I think it is a bit of a shame that hypogonadism isn't caught earlier. I see a lot of late teen and young adult guys who are obviously hypogonadal, but I guess their parents and doctors didn't bother to investigate much. But if you're post-pubescent male and have female distribution of body fat, boobs, etc., it really needs to be checked out.

Whether you should particularly do it is up to you. It can be a lot of fun to be on high testosterone. It will definitely change you both physically and mentally/moodwise.

But it is a really personal decision. In some respects though it is reversible with the exception of hair effect (i.e. male pattern baldness, increased body hair). But any muscle and moods you get on test will subside once you stop taking them.

So, because you are expressing some issues with your current state, I suggest you try HRT. But keep in mind that pretty much no one is perfectly happy with themselves -- you might be moody now, but might be aggressive on test, you might have issues with low bone density now but might get high blood pressure on test, etc. So really you want to experiment so you dial in what is best for you -- maybe a low dose is good, maybe you'll love the effect of test and want to go to high dose, maybe it will be a disaster and you'll get off of it completely.

Good luck!

I wish I had known I was low about 10 years sooner than I found out. For that matter I was already disabled for about 7 years when my current Endocrinologist asked me at our first visit if I ever had a bone density scan.

I think if someone is young and low they shouldn't think twice about not going on TRT UNLESS they don't want to have it in their system for whatever reason.

Its not the same as someone on here who chooses to take ant-androgens or find ways to incapacitate their testicles.

If you are already sterile, then there isn't much to lose from going on TRT other than possibly losing the limited functionality he currently has (although the T dose can be lowered if desired).

I don't see the downside of attempting to improve one's quality of life. For some it is elimination of testosterone, for someone who is low through no action on their own, they should try. The vast majority of males, like having T in their system, and our bodies are designed to work best with it.

I think after reading a lot more and hearing a bit more about what to expect, I am definitely going to try this route.

I have a list of things I need to do before I can start, but I'm on my way.

Firstly, I need to have another physical with a General Practitioner. I was diagnosed at a local walk-in clinic, but I haven't had a regular doctor since I was very young. Then, I have to get a referral to a specialist from my new GP. The doc I spoke with at the clinic said this wont be much more than a formality, but as the guy who diagnosed me is not my regular doctor, he can't refer me. *grumble-grumble*. Yay me! I get to go through all that humiliation again. (Stupid health care system.)

On my next days off, I'm going to get the ball rolling. I think in the end it will be worth it. If only being able to concentrate better, and not go through mood swings anymore. I really don't care about much else, but I admit, the health benefits will be nice too.

Thanks to everyone for helping me make some difficult decisions. It means a lot to me.

I'll report back soon.

There are so many positives (I think) to HRT that it would be a shame not to give it a serious trial. You might get a one time rush from going on HRT. Some men don't get that but if you do don't expect it to be that way.

Yes! Get a GP. This is the person who will be checking your labs and probably can prescribe it for you. Also - having a regular doctor is an excellent idea if for no other reason to have a yearly physical so you can detect problems before they become major health issues.

I am 32. Have had both testes removed for pain issues.

After the last surgery I went on TRT (my presurgical T level was 271, low for a 32 yo and having one testicle)

I was given what the uro thought would be a "normal" dose and I had rage, depression, raging libido issues. I probably always had lover than normal T as an adult anyway. So I think start low and add is the best method. f you don't like results it does take time for the levels to drop back down.