{"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":"%e3%83%86%e3%82%b9%e3%83%88%e3%82%b9%e3%83%86%e3%83%ad%e3%83%b3%e8%a3%9c%e5%85%85%e7%99%82%e6%b3%95","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/ja\/2021\/11\/26\/testosterone-replacement-therapy\/","title":{"rendered":"\u30c6\u30b9\u30c8\u30b9\u30c6\u30ed\u30f3\u88dc\u5145\u7642\u6cd5\uff1a\u9577\u6240\u3068\u77ed\u6240"},"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\" height=\"800\" data-attachment-id=\"7037\" data-permalink=\"https:\/\/drsoaraweeurology.com\/ja\/new-photo-2024\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" data-orig-size=\"800,800\" 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;&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;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand&lt;\/p&gt;\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=800%2C800&#038;ssl=1\" alt=\"\u30bd\u30a2\u30e9\u30a6\u30a3\u30fc\u30fb\u30a6\u30a3\u30fc\u30e9\u30bd\u30dd\u30f3\u533b\u5e2b \u2014 \u30bf\u30a4\u3001\u30d0\u30f3\u30b3\u30af\u306e\u6ccc\u5c3f\u5668\u79d1\u5c02\u9580\u533b\" class=\"wp-image-7037\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?w=800&amp;ssl=1 800w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=300%2C300&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=768%2C768&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=12%2C12&amp;ssl=1 12w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=600%2C600&amp;ssl=1 600w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=400%2C400&amp;ssl=1 400w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=200%2C200&amp;ssl=1 200w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:75%\">\n<p class=\"wp-block-paragraph\"><strong><a href=\"https:\/\/drsoaraweeurology.com\/ja\/\">\u30bd\u30a2\u30e9\u30a6\u30a3\u30fc\u30fb\u30a6\u30a3\u30fc\u30e9\u30bd\u30dd\u30fc\u30f3\u3001\u6ccc\u5c3f\u5668\u79d1\u533b<\/a><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">\u30d0\u30f3\u30b3\u30af\u75c5\u9662\u672c\u90e8\u3001\u30d0\u30f3\u30b3\u30af<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.facebook.com\/DrPomUroBHQThailand\/\">\u30b5\u30df\u30c6\u30a3\u30f4\u30a7\u30fc\u30c8 \u30b7\u30e9\u30c1\u30e3\u30fc\u75c5\u9662\u3001\u30c1\u30e7\u30f3\u30d6\u30ea\u30fc<\/a><\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button is-style-outline is-style-outline--1\"><a class=\"wp-block-button__link has-background-background-color has-text-color has-background has-small-font-size has-custom-font-size wp-element-button\" href=\"https:\/\/lin.ee\/QlUAIFB\" style=\"color:#31ff00\" target=\"_blank\" rel=\"noreferrer noopener\">\u30e9\u30a4\u30f3\u30b3\u30f3\u30bf\u30af\u30c8<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<ul class=\"wp-block-social-links aligncenter has-normal-icon-size is-style-default coblocks-animate is-content-justification-center is-layout-flex wp-container-core-social-links-is-layout-3e41869c wp-block-social-links-is-layout-flex\"><li class=\"wp-social-link wp-social-link-facebook wp-block-social-link\"><a href=\"https:\/\/www.facebook.com\/DrPomUroBHQThailand\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewbox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M12 2C6.5 2 2 6.5 2 12c0 5 3.7 9.1 8.4 9.9v-7H7.9V12h2.5V9.8c0-2.5 1.5-3.9 3.8-3.9 1.1 0 2.2.2 2.2.2v2.5h-1.3c-1.2 0-1.6.8-1.6 1.6V12h2.8l-.4 2.9h-2.3v7C18.3 21.1 22 17 22 12c0-5.5-4.5-10-10-10z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">Facebook<\/span><\/a><\/li>\n\n<li class=\"wp-social-link wp-social-link-instagram wp-block-social-link\"><a href=\"https:\/\/www.instagram.com\/dr.pom.uro.bhq.thailand\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewbox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M12,4.622c2.403,0,2.688,0.009,3.637,0.052c0.877,0.04,1.354,0.187,1.671,0.31c0.42,0.163,0.72,0.358,1.035,0.673 c0.315,0.315,0.51,0.615,0.673,1.035c0.123,0.317,0.27,0.794,0.31,1.671c0.043,0.949,0.052,1.234,0.052,3.637 s-0.009,2.688-0.052,3.637c-0.04,0.877-0.187,1.354-0.31,1.671c-0.163,0.42-0.358,0.72-0.673,1.035 c-0.315,0.315-0.615,0.51-1.035,0.673c-0.317,0.123-0.794,0.27-1.671,0.31c-0.949,0.043-1.233,0.052-3.637,0.052 s-2.688-0.009-3.637-0.052c-0.877-0.04-1.354-0.187-1.671-0.31c-0.42-0.163-0.72-0.358-1.035-0.673 c-0.315-0.315-0.51-0.615-0.673-1.035c-0.123-0.317-0.27-0.794-0.31-1.671C4.631,14.688,4.622,14.403,4.622,12 s0.009-2.688,0.052-3.637c0.04-0.877,0.187-1.354,0.31-1.671c0.163-0.42,0.358-0.72,0.673-1.035 c0.315-0.315,0.615-0.51,1.035-0.673c0.317-0.123,0.794-0.27,1.671-0.31C9.312,4.631,9.597,4.622,12,4.622 M12,3 C9.556,3,9.249,3.01,8.289,3.054C7.331,3.098,6.677,3.25,6.105,3.472C5.513,3.702,5.011,4.01,4.511,4.511 c-0.5,0.5-0.808,1.002-1.038,1.594C3.25,6.677,3.098,7.331,3.054,8.289C3.01,9.249,3,9.556,3,12c0,2.444,0.01,2.751,0.054,3.711 c0.044,0.958,0.196,1.612,0.418,2.185c0.23,0.592,0.538,1.094,1.038,1.594c0.5,0.5,1.002,0.808,1.594,1.038 c0.572,0.222,1.227,0.375,2.185,0.418C9.249,20.99,9.556,21,12,21s2.751-0.01,3.711-0.054c0.958-0.044,1.612-0.196,2.185-0.418 c0.592-0.23,1.094-0.538,1.594-1.038c0.5-0.5,0.808-1.002,1.038-1.594c0.222-0.572,0.375-1.227,0.418-2.185 C20.99,14.751,21,14.444,21,12s-0.01-2.751-0.054-3.711c-0.044-0.958-0.196-1.612-0.418-2.185c-0.23-0.592-0.538-1.094-1.038-1.594 c-0.5-0.5-1.002-0.808-1.594-1.038c-0.572-0.222-1.227-0.375-2.185-0.418C14.751,3.01,14.444,3,12,3L12,3z M12,7.378 c-2.552,0-4.622,2.069-4.622,4.622S9.448,16.622,12,16.622s4.622-2.069,4.622-4.622S14.552,7.378,12,7.378z M12,15 c-1.657,0-3-1.343-3-3s1.343-3,3-3s3,1.343,3,3S13.657,15,12,15z M16.804,6.116c-0.596,0-1.08,0.484-1.08,1.08 s0.484,1.08,1.08,1.08c0.596,0,1.08-0.484,1.08-1.08S17.401,6.116,16.804,6.116z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">\u30a4\u30f3\u30b9\u30bf\u30b0\u30e9\u30e0<\/span><\/a><\/li>\n\n<li class=\"wp-social-link wp-social-link-wordpress wp-block-social-link\"><a href=\"https:\/\/drsoaraweeurology.com\/ja\/\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewbox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M12.158,12.786L9.46,20.625c0.806,0.237,1.657,0.366,2.54,0.366c1.047,0,2.051-0.181,2.986-0.51 c-0.024-0.038-0.046-0.079-0.065-0.124L12.158,12.786z M3.009,12c0,3.559,2.068,6.634,5.067,8.092L3.788,8.341 C3.289,9.459,3.009,10.696,3.009,12z M18.069,11.546c0-1.112-0.399-1.881-0.741-2.48c-0.456-0.741-0.883-1.368-0.883-2.109 c0-0.826,0.627-1.596,1.51-1.596c0.04,0,0.078,0.005,0.116,0.007C16.472,3.904,14.34,3.009,12,3.009 c-3.141,0-5.904,1.612-7.512,4.052c0.211,0.007,0.41,0.011,0.579,0.011c0.94,0,2.396-0.114,2.396-0.114 C7.947,6.93,8.004,7.642,7.52,7.699c0,0-0.487,0.057-1.029,0.085l3.274,9.739l1.968-5.901l-1.401-3.838 C9.848,7.756,9.389,7.699,9.389,7.699C8.904,7.67,8.961,6.93,9.446,6.958c0,0,1.484,0.114,2.368,0.114 c0.94,0,2.397-0.114,2.397-0.114c0.485-0.028,0.542,0.684,0.057,0.741c0,0-0.488,0.057-1.029,0.085l3.249,9.665l0.897-2.996 C17.841,13.284,18.069,12.316,18.069,11.546z M19.889,7.686c0.039,0.286,0.06,0.593,0.06,0.924c0,0.912-0.171,1.938-0.684,3.22 l-2.746,7.94c2.673-1.558,4.47-4.454,4.47-7.771C20.991,10.436,20.591,8.967,19.889,7.686z M12,22C6.486,22,2,17.514,2,12 C2,6.486,6.486,2,12,2c5.514,0,10,4.486,10,10C22,17.514,17.514,22,12,22z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">\u30ef\u30fc\u30c9\u30d7\u30ec\u30b9<\/span><\/a><\/li>\n\n<li class=\"wp-social-link wp-social-link-telegram wp-block-social-link\"><a href=\"https:\/\/t.me\/drpommy\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewbox=\"0 0 128 128\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M28.9700376,63.3244248 C47.6273373,55.1957357 60.0684594,49.8368063 66.2934036,47.2476366 C84.0668845,39.855031 87.7600616,38.5708563 90.1672227,38.528 C90.6966555,38.5191258 91.8804274,38.6503351 92.6472251,39.2725385 C93.294694,39.7979149 93.4728387,40.5076237 93.5580865,41.0057381 C93.6433345,41.5038525 93.7494885,42.63857 93.6651041,43.5252052 C92.7019529,53.6451182 88.5344133,78.2034783 86.4142057,89.5379542 C85.5170662,94.3339958 83.750571,95.9420841 82.0403991,96.0994568 C78.3237996,96.4414641 75.5015827,93.6432685 71.9018743,91.2836143 C66.2690414,87.5912212 63.0868492,85.2926952 57.6192095,81.6896017 C51.3004058,77.5256038 55.3966232,75.2369981 58.9976911,71.4967761 C59.9401076,70.5179421 76.3155302,55.6232293 76.6324771,54.2720454 C76.6721165,54.1030573 76.7089039,53.4731496 76.3346867,53.1405352 C75.9604695,52.8079208 75.4081573,52.921662 75.0095933,53.0121213 C74.444641,53.1403447 65.4461175,59.0880351 48.0140228,70.8551922 C45.4598218,72.6091037 43.1463059,73.4636682 41.0734751,73.4188859 C38.7883453,73.3695169 34.3926725,72.1268388 31.1249416,71.0646282 C27.1169366,69.7617838 23.931454,69.0729605 24.208838,66.8603276 C24.3533167,65.7078514 25.9403832,64.5292172 28.9700376,63.3244248 Z\" \/><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">Telegram<\/span><\/a><\/li>\n\n<li class=\"wp-social-link wp-social-link-whatsapp wp-block-social-link\"><a href=\"https:\/\/wa.me\/66922495804\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewbox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M 12.011719 2 C 6.5057187 2 2.0234844 6.478375 2.0214844 11.984375 C 2.0204844 13.744375 2.4814687 15.462563 3.3554688 16.976562 L 2 22 L 7.2324219 20.763672 C 8.6914219 21.559672 10.333859 21.977516 12.005859 21.978516 L 12.009766 21.978516 C 17.514766 21.978516 21.995047 17.499141 21.998047 11.994141 C 22.000047 9.3251406 20.962172 6.8157344 19.076172 4.9277344 C 17.190172 3.0407344 14.683719 2.001 12.011719 2 z M 12.009766 4 C 14.145766 4.001 16.153109 4.8337969 17.662109 6.3417969 C 19.171109 7.8517969 20.000047 9.8581875 19.998047 11.992188 C 19.996047 16.396187 16.413812 19.978516 12.007812 19.978516 C 10.674812 19.977516 9.3544062 19.642812 8.1914062 19.007812 L 7.5175781 18.640625 L 6.7734375 18.816406 L 4.8046875 19.28125 L 5.2851562 17.496094 L 5.5019531 16.695312 L 5.0878906 15.976562 C 4.3898906 14.768562 4.0204844 13.387375 4.0214844 11.984375 C 4.0234844 7.582375 7.6067656 4 12.009766 4 z M 8.4765625 7.375 C 8.3095625 7.375 8.0395469 7.4375 7.8105469 7.6875 C 7.5815469 7.9365 6.9355469 8.5395781 6.9355469 9.7675781 C 6.9355469 10.995578 7.8300781 12.182609 7.9550781 12.349609 C 8.0790781 12.515609 9.68175 15.115234 12.21875 16.115234 C 14.32675 16.946234 14.754891 16.782234 15.212891 16.740234 C 15.670891 16.699234 16.690438 16.137687 16.898438 15.554688 C 17.106437 14.971687 17.106922 14.470187 17.044922 14.367188 C 16.982922 14.263188 16.816406 14.201172 16.566406 14.076172 C 16.317406 13.951172 15.090328 13.348625 14.861328 13.265625 C 14.632328 13.182625 14.464828 13.140625 14.298828 13.390625 C 14.132828 13.640625 13.655766 14.201187 13.509766 14.367188 C 13.363766 14.534188 13.21875 14.556641 12.96875 14.431641 C 12.71875 14.305641 11.914938 14.041406 10.960938 13.191406 C 10.218937 12.530406 9.7182656 11.714844 9.5722656 11.464844 C 9.4272656 11.215844 9.5585938 11.079078 9.6835938 10.955078 C 9.7955938 10.843078 9.9316406 10.663578 10.056641 10.517578 C 10.180641 10.371578 10.223641 10.267562 10.306641 10.101562 C 10.389641 9.9355625 10.347156 9.7890625 10.285156 9.6640625 C 10.223156 9.5390625 9.737625 8.3065 9.515625 7.8125 C 9.328625 7.3975 9.131125 7.3878594 8.953125 7.3808594 C 8.808125 7.3748594 8.6425625 7.375 8.4765625 7.375 z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">WhatsApp<\/span><\/a><\/li>\n\n<li class=\"wp-social-link wp-social-link-linkedin wp-block-social-link\"><a href=\"https:\/\/www.linkedin.com\/in\/soarawee-weerasopone\/\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewbox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M19.7,3H4.3C3.582,3,3,3.582,3,4.3v15.4C3,20.418,3.582,21,4.3,21h15.4c0.718,0,1.3-0.582,1.3-1.3V4.3 C21,3.582,20.418,3,19.7,3z M8.339,18.338H5.667v-8.59h2.672V18.338z M7.004,8.574c-0.857,0-1.549-0.694-1.549-1.548 c0-0.855,0.691-1.548,1.549-1.548c0.854,0,1.547,0.694,1.547,1.548C8.551,7.881,7.858,8.574,7.004,8.574z M18.339,18.338h-2.669 v-4.177c0-0.996-0.017-2.278-1.387-2.278c-1.389,0-1.601,1.086-1.601,2.206v4.249h-2.667v-8.59h2.559v1.174h0.037 c0.356-0.675,1.227-1.387,2.526-1.387c2.703,0,3.203,1.779,3.203,4.092V18.338z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">\u30ea\u30f3\u30af\u30c8\u30a4\u30f3<\/span><\/a><\/li>\n\n<li class=\"wp-social-link wp-social-link-mail wp-block-social-link\"><a href=\"mailto:bhquro@bdms.co.th\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewbox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M19,5H5c-1.1,0-2,.9-2,2v10c0,1.1.9,2,2,2h14c1.1,0,2-.9,2-2V7c0-1.1-.9-2-2-2zm.5,12c0,.3-.2.5-.5.5H5c-.3,0-.5-.2-.5-.5V9.8l7.5,5.6,7.5-5.6V17zm0-9.1L12,13.6,4.5,7.9V7c0-.3.2-.5.5-.5h14c.3,0,.5.2.5.5v.9z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">\u30e1\u30fc\u30eb<\/span><\/a><\/li><\/ul>\n\n\n\n<style>\n\/* Hover effect for Social Dr Pom Block - Social Icons *\/\n.wp-block-social-links .wp-social-link {\n  transition: transform 0.2s ease, opacity 0.2s ease !important;\n}\n.wp-block-social-links .wp-social-link:hover {\n  transform: scale(1.15);\n  opacity: 0.9;\n}\n<\/style>\n\n<div class=\"dr-pom-academic-icons\" style=\"display: flex; gap: 16px; margin-top: 12px; align-items: center; justify-content: center;\">\n  \n  <a href=\"https:\/\/www.researchgate.net\/profile\/Soarawee-Weerasopone\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"ResearchGate\u30d7\u30ed\u30d5\u30a3\u30fc\u30eb\"\n     aria-label=\"ResearchGate \u30d7\u30ed\u30d5\u30a3\u30fc\u30eb\u3092\u898b\u308b\"\n     style=\"text-decoration: none; color: #00CCBB; 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=\"M19.586 0c-.818 0-1.508.19-2.073.565-.563.377-.97.936-1.213 1.68a3.193 3.193 0 0 0-.112.437 8.365 8.365 0 0 0-.078.53 9 9 0 0 0-.05.727c-.01.282-.013.621-.013 1.016a31.121 31.121 0 0 0 .014 1.017 9 9 0 0 0 .05.727 7.946 7.946 0 0 0 .077.53h.001c.024.115.06.262.112.438.243.743.65 1.303 1.213 1.68.565.376 1.255.564 2.073.564.8 0 1.536-.213 2.105-.603.57-.39.94-.916 1.175-1.65.076-.235.135-.558.177-.93a15.4 15.4 0 0 0 .063-1.207v-.512a.27.27 0 0 0-.273-.273h-2.95a.27.27 0 0 0-.274.273v.785c0 .228.0.343.273.343h1.337c.094 0 .14.045.14.137 0 .61-.063 1.043-.155 1.318-.182.546-.7 1.018-1.683 1.018-.654 0-1.135-.114-1.475-.356-.34-.244-.55-.585-.658-1.024a3.797 3.797 0 0 1-.111-.43 5.515 5.515 0 0 1-.06-.51 19.85 19.85 0 0 1-.025-.726c-.004-.28-.004-.628-.004-1.045 0-.418 0-.766.004-1.046a19.85 19.85 0 0 1 .025-.726 5.475 5.475 0 0 1 .06-.51 3.785 3.785 0 0 1 .111-.43c.108-.44.318-.78.658-1.024.34-.243.82-.357 1.475-.357.6 0 1.064.078 1.413.293.347.215.595.515.74.91.063.155.166.21.31.156l.967-.4c.15-.058.187-.18.13-.32a3.025 3.025 0 0 0-1.262-1.452C21.12.218 20.428.0 19.586 0zM8.512 4.32c-2.7 0-4.066.997-4.066 3.06v.04c0 1.92.992 2.83 3.046 2.83 1.27 0 2.038-.39 2.385-1.05h.13l.067.51c.04.2.207.34.41.34h.99V7.95c0-2.59-1.06-3.63-2.962-3.63zm-.18 1.61c1.118 0 1.628.56 1.628 1.86v.4l-1.65.16c-1.35.13-1.86.46-1.86 1.13v.04c0 .67.41 1.06 1.45 1.06.85 0 1.55-.32 1.93-.84.04-.06.13-.07.18-.02.05.03.07.1.07.16v.43c0 .26.13.42.34.42h1.05c.21 0 .34-.16.34-.42v-3.6c0-1.94-1.13-2.83-3.46-2.83-1.94 0-3.07.86-3.4 2.04l1.55.45c.18-.69.6-1.04 1.83-1.04zM2.135 16.314c-.587 0-1.066-.156-1.434-.469-.367-.312-.618-.704-.752-1.176-.034-.124-.061-.232-.082-.327a3.794 3.794 0 0 1-.044-.366 8.83 8.83 0 0 1-.022-.547C0 13.221 0 12.985 0 12.704c0-.281 0-.515.001-.704a8.81 8.81 0 0 1 .022-.547 3.802 3.802 0 0 1 .044-.366c.02-.094.048-.203.082-.328.134-.471.385-.864.752-1.176.368-.313.847-.469 1.434-.469.477 0 .892.087 1.246.262.353.175.622.443.806.804.044.083.083.157.117.222.034.066.069.144.105.235.022.054.011.099-.034.135l-.66.292c-.045.027-.082.013-.112-.045a4.043 4.043 0 0 0-.155-.27 1.247 1.247 0 0 0-.49-.495c-.225-.131-.522-.196-.892-.196-.402 0-.726.064-.972.193-.247.13-.422.302-.527.518-.027.045-.054.099-.082.16a1.39 1.39 0 0 0-.067.197 2.46 2.46 0 0 0-.05.282 5.51 5.51 0 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\u30d7\u30ed\u30d5\u30a3\u30fc\u30eb\u3092\u8868\u793a\"\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 \u30d7\u30ed\u30d5\u30a3\u30fc\u30eb\u3092\u8868\u793a\"\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\">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.<\/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\/ja\/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=\"\u30c6\u30b9\u30c8\u30b9\u30c6\u30ed\u30f3\u88dc\u5145\u7642\u6cd5\uff1a\u9577\u6240\u3068\u77ed\u6240\" 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\">Decreasing sexual desire and depressed mood can be found in Testosterone deficiency syndrome.<\/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\/ja\/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=\"\u30c6\u30b9\u30c8\u30b9\u30c6\u30ed\u30f3\u88dc\u5145\u7642\u6cd5\uff1a\u9577\u6240\u3068\u77ed\u6240\" 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\">Knowing all pros and cons of Testosterone replacement therapy is essential before starting.<\/figcaption><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/20525906\/\">\u30c6\u30b9\u30c8\u30b9\u30c6\u30ed\u30f3\u88dc\u5145\u7642\u6cd5\u306e\u9577\u6240<\/a><\/h4>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Improves sexual desire and erectile dysfunction &#8211; testosterone directly relates to libido and erectile function.<\/li>\n\n\n\n<li>Increases mineral bone density<\/li>\n\n\n\n<li>Increases muscle mass and decreases fat mass<\/li>\n\n\n\n<li>Stabilizes mood, improves well-being and reduces fatigue<\/li>\n\n\n\n<li>May help prevent dementia &#8211; higher testosterone levels are associated with lower Alzheimer&#8217;s disease risk<\/li>\n\n\n\n<li>Improves insulin resistance and reduces metabolic syndrome risk<\/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\/ja\/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=\"\u30c6\u30b9\u30c8\u30b9\u30c6\u30ed\u30f3\u88dc\u5145\u7642\u6cd5\uff1a\u9577\u6240\u3068\u77ed\u6240\" 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\">Improving sexual desire and erection function can be encountered during Testosterone replacement therapy.<\/figcaption><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/20525906\/\">\u30c6\u30b9\u30c8\u30b9\u30c6\u30ed\u30f3\u88dc\u5145\u7642\u6cd5\u306e\u77ed\u6240<\/a><\/h4>\n\n\n\n<ol class=\"wp-block-list\">\n<li>May worsen benign prostate hyperplasia (BPH) symptoms<\/li>\n\n\n\n<li>Contraindicated in prostate cancer &#8211; TRT can accelerate prostate cancer aggressiveness. Prostate cancer screening is mandatory before starting therapy.<\/li>\n\n\n\n<li>Risk of polycythemia (high red blood cell concentration) &#8211; requires regular blood monitoring during therapy<\/li>\n\n\n\n<li>Excessive libido and aggressiveness (rare)<\/li>\n\n\n\n<li>Gynecomastia (female-like breast development) with long-term use<\/li>\n\n\n\n<li>Testicular size reduction and compromised fertility &#8211; occurs around 10 weeks after starting, reverses after stopping therapy for 18 months<\/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\/ja\/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=\"\u30c6\u30b9\u30c8\u30b9\u30c6\u30ed\u30f3\u88dc\u5145\u7642\u6cd5\uff1a\u9577\u6240\u3068\u77ed\u6240\" 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\">Prostate cancer is a contraindication for Testosterone replacement therapy.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">\u79c1\u306e\u516c\u5f0f\u30a6\u30a7\u30d6\u30b5\u30a4\u30c8\u306b\u30a2\u30af\u30bb\u30b9\u3067\u304d\u307e\u3059 <a href=\"https:\/\/drsoaraweeurology.com\/ja\/\">\u3053\u3053<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u304a\u5ba2\u69d8\u304b\u3089\u3088\u304f\u3044\u305f\u3060\u304f\u3054\u8cea\u554f<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Q1: What are the main benefits of testosterone replacement therapy?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Testosterone replacement therapy (TRT) offers multiple benefits for men with confirmed testosterone deficiency. These include improved sexual desire and erectile function, increased bone mineral density, greater muscle mass with reduced fat mass, improved mood and energy levels, reduced fatigue, and potential benefits for insulin resistance and metabolic health. Some research also suggests higher testosterone levels may be associated with lower Alzheimer&#8217;s disease risk.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Q2: What are the risks and side effects of testosterone replacement therapy?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Known risks of TRT include worsening of benign prostatic hyperplasia (BPH) symptoms, polycythemia (excessively high red blood cell concentration requiring regular monitoring), gynecomastia (breast tissue development) with long-term use, testicular size reduction, and temporarily compromised fertility. Excessive libido or aggressiveness can occur but is rare. Prostate cancer is an absolute contraindication, as TRT can accelerate tumor growth.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Q3: Who should NOT take testosterone replacement therapy?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">TRT is contraindicated in men with active prostate cancer, as testosterone stimulates cancer cell growth. It should also be avoided in men with severe untreated BPH, polycythemia, severe sleep apnea, or those actively planning to have children, as TRT suppresses sperm production. A thorough medical evaluation including PSA testing and prostate assessment is mandatory before starting any TRT program.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Q4: Will testosterone therapy affect my fertility?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Yes. Testosterone replacement therapy suppresses the body&#8217;s natural sperm production by reducing FSH and LH hormone signals to the testes. This typically becomes apparent around 10 weeks after starting therapy. Importantly, fertility can recover after stopping TRT, usually within 18 months, though recovery is not guaranteed for all men. If fertility preservation is a concern, alternatives such as hCG monotherapy should be discussed with your urologist.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Q5: How do I know if I need testosterone replacement therapy?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">TRT is indicated only for men with clinically confirmed testosterone deficiency, which requires both symptoms (reduced libido, fatigue, mood changes, erectile dysfunction) AND low serum testosterone levels confirmed on at least two morning blood tests. Self-diagnosis or starting TRT based on symptoms alone is not appropriate. A qualified urologist or andrologist will assess your hormone profile, medical history, and overall health before recommending treatment.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If you are experiencing symptoms of testosterone deficiency and would like a comprehensive evaluation, Dr. Soarawee Weerasopone offers specialist men&#8217;s health consultations at Bangkok Hospital Headquarters. <a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\">\u8a3a\u7642\u3092\u3054\u4e88\u7d04<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph translation-block\">**\u514d\u8cac\u4e8b\u9805:** \u3053\u306e\u30b3\u30f3\u30c6\u30f3\u30c4\u306f\u3001\u30d0\u30f3\u30b3\u30af\u75c5\u9662\u672c\u90e8\u306e\u8a8d\u5b9a\u6ccc\u5c3f\u5668\u79d1\u533b\u3067\u3042\u308bSoarawee Weerasopone\u535a\u58eb\u306b\u3088\u3063\u3066\u4f5c\u6210\u304a\u3088\u3073\u30ec\u30d3\u30e5\u30fc\u3055\u308c\u307e\u3057\u305f\u3002\u6559\u80b2\u76ee\u7684\u306e\u307f\u306e\u3082\u306e\u3067\u3042\u308a\u3001\u533b\u5b66\u7684\u30a2\u30c9\u30d0\u30a4\u30b9\u3092\u69cb\u6210\u3059\u308b\u3082\u306e\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u3044\u304b\u306a\u308b\u533b\u7642\u51e6\u7f6e\u3092\u958b\u59cb\u3059\u308b\u524d\u306b\u3082\u3001\u5fc5\u305a\u8cc7\u683c\u306e\u3042\u308b\u533b\u7642\u5c02\u9580\u5bb6\u306b\u3054\u76f8\u8ac7\u304f\u3060\u3055\u3044\u3002.<\/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 of Testosterone replacement therapy You can visit my official website here. Frequently Asked Questions Q1: What are the main benefits of testosterone replacement therapy? Testosterone replacement therapy (TRT) offers multiple benefits for men with confirmed testosterone deficiency. These include improved sexual desire and erectile function, increased bone mineral density, greater muscle mass with reduced fat [&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. Expert men's health guide by Dr. Soarawee, Bangkok Hospital.","jetpack_seo_html_title":"Testosterone Replacement Therapy: Pros and Cons | Dr. Soarawee","jetpack_seo_noindex":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false,"jetpack_post_was_ever_published":false},"categories":[1363],"tags":[1532,1563,1564],"class_list":["post-4429","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-mens-health","tag-men-health","tag-testosterone","tag-testosterone-replacement-therapy"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/04\/TRT-Pros-and-Cons.jpg?fit=1200%2C630&ssl=1","jetpack_likes_enabled":false,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pgZdrK-19r","_links":{"self":[{"href":"https:\/\/drsoaraweeurology.com\/ja\/wp-json\/wp\/v2\/posts\/4429","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drsoaraweeurology.com\/ja\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drsoaraweeurology.com\/ja\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/ja\/wp-json\/wp\/v2\/users\/185281453"}],"replies":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/ja\/wp-json\/wp\/v2\/comments?post=4429"}],"version-history":[{"count":22,"href":"https:\/\/drsoaraweeurology.com\/ja\/wp-json\/wp\/v2\/posts\/4429\/revisions"}],"predecessor-version":[{"id":9790,"href":"https:\/\/drsoaraweeurology.com\/ja\/wp-json\/wp\/v2\/posts\/4429\/revisions\/9790"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/ja\/wp-json\/wp\/v2\/media\/10108"}],"wp:attachment":[{"href":"https:\/\/drsoaraweeurology.com\/ja\/wp-json\/wp\/v2\/media?parent=4429"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/ja\/wp-json\/wp\/v2\/categories?post=4429"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/ja\/wp-json\/wp\/v2\/tags?post=4429"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}