Another point I’d like to make for people worried about a link between high testosterone and prostate cancer is that it just doesn’t make sense. Prostate cancer becomes more prevalent in men as they age, and that’s also when their testosterone levels decline. We almost never see it in men in their peak testosterone years, in their 20s for instance. We know from autopsy studies that 8% of men in their 20s already have tiny prostate cancers, so if testosterone really made prostate cancer grow so rapidly — we used to talk about it like it was pouring gasoline on a fire — we should see some appreciable rate of prostate cancer in men in their 20s. We don’t. So, I’m no longer worried that giving testosterone to men will make their hidden cancer grow, because I’m convinced that it doesn’t happen.
If you’re a healthy guy in your 30s and 40s, your testosterone will be declining—but that doesn’t mean you actually need treatment. “If you go in and say, ‘Well, you know, in the past 10 years I’ve gotten more tired, I’m having trouble keeping weight off…’ that’s simply not enough—it’s a natural phenomenon!” Jacques Baillargeon, ., an epidemiologist at the University of Texas Medical Branch at Galveston, told Men’s Fitness. However, if you’re a man north of 50, and you’re having difficulty getting it up, you’re feeling depressed, and you’re generally unhappy, you should seek out TRT.
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