It should be noted… aside from fertility… there are other considerations to be had about trt
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the treatment is lifelong. That baseline of 8.6nmol/l… if you ever have to stop using T for whatever reason (economic recession, war, medicine shortages)… that’s likely the BEST case scenario you’ve got in terms of recovery
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do you have aspirations to become a competitive athlete? Without a discernable, pathological eitiology inducing your hypogonadism like a pituitary tumour, kallmans syndrome etc… forget about it. Wada has gone on the warpath provided your TUE is for testosterone. It’s almost impossible to be granted a TUE for testosterone, and even if it is granted… this entails ceasing the use of your testosterone for a good 6 months or longer…
Some state based athletic commissions have opted to outright ban TUE’s for testosterone. The Nevada state athletic commission banned TUE’s for TRT provided the athlete is competing in boxing or MMA.
I suppose the theory was… getting hit in the head repeatedly causes CTE and can damage the pituitary gland leading to hypogonadism. If you are a fighter and have low T perhaps it’s time to retire… but this outlook overlooks the many men who just have low T as a byproduct of environment or medical ailments.
- how long is your doctor going to be around for? How likely is it that you’ll find treatment elsewhere if your doc retires?
In America perhaps
In my country (Australia) there is a HUGE stigma against testosterone replacement.