Here’s the lowdown. The practice of your GP (and indeed endocrinologist) should be in line with very detailed guidelines available. When the testosterone is indicated and prescribed by your GP then you will pay privately for the script. For the majority of men who are non concession-card holders, the injections will be around the same price they were before. The price of topical therapy will however be considerably more expensive. Clearly, men who require treatment are likely to opt for private scripts for injections from their doctor which is cost-effective, or be referred for consideration of topical testosterone.
For guys without hypogonadism, a wait-and-see approach may make the most sense. "We just don't have the data to prove that raising testosterone in men who already have normal levels confers any real benefit," says Dr. Robert Mordkin , a urologist in Arlington, Virginia. Furthermore, Mordkin adds, "Natural waxes and wanes of testosterone as we age may have some not yet entirely understood protective effects." In addition to making us better fathers, as the Northwestern study infers, declining testosterone "may lower our vulnerability to prostate cancer at a time in our lives when we're at the greatest risk for it." That said, if you have classic symptoms of hypogonadism – low libido, fatigue, erectile dysfunction – "it's probably reasonable to check your testosterone. And for those guys whose blood levels come under definitions of low testosterone, it's probably reasonable to try the therapy for a while. But that's very different from saying testosterone is the fountain of youth."
Again, a great question for your doctor!! Discuss this with them. One very good option is always simply not to do it. You are the best one to weigh the pros and cons that your doctor lays out for you and decide what is the right decision for you. One thing that people often fail to realize is that the normal range for testosterone is that – a NORMAL RANGE. That means that readings anywhere in that range are NORMAL. If you are on the “low side of normal” – that is NORMAL. Another thing to realize is that doctors to not treat test results, they treat symptoms. Just because your testosterone comes in at 200 does not necessarily mean you need TRT! See also the below question.