Question: If I start testosterone treatment, can I quickly stop if I experience any problems, or do I have to gradually ease off the medication?
Dr. Hibberd's answer:
Low testosterone levels in the body can be supplemented by hormone replacement with testosterone depending on the clinical situation.
Testosterone replacement therapy for men can be prescribed as an intramuscular injection usually given on a biweekly basis, as a patch or gel placed on the skin, or as putty that is applied to the gums of the mouth. Each of these treatments has its risks and benefits.
FDA-approved testosterone replacement for libido boosting is available for women, too. Some clinicians will advise women to to use the topical or gel in smaller doses. Treatment in women is usually for short term and more often in post-menopausal women. It should not be used by those planning pregnancy or breast feeding.
Suddenly stopping testosterone treatment usually causes few problems. Memory and thought processing speed may decrease, muscle mass may reduce and weaken, decrease in bone mass, and decreased sexual ability may also occur. However, natural testosterone production should begin again, unless the patient has a low testosterone production from testicular dysfunction.
Sudden cessation is best avoided. Gradual reduction is advised.
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