Again, a great question for your doctor!! Discuss this with them. One very good option is always simply not to do it. You are the best one to weigh the pros and cons that your doctor lays out for you and decide what is the right decision for you. One thing that people often fail to realize is that the normal range for testosterone is that – a NORMAL RANGE. That means that readings anywhere in that range are NORMAL. If you are on the “low side of normal” – that is NORMAL. Another thing to realize is that doctors to not treat test results, they treat symptoms. Just because your testosterone comes in at 200 does not necessarily mean you need TRT! See also the below question.
Testosterone replacement improves quality of life and is aromatized in men in adipose tissues to estrogen. Hyperestrogenism is believed to be harmful to male sexuality. This is a description of our experience of screening 34,016 men in the Low T Centers, of which approximately 50% were converted to treatment. Men were treated with injectable testosterone, and we have available data from 2009 to 2014. The data were extracted from our electronic health record (AdvancedMD) of 35 Low T Centers across the United States. In all, 7,215 (%) out of the 34,016 patients had high estradiol levels defined as ≥ pg/ml. Estradiol was measured using electro-chemiluminescence immunoassay. Of the patients who had high estradiol levels, the age distribution was as follows: 132/989 (%) were older than 65 years, 3,753/16,955 (%) were between 45 and 65 years; 2,968/15,857 (%) were between 25 and 44 years, 7/215 (%) were younger than 25 years. The difference between extreme age groups (<25 and ≥65) was statistically significant using a chi-square test (p = .013). The correlation coefficient of serum estradiol to age was .53, SD = . It was observed that practitioners used aromatase inhibitor and selective estrogen receptor modulator to treat symptoms of hyperestrogenism, irrespective of blood estradiol levels. Gynecomastia was rarely documented as a reason for the prescription. Our finding was that high estradiol levels were not associated with higher rates of low libido but established higher rates of documented low libido with those with normal or lower estradiol levels. The difference was statistically significant (p < .05).
This is a gray area. Testosterone is a schedule III drug and is illegal to obtain without a prescription. The compounding pharmacies and male HRT clinics (also many anti-aging clinics) often have a doctor in-house that will interpret your test results and have a phone consultation with you. That doctor, who you never see in person, will prescribe your testosterone (as well as growth hormone, which is an even grayer area) and any other ancillary drugs ( such as Nolvadex or Arimidex to prevent side effects like gynecomastia ). They usually don’t accept insurance and will ship your HRT drugs out by mail within one week. SO… technically, you’re getting your drugs from a legal pharmacy, which also happens to have a doctor on staff to provide the prescription. I don’t think you’d have anything to worry about in court. The HRT or Anti-Aging clinic, on the other hand, might have some legal questions to answer should the DA or DEA ever decide to pay them a visit, which has happened in the past.