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CategoryTRTTRT
Evidence strengthStrong evidenceStrong evidence
Evidence Score4/55/5
User rating4.4 (87)4.7 (52)
Typical doseInjections: usually 50–100 mg weekly or 100–200 mg every 2 weeks (cypionate/enanthate ester); gels: dose set individually based on blood test resultsNot applicable — this piece describes the full diagnostic pathway preceding TRT, not a drug dosing schedule
FormIntramuscular/subcutaneous injections, transdermal gels and creams, less often patchesBlood tests: total testosterone (2x morning), free testosterone, SHBG, LH, FSH, prolactin, estradiol, complete blood count with hematocrit, PSA, lipid panel, fasting glucose or HbA1c, liver function tests, TSH; plus a digital rectal exam and an ADAM/AMS symptom questionnaire
Average price
Monthly cost
Time to effectsBlood hormone levels stabilize after several weeks of starting therapy, regardless of form; subjective improvement in energy and libido usually appears within 3–6 weeks.Not applicable — a diagnostic pathway preceding any possible start of therapy, usually taking several weeks.
Who it's forMen with confirmed hypogonadism qualifying for TRT under the supervision of an endocrinologist or andrologistMen with symptoms suggesting testosterone deficiency (reduced libido, erectile dysfunction, chronic fatigue, loss of muscle mass) considering TRT