The most common TRT side effects are a rise in red blood cell count (hematocrit), acne, and mild fluid retention; less common effects include testicular shrinkage and reduced fertility. Most are manageable, and regular lab monitoring is how a provider catches and addresses them early.
Knowing the side effects up front is part of making an informed decision. None of this is a reason to avoid treatment if you need it — it is a reason to do it under proper supervision. Call 1-800-259-0015 to discuss your situation.
Frequently asked questions
Does TRT affect fertility?
It can reduce sperm production while you are on it. If you are planning to have children, tell your provider — there are approaches that help preserve fertility.
Does TRT hurt the heart?
The cardiovascular evidence is mixed, and providers assess your heart-health risk before and during treatment. Ongoing monitoring is part of keeping treatment safe.
How are side effects managed?
Mostly through dose and method adjustments and routine labs — for example, monitoring hematocrit and adjusting treatment if it rises too high.
Will TRT cause hair loss or acne?
Some men experience acne, and TRT can accelerate male-pattern hair loss in those already prone to it. These are discussed and managed with your provider.
Talk to a Provider Now
Speak with our veteran care team about testosterone and hormone therapy — nationwide telehealth, no VA referral.
Prefer to start online? Take the free assessment.
Learn more
- Testosterone therapy for veterans: the complete guide
- Low testosterone symptoms in veterans
- Does the VA cover hormone therapy?
- What TRT costs for veterans without the VA
Free Veteran Hormone Assessment
Physician-led TRT & HRT for veterans. $97 flat-rate visits — no insurance required. 100% online, licensed in all 50 states.
Call 1-800-259-0015 or complete the form below to speak with a licensed provider.