Testosterone Replacement Therapy Cost and FAQs

Many men have suffered from the wide range of negative effects resulting from low testosterone levels. Fortunately, hormone replacement therapy (HRT) exists to help correct hormone imbalances. Testosterone replacement therapy is a form of HRT that focuses on boosting testosterone levels. If your doctor has recently diagnosed you with low T or has recommended that you consider TRT, you may have some concerns about the cost of the therapy, as well as many general questions about the medication and the procedure.

Hopefully, we can clear it all up for you: 

The Cost of Testosterone Replacement Therapy


Sometimes, testosterone replacement therapy, or TRT, is covered by medical insurance. This means that patients may get by with a small copay of anywhere from $30 to $100 per month. Often, though, it is not, and patients in need of TRT must find a way to pay for the hormone treatment out of pocket. The cheapest form of TRT is via hormone injections, which can start as low as $30 per month, even without insurance. However, injections, especially when done weekly or biweekly, can mean frequent visits to your doctor, which can be time-consuming and frustrating.

Many patients opt to self-inject their hormone medication, which may be the most affordable option, and also saves time by eliminating frequent doctor visits. A 10ml bottle of the liquid injectable form of the hormone can cost around $50, which, depending on the prescribed dosage, could last up to two months. However, the patient will need to consider the price of syringes, which can cost up to one dollar each. A new syringeis needed for each injection. Some people are not fond of the injection method, simply because injections are not favorable to simplermethods, like the topical cream or oral medication.

Other methods, however, begin to get more expensive. The gel packs, which may be the most convenient solution, vary in price by location and strength. The 50 mg packs can cost around $300 per 30-day supply, while the 25mg packs are slightly cheaper, at around $280 per month.

There is an option for an oral medication. Although studies show it as an effective method, it is sometimes considered unfavorable to other forms due to being “less effective.” An oral prescription, without considering insurance, can cost anywhere from $100 to $300 per prescription (one-month supply) depending on the strength of the dose.

While price can definitely be part of the decision for patients considering testosterone replacement therapy, it should not be the only determining factor. You and your doctor can evaluate your medical history and conduct a hormone screening to help decide which method is best for you.

If you are considering TRT but are skeptical or have concerns you have not yet addressed with your doctor, the following is a list of common questions related to the ins and outs of TRT. You should still always talk to your doctor about any doubts or concerns concerning your therapy. 

Testosterone Replacement Therapy Cost and All FAQs

Q: What are the symptoms of a low T level?

Answer: Low testosterone levels in men can cause lots of discouraging and annoying side effects. Some of these symptoms include a low sex drive, decreased mental function and focus, fatigue and low physical energy, loss of strength, abnormal mood swings or low moods, difficulty sleeping.

It is important to remember that testosterone is one of the most important hormones in the male body, and hormones affect everything from our emotions, energy levels, and overall health. Therefore, a deficiency in any hormone, especially one as important and prevalent as testosterone, will greatly affect your life and the way you feel. 

Q: What are the benefits of testosterone replacement therapy?

Answer: With TRT, you can expect to see a reverse in symptoms related to low T levels, such as an energy boost, positive mood change, better sleep, and higher libido. You should still feel like yourself, just better. 

Q: What are the side effects of testosterone replacement therapy?

Answer: As with most hormone treatments, you can expect to see one or many side effects. Fortunately, most common side effects are mild. These may include an increase in red blood cell count, possible PSA elevation, acne on the face or body, an increase in growth of hair on the body, and an increase in appetite. 

Q: Will my testicles shrink during testosterone replacement therapy?

Answer: Once your body is adjusted to the hormone therapy, you will rely less on your body for the production of testosterone. Some men do experience a decrease in the size of their testicles, but it is not harmful or need for concern. 

Q: Will the treatment affect my mood or make me irritable?

Answer: No. Irritability is a sign that T levels are imbalanced, usually too high. In the case that you start to notice angry mood swings or that you become easily frustrated you should consult your doctor for a screening. Your T dosage may need to be adjusted.

Q: How long does testosterone replacement therapy usually last?

Answer: Generally, you will need to remain on the testosterone therapy permanently to continue to experience the effects of a balanced T level. Because you have a deficiency, your body does not create the T you need, and you will need to continue to use the T replacement medications.

Q: How do I know my dosage is right?

Answer: Typically, if you are on a dose that is too high you will begin to notice a few unfavorable side effects, in which case you should consult your doctor. If the dose is too low, you may not see an extreme reprieve in low T symptoms. Either way, after you have started the TRT, your doctor will perform regular checkups to watch your testosterone levels.

You should discuss how you have been feeling and the changes you have noticed with your doctor as well. Then, he or she will work with you to make the decision to increase or decrease your dosage.

Often, once you find the correct dosage, you can continue to take that dose for an extended time. For some people, however, their body’s natural hormone levels may change, causing the need for a change in your TRT dosage.

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