{"id":4429,"date":"2021-11-26T08:00:00","date_gmt":"2021-11-26T01:00:00","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=4429"},"modified":"2026-05-18T09:50:03","modified_gmt":"2026-05-18T02:50:03","slug":"testosteronersatztherapie","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/de\/2021\/11\/26\/testosterone-replacement-therapy\/","title":{"rendered":"Testosteron-Ersatztherapie: Pro und Kontra"},"content":{"rendered":"<div class=\"wp-block-columns coblocks-author-columns has-background is-layout-flex wp-container-core-columns-is-layout-52275889 wp-block-columns-is-layout-flex\" style=\"background-color:#8C8C971A;padding-top:2.5rem;padding-right:2.5rem;padding-bottom:2.5rem;padding-left:2.5rem\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<figure class=\"wp-block-image size-full is-style-rounded\"><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" width=\"800\" 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0 0-.033.43c-.008.17-.013.376-.013.617 0 .242.005.448.013.618.008.17.02.314.034.43.013.117.03.21.05.282.02.072.042.137.066.197.105.216.28.39.527.518.246.13.57.193.972.193.4 0 .714-.07.94-.21.227-.14.394-.346.503-.617a2.43 2.43 0 0 0 .104-.395c.018-.123.027-.282.027-.477V13.2H2.34c-.04 0-.06-.02-.06-.062v-.5c0-.04.02-.062.06-.062h1.812c.04 0 .062.02.062.06v.5c0 .156-.005.296-.014.422a4.71 4.71 0 0 1-.04.342 1.732 1.732 0 0 1-.064.262c-.13.523-.402.913-.815 1.17-.413.255-.95.382-1.61.382z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/orcid.org\/0009-0004-8387-3559\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"ORCID iD\"\n     aria-label=\"ORCID Profil ansehen\"\n     style=\"text-decoration: none; color: #A6CE39; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewbox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M12 0C5.372 0 0 5.372 0 12s5.372 12 12 12 12-5.372 12-12S18.628 0 12 0zM7.369 4.378c.525 0 .947.431.947.947 0 .525-.422.947-.947.947-.525 0-.946-.422-.946-.947 0-.525.421-.947.946-.947zm-.722 3.038h1.444v10.041H6.647V7.416zm3.562 0h3.9c3.712 0 5.344 2.653 5.344 5.025 0 2.578-2.016 5.025-5.325 5.025h-3.919V7.416zm1.444 1.303v7.444h2.297c3.272 0 4.022-2.484 4.022-3.722 0-2.016-1.284-3.722-4.097-3.722h-2.222z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/scholar.google.com\/citations?user=lTgsRMUAAAAJ&#038;hl=en\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"Google Scholar\"\n     aria-label=\"Google Scholar Profil ansehen\"\n     style=\"text-decoration: none; color: #4285F4; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewbox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M5.242 13.769L0.5 9.5 12 1l11.5 8.5-4.742 4.269C17.548 11.249 14.978 9.5 12 9.5c-2.977 0-5.548 1.748-6.758 4.269zM12 10a7 7 0 1 0 0 14 7 7 0 0 0 0-14z\"\/>\n    <\/svg>\n  <\/a>\n  \n<\/div>\n\n\n\n<p class=\"has-drop-cap wp-block-paragraph\">In meiner andrologischen Praxis kommen viele Patienten mit einem Testosteronmangelsyndrom (TDS), die eine Testosteronersatztherapie ben\u00f6tigen. Der Testosteronspiegel erreicht im Alter von 30 Jahren seinen H\u00f6chststand und sinkt danach schrittweise um 11\u201313 % pro Jahr. Testosteron spielt bei M\u00e4nnern eine wichtige Rolle f\u00fcr die Erektionsf\u00e4higkeit, das sexuelle Verlangen und die Stimmungsstabilisierung.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"4444\" data-permalink=\"https:\/\/drsoaraweeurology.com\/de\/2021\/11\/26\/testosterone-replacement-therapy\/man-stress-out-and-cover-his-face-by-his-hands\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/11\/Stress-man.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;8&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;Canon EOS 5D Mark III&quot;,&quot;caption&quot;:&quot;man stress out and cover his face by his hands&quot;,&quot;created_timestamp&quot;:&quot;1600878353&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;105&quot;,&quot;iso&quot;:&quot;160&quot;,&quot;shutter_speed&quot;:&quot;0.00625&quot;,&quot;title&quot;:&quot;man stress out and cover his face by his hands&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Decreasing in sexual desire and depressed mood can be found in Testosterone deficiency syndrome.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Decreasing in sexual desire and depressed mood can be found in Testosterone deficiency syndrome.&lt;\/p&gt;\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/11\/Stress-man.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/11\/Stress-man.jpg?resize=800%2C533&#038;ssl=1\" alt=\"Testosteron-Ersatztherapie: Pro und Kontra\" class=\"wp-image-4444\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/11\/Stress-man.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/11\/Stress-man.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/11\/Stress-man.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/11\/Stress-man.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/11\/Stress-man.jpg?resize=18%2C12&amp;ssl=1 18w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Verminderte Libido und gedr\u00fcckte Stimmung k\u00f6nnen beim Testosteronmangel-Syndrom auftreten.<\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"4445\" data-permalink=\"https:\/\/drsoaraweeurology.com\/de\/2021\/11\/26\/testosterone-replacement-therapy\/tiny-male-with-huge-check-mark-and-cross-icons-make-decision-at-notebook-with-pros-or-cons-list-in-separated-column\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/11\/Pros-and-Cons.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;Tiny Male Characters with Huge Check Mark and Cross Icons Make Decision at Notebook with Pros or Cons List in Separated Column, Men Count Advantages, Disadvantages of Deal. Cartoon Vector Illustration&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;Tiny Male with Huge Check Mark and Cross Icons Make Decision at Notebook with Pros or Cons List in Separated Column&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Since everything always has Pros and Cons, that&amp;#8217;s why we must know all effects of Testosterone replacement therapy use first.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Since everything always has Pros and Cons, that&amp;#8217;s why we must know all effects of Testosterone replacement therapy use first.&lt;\/p&gt;\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/11\/Pros-and-Cons.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/11\/Pros-and-Cons.jpg?resize=800%2C533&#038;ssl=1\" alt=\"Testosteron-Ersatztherapie: Pro und Kontra\" class=\"wp-image-4445\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/11\/Pros-and-Cons.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/11\/Pros-and-Cons.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/11\/Pros-and-Cons.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/11\/Pros-and-Cons.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/11\/Pros-and-Cons.jpg?resize=18%2C12&amp;ssl=1 18w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Das Wissen um alle Vor- und Nachteile einer Testosteronersatztherapie ist unerl\u00e4sslich, bevor man damit beginnt.<\/figcaption><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/20525906\/\">Vorteile der Testosteron-Ersatztherapie<\/a><\/h4>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Verbessert sexuelles Verlangen und erektile Dysfunktion \u2013 Testosteron steht in direktem Zusammenhang mit Libido und erektiler Funktion.<\/li>\n\n\n\n<li>Erh\u00f6ht die Knochenmineraldichte<\/li>\n\n\n\n<li>Erh\u00f6ht die Muskelmasse und verringert die Fettmasse<\/li>\n\n\n\n<li>Stimmungsstabilisierend, steigert das Wohlbefinden und reduziert M\u00fcdigkeit<\/li>\n\n\n\n<li>Kann Demenz vorbeugen \u2013 h\u00f6here Testosteronspiegel sind mit einem geringeren Alzheimer-Risiko verbunden<\/li>\n\n\n\n<li>Verbessert die Insulinresistenz und reduziert das Risiko f\u00fcr ein metabolisches Syndrom<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"4446\" data-permalink=\"https:\/\/drsoaraweeurology.com\/de\/2021\/11\/26\/testosterone-replacement-therapy\/happy-young-couple-embracing-laughing-on-date\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/11\/Sexual-drive.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;1.4&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;Canon EOS 5D Mark III&quot;,&quot;caption&quot;:&quot;Happy young couple embracing laughing on date. People kiss happiness fun concept.&quot;,&quot;created_timestamp&quot;:&quot;1476032373&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;35&quot;,&quot;iso&quot;:&quot;125&quot;,&quot;shutter_speed&quot;:&quot;0.0008&quot;,&quot;title&quot;:&quot;Happy young couple embracing laughing on date&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Absolutely improving sexual desire and erection function can be encountered during Testosterone replacement therapy.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Absolutely improving sexual desire and erection function can be encountered during Testosterone replacement therapy. &lt;\/p&gt;\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/11\/Sexual-drive.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/11\/Sexual-drive.jpg?resize=800%2C533&#038;ssl=1\" alt=\"Testosteron-Ersatztherapie: Pro und Kontra\" class=\"wp-image-4446\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/11\/Sexual-drive.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/11\/Sexual-drive.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/11\/Sexual-drive.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/11\/Sexual-drive.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/11\/Sexual-drive.jpg?resize=18%2C12&amp;ssl=1 18w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Die Verbesserung des sexuellen Verlangens und der Erektionsfunktion kann w\u00e4hrend einer Testosteronersatztherapie beobachtet werden.<\/figcaption><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/20525906\/\">Nachteile der Testosteronersatztherapie<\/a><\/h4>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Kann Symptome der benignen Prostatahyperplasie (BPH) verschlimmern<\/li>\n\n\n\n<li>Kontraindiziert bei Prostatakrebs \u2013 TRT kann die Aggressivit\u00e4t von Prostatakrebs beschleunigen. Eine Prostatakrebs-Vorsorgeuntersuchung ist vor Beginn der Therapie obligatorisch.<\/li>\n\n\n\n<li>Risiko einer Polyzyth\u00e4mie (hohe Konzentration roter Blutk\u00f6rperchen) \u2013 erfordert regelm\u00e4\u00dfige Blut\u00fcberwachung w\u00e4hrend der Therapie<\/li>\n\n\n\n<li>\u00dcberm\u00e4\u00dfige Libido und Aggressivit\u00e4t (selten)<\/li>\n\n\n\n<li>Gyn\u00e4komastie (brust\u00e4hnliche Brustentwicklung) bei Langzeitanwendung<\/li>\n\n\n\n<li>Hodenverkleinerung und beeintr\u00e4chtigte Fruchtbarkeit \u2013 tritt etwa 10 Wochen nach Therapiebeginn auf, kehrt 18 Monate nach Therapieende zur\u00fcck<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"437\" data-attachment-id=\"4447\" data-permalink=\"https:\/\/drsoaraweeurology.com\/de\/2021\/11\/26\/testosterone-replacement-therapy\/diagram-of-prostate-cancer-2\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/11\/Prostate-cancer.jpg?fit=1200%2C655&amp;ssl=1\" data-orig-size=\"1200,655\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;Diagram of prostate cancer illustration&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;Diagram of prostate cancer&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Prostate cancer condition is contraindicated for Testosterone replacement therapy.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Prostate cancer condition is contraindicated for Testosterone replacement therapy.&lt;\/p&gt;\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/11\/Prostate-cancer.jpg?fit=800%2C437&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/11\/Prostate-cancer.jpg?resize=800%2C437&#038;ssl=1\" alt=\"Testosteron-Ersatztherapie: Pro und Kontra\" class=\"wp-image-4447\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/11\/Prostate-cancer.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/11\/Prostate-cancer.jpg?resize=300%2C164&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/11\/Prostate-cancer.jpg?resize=1024%2C559&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/11\/Prostate-cancer.jpg?resize=768%2C419&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/11\/Prostate-cancer.jpg?resize=18%2C10&amp;ssl=1 18w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Prostatakrebs ist eine Kontraindikation f\u00fcr eine Testosteronersatztherapie.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Sie k\u00f6nnen meine offizielle Website besuchen <a href=\"https:\/\/drsoaraweeurology.com\/de\/\">hier<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">H\u00e4ufig gestellte Fragen (FAQ)<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Frage 1: Was sind die Hauptvorteile einer Testosteronersatztherapie?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Die Testosteronersatztherapie (TRT) bietet M\u00e4nnern mit nachgewiesenem Testosteronmangel zahlreiche Vorteile. Dazu geh\u00f6ren verbesserte sexuelle Lust und erektile Funktion, erh\u00f6hte Knochendichte, gr\u00f6\u00dfere Muskelmasse bei gleichzeitig reduziertem Fettanteil, verbesserte Stimmung und Energielevel, verminderte M\u00fcdigkeit sowie potenzielle Vorteile f\u00fcr die Insulinresistenz und die Stoffwechselgesundheit. Einige Forschungen deuten auch darauf hin, dass h\u00f6here Testosteronspiegel mit einem geringeren Risiko f\u00fcr Alzheimer-Erkrankungen verbunden sein k\u00f6nnten.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Q2: Was sind die Risiken und Nebenwirkungen einer Testosteronersatztherapie?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Bekannte Risiken einer TRT sind eine Verschlimmerung von Symptomen einer benignen Prostatahyperplasie (BPH), Polyzyth\u00e4mie (zu hohe Konzentration roter Blutk\u00f6rperchen, die eine regelm\u00e4\u00dfige \u00dcberwachung erfordert), Gyn\u00e4komastie (Brustgewebeentwicklung) bei langfristiger Anwendung, Verringerung der Hodengr\u00f6\u00dfe und vor\u00fcbergehend eingeschr\u00e4nkte Fruchtbarkeit. \u00dcbersteigerte Libido oder Aggressivit\u00e4t k\u00f6nnen auftreten, sind aber selten. Prostatakrebs ist eine absolute Kontraindikation, da eine TRT das Tumorwachstum beschleunigen kann.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Q3: Wer sollte KEINE Testosteronersatztherapie erhalten?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">TRT ist bei M\u00e4nnern mit aktivem Prostatakrebs kontraindiziert, da Testosteron das Wachstum von Krebszellen stimuliert. Es sollte auch bei M\u00e4nnern mit schwerer unbehandelter BPH, Polyzyth\u00e4mie, schwerer Schlafapnoe oder denen, die aktiv eine Schwangerschaft planen, vermieden werden, da TRT die Spermienproduktion unterdr\u00fcckt. Eine gr\u00fcndliche \u00e4rztliche Untersuchung, einschlie\u00dflich PSA-Tests und Prostatauntersuchung, ist zwingend erforderlich, bevor ein TRT-Programm begonnen wird.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">F4: Wird eine Testosterontherapie meine Fruchtbarkeit beeinflussen?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Ja. Eine Testosteron-Ersatztherapie unterdr\u00fcckt die k\u00f6rpereigene Spermienproduktion, indem sie die FSH- und LH-Hormonsignale zu den Hoden reduziert. Dies wird in der Regel etwa 10 Wochen nach Beginn der Therapie offensichtlich. Wichtig ist, dass sich die Fruchtbarkeit nach Beendigung der TRT, in der Regel innerhalb von 18 Monaten, wieder erholen kann, obwohl eine Erholung nicht f\u00fcr alle M\u00e4nner garantiert ist. Wenn die Erhaltung der Fruchtbarkeit ein Anliegen ist, sollten Alternativen wie die hCG-Monotherapie mit Ihrem Urologen besprochen werden.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">F5: Woran erkenne ich, ob ich eine Testosteronersatztherapie ben\u00f6tige?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">TRT ist nur f\u00fcr M\u00e4nner mit einem klinisch best\u00e4tigten Testosteronmangel indiziert, der sowohl Symptome (verminderte Libido, M\u00fcdigkeit, Stimmungsschwankungen, erektile Dysfunktion) ALS AUCH niedrige Serum-Testosteronspiegel, die bei mindestens zwei morgendlichen Blutuntersuchungen best\u00e4tigt wurden, erfordert. Selbstdiagnose oder Beginn einer TRT allein aufgrund von Symptomen ist nicht angebracht. Ein qualifizierter Urologe oder Androloge wird Ihr Hormonprofil, Ihre Krankengeschichte und Ihren allgemeinen Gesundheitszustand beurteilen, bevor er eine Behandlung empfiehlt.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Wenn Sie Symptome eines Testosteronmangels aufweisen und eine umfassende Beurteilung w\u00fcnschen, bietet Dr. Soarawee Weerasopone spezialisierte M\u00e4nnergesundheitsberatungen im Bangkok Hospital Headquarters an. <a href=\"\/de\/Beratungstermin buchen\/\">Beratungstermin buchen<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph translation-block\">**Haftungsausschluss:** Dieser Inhalt wurde von Dr. Soarawee Weerasopone, einem Facharzt f\u00fcr Urologie am Bangkok Hospital Headquarters, verfasst und \u00fcberpr\u00fcft. Er dient ausschlie\u00dflich Bildungszwecken und stellt keine medizinische Beratung dar. Konsultieren Sie immer einen qualifizierten Mediziner, bevor Sie eine medizinische Behandlung beginnen.<\/p>","protected":false},"excerpt":{"rendered":"<p>There are lots of patients who suffering from testosterone deficiency syndrome (TDS) whom need testosterone replacement therapy at my andrology office. Testosterone level peaks at age 30 then gradually declines by 1% per year. Testosterone plays a main role in erectile function, sexual desire, and mood stabilization in men. Pros of Testosterone replacement therapy Cons [&hellip;]<\/p>\n","protected":false},"author":185281453,"featured_media":10108,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"Understand the pros and cons of testosterone replacement therapy (TRT) before starting. 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