Risks of Testosterone Treatment 

by Alex Shteynshlyuger MD

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Testosterone Replacement Risks

Hypogonadism treatment NYC

Risks of Testosterone Replacement Therapy

Testosterone replacement therapy has a good safety profile when used appropriately in men with low hormone levels. The treatment raises testosterone concentration to normal and thereby improves symptoms. However, testosterone supplementation can result in significant undesired and dangerous side effects if used indiscriminately and without proper medical supervision.

Anabolic Steroid Abuse

At our practice, we occasionally see men who abuse testosterone and have a dangerously high concentration of this hormone in their bloodstream. Too much testosterone is associated with several serious health risks, including heart attack, liver disease, blood clots, high blood pressure, and prostate enlargement.

Red Blood Cell Count

When used as directed under the supervision of the experienced urologists at New York Urology Specialists, the side effects of testosterone replacement therapy are rare and minimal. There is a small risk of increased red blood cell count, which may necessitate blood donation or temporary cessation of the treatment.

Women and Children

Men who use testosterone gels should be aware that the gels need to be stored out of reach of women and children. Women and children should not touch the man’s naked skin after the application of the gel for at least a few hours to avoid transmission. However, once clothes are put on, it is safe to touch women and children as long as there is no skin-to-skin contact.  Avoid any activity that is likely to result in the transfer of testosterone gel from you to children or women via skin-to-skin contact until the gel is absorbed. It is a good practice to wash hands thoroughly after gel application to avoid inadvertent transfer of testosterone to women and children.

Urinary Symptoms

Some men who undergo testosterone replacement therapy may experience worsening of urinary symptoms. This is more common with the use of high-dose medications for non-therapeutic reasons.

Injection Site Discomfort

Men who are treated with injections may experience slight discomfort and minor bleeding at the injection site.


Men who use depo injections (Aveed) are at a small risk of having embolization of the testosterone carrier which can cause pulmonary problems and breathing issues. For this reason, a 30-minute period of observation is necessary after the administration of the bimonthly testosterone injection, Aveed.


Men who are treated for low testosterone with clomiphene or whose testosterone levels are raised to very high levels may experience gynecomastia (male breast enlargement), which may require additional treatment.

If you have any questions about low testosterone treatment, schedule a consultation, contact us or call 1-(212) 204-6300.  We have excellent reviews from patients and their partners. 

We offer affordable, highest-quality urology care with or without insurance.   Find out our office hours or directions to our office. We offer weekday, weekend and evening office hours.

Dr. Alex Shteynshlyuger is a board-certified urologist, who specializes in all aspects of care for sexual problems in men including ED, premature ejaculation and other sexual concerns.  He has successfully treated hundreds of men with sexual problems including ED and poor libido.

Low T is Treatable in Nearly Every Man

Excellence-Urology_Care-banner2At New York Urology Specialists, our urologists are specially trained in the evaluation and treatment of erectile dysfunction and low testosterone levels.  We understand the challenges that ED creates for our patients, their relationships and their self-esteem.  We help you find a treatment for erectile dysfunction that fits your needs, your lifestyle and your preferences.

Urologists are doctors specializing in the treatment of men with erectile dysfunction. By the virtue of our experience and skill, we are able to offer an effective treatment option for nearly every man who desires an effective treatment for ED.  We offer medical and surgical treatment for erectile dysfunction.

We Treat Some of the Most Complex Health Problems in Men Including:

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Dr. Alex Shteynshlyuger is a fellowship trained board-certified urologist with expertise in evaluation and treatment of urological problems in men using modern effective and proven treatment methods.  He is highly recommended by top primary care physicians in the New York area. If you or someone you know has been experiencing urological symptoms, make an appointment to take advantage of Dr. Shteynshlyuger’s expert advice. Please feel free to contact us with any questions.