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Testosterone 

Did you know that testosterone hormone plays a crucial role in shaping men's health and well-being? Testosterone tablets have gained attention as a potential solution for those experiencing low testosterone levels, offering benefits that range from enhanced energy to improved libido. Understanding the uses and effects of testosterone tablets is essential for anyone considering this treatment choice. This article explores what testosterone is, how testosterone tablets work, and their potential side effects. 

What is Testosterone Hormone?

Testosterone is the primary male sex hormone that plays a crucial role in human development and health. The gonads, specifically the testicles in males and ovaries in females, produce this hormone. However, testosterone levels are naturally much higher in individuals assigned male at birth (AMAB) than in those assigned female at birth (AFAB).

This hormone significantly impacts sex differentiation and the development of male characteristics. Its effects begin in the foetus, shaping the reproductive system from as early as the seventh week of pregnancy. The SRY gene on the Y chromosome activates the development of testicles, which then produce testosterone. This hormone supports the formation of the male urogenital tract and external genitalia.

Testosterone also influences the development of secondary male characteristics during puberty and adulthood. It impacts muscle mass, bone density, and body hair growth. Additionally, it plays a critical role in sperm production and fertility in males.

Testosterone tablet Uses

Testosterone tablets have gained popularity as a treatment for various ailments related to low testosterone levels. The uses of testosterone tablets are: 

  • The primary use of testosterone tablets is to address hypogonadism, a condition where the body doesn't produce enough testosterone. Men with this condition may experience symptoms such as reduced libido, erectile dysfunction, and decreased muscle mass.
  • Doctors also prescribe testosterone tablets to help with delayed puberty in adolescent boys. 
  • In some cases, doctors prescribe these tablets to treat certain breast cancer in women. 
  • Testosterone tablets can help with gender-affirming hormone therapy for transgender men.

It's important to note that you should only use testosterone tablets under medical supervision. They are not recommended for enhancing athletic performance or treating age-related declines in testosterone levels without a diagnosed medical condition. 

How to Use Testosterone Tablets?

The proper use of testosterone tablets is crucial for their effectiveness and safety. Individuals should always follow their doctor's instructions carefully, such as:

  • Typically, these tablets are taken orally with water, either with or without food. The dosage and frequency of the drug depend on the individual's situation and response to treatment.
  • Patients should not crush, chew, or break the tablets, as this can affect how the drug is absorbed. 
  • It's essential to take testosterone tablets at the same time each day to maintain consistent blood hormone levels. 
  • If you missed a dose, take it as soon as you remember unless it's almost time for the next dose. In that case, skip the missed dose.

Side Effects of Testosterone Tablets

Testosterone tablets can have various side effects. 

Common side effects include: 

  • Acne
  • Hair loss
  • Changes in libido
  • Mood swings or increased aggression
  • Sleep apnea

More serious side effects can include: 

  • Enlarged prostate
  • Liver problems
  • Increased risk of blood clots
  • Increased risk of prostate cancer, especially in older men
  • Gynecomastia (the enlargement of male breast tissue)
  • Heart attacks
  • Long-term use of testosterone tablets may lead to fertility issues, as they can suppress natural testosterone secretion, which can result in testicular shrinkage and reduced sperm count

It's crucial for patients to monitor their health closely while taking testosterone tablets. 

Precautions

Patients taking testosterone tablets should exercise caution and follow their doctor's instructions carefully, such as:

  • Ongoing Medications: Inform your doctor about ongoing medications, as testosterone tablets may contain various inactive ingredients, which can cause allergic reactions or other problems.
  • Other Medical Conditions: People with a history of stroke, heart attack, prostate cancer, or blood clotting disorder may exercise precautions.
  • Liver, Kidney and Respiratory Conditions: Individuals with liver and kidney diseases and breathing diseases, such as asthma, COPD, or sleep apnea, may inform their doctor before taking this medication.
  • Chronic Systemic Conditions: Individuals with chronic systemic conditions, such as hypertension, diabetes, or high cholesterol levels, may exercise caution.
  • Pregnant and Breastfeeding Females: Pregnant woman should not use this drug as it can cause birth defects. Testosterone might release in breast milk, hence breastfeeding women should inform the doctor before taking this medicine.

How Testosterone Tablet Works

Testosterone tablets work by delivering synthetic testosterone into the body. Once ingested, these tablets dissolve in the digestive system, releasing the hormone into the bloodstream. The synthetic testosterone then mimics the effects of naturally produced testosterone in the body.

These tablets have an impact on various bodily functions. They stimulate protein synthesis, resulting in increased muscle mass and strength. Testosterone also affects bone density, helping to maintain strong bones. It plays a role in fat distribution, often reducing body fat percentage.

In terms of sexual function, testosterone tablets can boost libido and improve erectile function in men with low testosterone levels. They also influence mood and cognitive function, potentially enhancing mental clarity and reducing symptoms of depression.

However, it's important to note that testosterone tablets can suppress the body's natural testosterone production. This is why they should only be used under medical supervision and with regular monitoring of hormone levels.

Can I Take Testosterone with Other Medicines?

Taking testosterone tablets alongside other medications requires careful consideration. Testosterone can interact with various medicines, potentially altering their effectiveness or increasing the possibility of side effects, such as:

  • Testosterone may enhance the blood-thinning effects of anticoagulants like warfarin, increasing the risk of bleeding. 
  • Testosterone can also affect insulin sensitivity, which is crucial for diabetic patients. 
  • Corticosteroids, when taken with testosterone, may lead to fluid retention and swelling.
  • Some medications can affect testosterone levels or how the body processes the hormone. These include certain antibiotics, antifungals, and HIV medications. 
  • To ensure safety and effectiveness, doctors may need to adjust dosages or monitor patients more closely when combining testosterone with other medicines.

Dosing Information

The dosage of testosterone tablets varies and depends on the person's condition and response to treatment. Doctors typically prescribe and adjust a starting dose based on regular blood tests. 

For hypogonadism, the usual dose ranges from 40 to 80 mg per day, taken in two or three divided doses. Some patients may need higher doses, up to 120 mg daily. 

It's essential to follow the prescribed dosage schedule carefully. Patients should not increase or decrease their dose without consulting their doctor. Regular check-ups are necessary to monitor testosterone levels and adjust the dosage if needed. 

Conclusion

Testosterone tablets have a significant impact on men's health, offering potential benefits for those with low testosterone levels. From boosting muscle mass to improving mood and libido, these tablets can be a game-changer for many individuals. However, it's crucial to remember that they should only be used under medical supervision. 

While testosterone tablets can be helpful, they're not without risks. Side effects of this tablet can range from mild to severe, and long-term use may affect fertility. Individuals need to weigh the pros and cons carefully and discuss any concerns with their doctor. By staying informed and following proper usage guidelines, individuals can make the most of testosterone therapy while minimising potential risks.

FAQ's

1. What are testosterone tablets used for?

Testosterone tablets treat hypogonadism in men, addressing low testosterone levels. They can improve sexual function, increase muscle mass, and enhance mood. 

2. Is testosterone tablets safe?

Testosterone tablets are generally safe when taken as prescribed. However, they can cause side effects like acne, sleep apnea, and breast swelling. Long-term use may increase cardiovascular risks. Regular check-ups and blood analysis are essential to monitor progress and potential issues.

3. Is it safe to take testosterone daily?

Daily testosterone intake is safe when following a doctor's instructions. The dosage varies according to individual needs and testosterone levels. Always adhere to the prescribed schedule.

4. How long does it take for testosterone to show its effects?

The effects of testosterone therapy vary. Libido may improve within 3-6 weeks. Changes in build and muscle strength occur within 12-16 weeks. Mood improvements can be seen in 3-6 weeks. Full benefits may take 4-6 months to manifest.

5. Who should not take testosterone?

Testosterone isn't suitable for everyone. Pregnant women should avoid it due to potential congenital disabilities. Breastfeeding women should exercise caution as this medicine can excrete in breast milk. Men with prostate cancer or a family history of it should exercise caution. Those with heart conditions or high blood pressure should consult their doctor before starting treatment.

6. When should testosterone pills be taken?

Testosterone pills should be taken as directed by a doctor. Typically, they're taken twice daily, in the morning and evening, with food. Consistency is key – take them at the exact times each day to maintain stable hormone levels. Never adjust your medicine dosage without consulting your doctor.