Managing Anxiety During TRT
Anxiety is not a common direct side effect of Testosterone Replacement Therapy (TRT), but some patients may experience increased anxiety, particularly during the early stages of treatment.
Why It Can Happen
Hormonal fluctuations: During the first few weeks, hormone levels are adjusting. Temporary mood changes, including anxiety or restlessness, can occur and often settle as levels stabilise.
Increased energy: TRT may increase energy and mental stimulation. Regular physical activity can help channel this energy and reduce feelings of restlessness.
What You Can Do
Check your bloods: At around 8 weeks, we check testosterone, oestrogen and other relevant hormone levels. If an imbalance is contributing to your symptoms, your doctor can assess whether any treatment adjustments are needed.
Exercise regularly: Aim for at least 150 minutes of cardiovascular exercise per week, such as walking, cycling, running or swimming.
Practise relaxation: Meditation, deep breathing and other relaxation techniques can help calm an overactive nervous system.
Prioritise sleep and routine: Consistent sleep, regular meals and a stable daily routine can support emotional and nervous system balance.
Limit aggravators: Caffeine and alcohol can worsen anxiety. Consider reducing or avoiding them, particularly later in the day. Limiting excessive screen time and overstimulation may also help.
When to Seek Help
If your anxiety is significant, worsening, or began after starting TRT and has not improved after the first few months, book a consultation with your Hormn doctor.
Your GP can also help assess other possible causes and discuss additional treatment options if needed.
If you are particularly concerned about your symptoms, do not wait until your appointment, seek medical attention promptly.