Testosterone therapy’s popular in the online ‘manosphere’ — but doctor warns it’s not for everyone
Derek Illman, a fitness enthusiast from London, Ont., recently delved into the world of testosterone replacement therapy (TRT) after hearing about its potential benefits in boosting energy and strength. As a self-proclaimed “podcast junkie,” Illman was intrigued by the idea that improved performance at the gym could potentially lead to better aging and overall well-being.
After discussing TRT with a friend at the gym, Illman decided to seek out a trusted family doctor for guidance. In December, he was prescribed a low dose of TRT gel to address his low testosterone levels. While Illman was eager to see improvements in his physical performance, a local urologist, Dr. Gerald Brock, raised concerns about the increasing trend of men using TRT without proper medical assessment.
According to Dr. Brock, many men are obtaining TRT without meeting the criteria for low testosterone, putting themselves at risk of potential complications. He emphasized the importance of undergoing blood tests and symptom assessments before starting TRT to ensure that the therapy is necessary and safe. Without proper monitoring and dosage adjustments, individuals may experience side-effects such as blood thickening, fertility issues, and cardiovascular problems.
The rise in TRT usage among men, particularly younger individuals, may be linked to the influence of online communities like the “manosphere,” which promote traditional ideals of masculinity. Christian Ylagan, a masculinity expert from Western University, suggested that the pressure to conform to societal expectations of masculinity, including physical strength and dominance, could be driving more men to seek out hormone therapy as a way to enhance their perceived masculinity.
Despite the potential benefits of TRT, Illman decided to discontinue the therapy after three months due to mood changes, including increased irritability. While mood swings are uncommon, Dr. Brock stressed the importance of weighing the benefits and risks of TRT on an individual basis. He acknowledged that for men with low testosterone levels who meet the criteria, TRT can be an effective treatment option when properly monitored by a healthcare provider.
Currently taking a break from TRT, Illman is monitoring his mood and physical performance to determine if he will resume the therapy in the future. He emphasized the importance of listening to his body and prioritizing his overall well-being in his fitness journey. As men continue to explore the potential of TRT, it is crucial to seek guidance from medical professionals to ensure safe and effective treatment.
