for lifelong treatment and regular follow-ups, as well as potential side effects and risks.
  • Doctors will often conduct regular follow-ups to assess symptom improvement.
These criteria and guidelines ensure that TRT is prescribed and used in a safe manner. So a possible answer to “why won’t doctors prescribe TRT?” may be that you do not meet criteria.
Immortal Male can help you get easy and affordable access to TRT with the help of our certified professionals.

Risks Associated With TRT

Another potential answer to “why won’t doctors prescribe TRT?” may be the risks. There are risks associated with TRT that may make doctors hesitant to prescribe it. These risks include:6

Heart Disease

As mentioned, some studies suggest an increased risk of heart attacks and strokes in men using testosterone therapy. However, others have not found this connection.7
Because of these mixed findings, caution may still be warranted in those with a history of heart disease before utilizing TRT.

Prostate Health

TRT may also stimulate growth of the prostate, or even worsen symptoms in men with enlarged prostates.8

Sleep Apnea

TRT can worsen sleep apnea in some males as well. This is a condition that pauses in breathing during sleep, creating difficulty in getting quality or deep sleep.9


This condition is characterized by an excessive production of red blood cells. It may be stimulated by TRT. This can increase the risk of blood clots or stroke.

Male Breast Cancer

While rare, male breast cancer is another risk that some men may experience while using TRT.

Fertility Concerns

TRT can decrease sperm production. This can affect fertility.10 Men who wish to have children in the future may need to consider other options to avoid potential fertility issues.

Doctors are often cautious when prescribing TRT and will consider these factors before beginning treatment. These risks are possible answers to “why won’t doctors prescribe TRT?”

Alternative Treatments Doctors May Suggest

Before considering testosterone replacement therapy, doctors often suggest other lifestyle modifications or alternative treatments.
These recommendations aim to increase testosterone levels and manage symptoms of low testosterone in a natural way. Here are some common suggestions:

Exercise and Weight Loss

Regular exercise can help boost testosterone levels. Some effective exercises are:
  • Resistance training
  • High-intensity interval training

If an individual is overweight, losing weight can also have a beneficial effect on testosterone levels. This is because excess body fat can lead to reduced testosterone.

Healthy Diet

Consuming a balanced diet can support health and hormone production. The diet should include:
  • Lean proteins
  • Fruits
  • Vegetables
  • Healthy fats
Certain foods that are high in Vitamin D can also help boost testosterone levels.

Adequate Sleep

Lack of sleep can have a negative impact on a variety of hormones. Ensuring that you get enough quality sleep may help improve testosterone levels.

Limit Alcohol and Avoid Illicit Substances

Alcohol or substance use disorder can affect testosterone levels. Moderation in alcohol consumption and avoiding illicit substances can contribute to maintaining healthy testosterone levels.

Stress Management

Chronic stress can interfere with hormone balance. Stress reduction techniques are beneficial. These can include:
  • Meditation
  • Deep breathing
  • Yoga

Medication Review

Some medications can impact testosterone levels. If you are on such medications, talk to your doctor to review these. You and your doctor may consider alternative options.

Treatment of Underlying Medical Conditions

Certain medical conditions can contribute to low testosterone levels, such as diabetes and thyroid issues. Treating these underlying conditions may improve testosterone levels.

If lifestyle changes aren’t enough, other medical treatments can sometimes be beneficial. Each treatment has its own potential benefits and risks. It’s important to discuss these with a healthcare provider before deciding whether to start other treatments.

Assessments for Prescribing TRT

Why doctors won’t prescribe TRT may also have to do with the assessment. A doctor’s assessment plays a crucial role in determining whether to prescribe TRT. 

This often includes:

  • An individual’s hormone levels
  • Symptoms
  • General health condition
Here’s how these factors influence their decision-making:

Hormone Levels

Doctors often measure testosterone levels through blood tests. This helps to confirm if the levels are indeed low. The normal range for testosterone can vary, but levels below 300 ng/dL are often considered low.
If the test results indicate low testosterone levels and line up with the patient’s symptoms, it may support the consideration of TRT.


The presence and severity of symptoms associated with low testosterone are significant considerations. If these symptoms are impacting the individual’s quality of life and are caused by low testosterone, it may support the decision to consider TRT.

Informed Decision-Making

Doctors have a responsibility to ensure that individuals are fully informed about everything associated with TRT. They will discuss the:
This helps individuals make informed decisions and participate in their treatment plan.
The reasons why doctors won’t prescribe TRT may also have to do with the assessment. The decision involves careful evaluation of the individual’s specific circumstances to determine if TRT is appropriate and beneficial.

Restrictions For Doctors Prescribing TRT

There may also be legal and regulatory restrictions that may limit a doctor’s ability to prescribe TRT. These restrictions can vary depending on the country or region. Here are some common legal and regulatory considerations:

Medical Licensing and Training

Doctors must be licensed and trained to prescribe TRT. They need to meet the requirements set by their respective medical boards to ensure they have the necessary qualifications to prescribe and manage TRT.

Guidelines and Standards

Medical organizations often establish guidelines for the prescription and use of TRT. Doctors are expected to follow these guidelines. 

These guidelines may address:

  • Specific indications
  • Dosing recommendations
  • Monitoring protocols
  • Management of potential side effects

Controlled Substance Classification

In some places, testosterone and certain forms of TRT are classified as controlled substances. This classification may impose extra regulations on the prescribing of these medications. Doctors must comply with the laws and regulations related to controlled substances.

Health Insurance Coverage

Health insurance policies may have specific requirements for coverage of TRT. Doctors may need to follow these guidelines and provide appropriate documentation to support the medical necessity of TRT for insurance.
Following these guidelines may restrict doctors from prescribing TRT. This might be an answer to the question of “why won’t doctors prescribe TRT?”
However, Immortal Male can help you find a doctor for easy and affordable TRT if you meet the needs for prescription TRT. 

How Evidence-Based Medicine Helps a Doctor Decide to Prescribed TRT

Evidence-based medicine plays an important role in a doctor’s decision-making process regarding the prescription of TRT. It involves integrating the best available scientific evidence with clinical expertise. Here’s how evidence-based medicine influences TRT prescription:
  • Doctors rely on scientific research and clinical trials to understand the effectiveness and safety of TRT.
  • Doctors often refer to these guidelines to ensure their practice aligns with current scientific consensus.
  • Meta-analyses evaluate data from various studies to provide a higher level of evidence and inform clinical decision-making.
  • Doctors also consider individual patient factors and preferences.
  • A higher level of consensus provides more confidence in the decision to prescribe TRT.
Doctors strive to balance the best available evidence and individual patient factors when making decisions about TRT. They consider the weight of evidence and the level of scientific consensus. This helps to ensure that TRT is prescribed in a responsible manner.
It’s important to meet with your doctor before considering TRT.

How to Communicate Your Concerns with a Doctor

If you’re wondering why won’t doctors prescribe TRT, communication is essential. Effective communication between you and your doctor is the key to facilitating a productive discussion about the potential need for TRT.
Here are some tips to help you communicate your concerns and symptoms:
  • Prepare in advance
  • Be open and honest 
  • Provide context 
  • Ask questions 
  • Express treatment goals 
  • Share relevant medical history 
  • Listening
  • Approach the discussion with a collaborative mindset
Remember, effective communication is a two-way process. By expressing your concerns and goals clearly you can foster a productive discussion. You and your doctor can work together towards finding the most suitable treatment approach.
Why Won't Doctors Prescribe TRT?

How Immortal Male Can Help Men Get TRT

Immortal Male is focused on helping you improve your health, longevity, and quality of life with testosterone replacement therapy. We offer affordable testosterone replacement therapy (TRT) to help you improve your focus, strength, and have a more confident sex drive.

Get access to convenient, high quality care in your own home with Immortal Male.

What Do We Offer?

Immortal Male provides concierge services for individuals looking for TRT. We offer:
  • Simple and effective at-home testing
  • Fast and discreet delivery
  • Certified doctors and specialists
  • An on-demand healthcare team at no extra cost
  • Safe and legal in all 50 states
Stop asking yourself, “Why won’t doctors prescribe TRT” and get started with Immortal Male.

Get in Touch Today

Feel energized and more confident with testosterone replacement therapy at Immortal Male. Get started today by reaching out to us on our website. We will work with you every step of the way to get effective results.

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)