Everyone knows that testosterone replacement makes men feel better. It increases concentration, libido and energy levels. It can also, though, cause significant problems not the least of which is deep venous thrombosis (DVT’s). DVT’s are life threatening clots usually of the veins of the legs that can spread to the lungs causing death.
In 2014, the FDA warned the public about the risk of testosterone replacement causing DVT’s. The Harvard Medical School published a great article summarizing the FDA’s warning here.
Recently a new study has been published which questions this association. The article published in the journal Urology(which you can read here) studied 1180 men on testosterone replacement and only found a 0.8% risk of DVT’s. The authors conclude that when compared to the general population, the risk of DVT’s in men on testosterone replacement is not significantly elevated.
While this is great news for men on testosterone replacement, it needs to be emphasized that the men on this study were still closely monitored for other risk factors for DVT’s including an elevated hemoglobin level so while men on testosterone replacement can sleep a bit better tonight, testosterone replacement remains a two-edge sword requiring careful medical management.
If you have questions regarding the pros and cons of testosterone replacement, please feel free to contact my office to make an appointment.