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CategoryTRTTRT
Evidence strengthStrong evidenceModerate evidence
Evidence Score5/53/5
User rating4.7 (58)4.7 (58)
Typical doseTotal PSA + digital rectal exam: before starting therapy, again after 3–6 months, then following the standard screening schedule (usually every 1–2 years, depending on age and risk factors)There's no single universal dose — it's chosen individually to achieve a testosterone concentration in the mid-to-upper reference range for healthy young men
FormBlood test (total PSA, optionally the free-to-total PSA ratio for borderline results) plus a physical digital rectal exam performed by a physicianIntramuscular/subcutaneous injections (every 1–2 weeks), transdermal gels and creams (daily), less commonly patches or subcutaneous implants
Average price
Monthly cost
Time to effectsNot applicable — this entry describes a testing schedule, not a therapeutic intervention.Libido and sexual function: 3–6 weeks. Muscle mass and strength: 3–6 months with concurrent training. Bone density: 12+ months. Mood, energy, and cognitive function: inconsistent effect, practically indistinguishable from placebo in many patients.
Who it's forMen over 40 starting TRT for confirmed hypogonadismMen with at least two confirmed, morning testosterone results below the laboratory reference range