Anxiety is not a direct side effect of Testosterone Replacement Therapy (TRT), but some patients may experience it, especially in the early stages of treatment. Understanding the contributing factors and how to manage them can make a significant difference.
Why It Happens
1. Hormonal Fluctuations:
In the first few weeks of TRT, your hormone levels are adjusting. This transitional period can sometimes lead to temporary mood shifts, including anxiety. These fluctuations typically settle as your levels stabilise.
2. Unused Energy from Increased Testosterone:
TRT can lead to increased energy and mental stimulation. Without an outlet—such as regular physical activity—this can build up as restlessness or anxious energy.
Management Strategies
Start with Bloods
At the 8-week mark, we check your testosterone, estrogen, and other hormone levels. If your anxiety is related to an imbalance, this allows us to make any necessary dosage adjustments.
Lifestyle Improvements
Daily Cardiovascular Exercise: Walking, cycling, running, or swimming for at least 150 minutes per week helps burn off excess energy and release endorphins that naturally reduce anxiety.
Mindfulness & Relaxation: Techniques like meditation, deep breathing, or guided relaxation can reduce overactive nervous system responses.
Sleep, Food & Routine: A consistent routine, with regular sleep and balanced meals, helps keep your nervous system calm.
Avoid Aggravators
Alcohol & Caffeine: Both can heighten anxiety. Limit or eliminate them, especially in the afternoon and evening.
Excessive Screen Time / Overstimulation: Give your brain time to settle. Quiet, low-stimulation environments often help.
When to Seek Help
If your anxiety doesn’t improve after the first few months:
Book a consult with your Hormn doctor for further support.
Speak to your GP to explore additional causes or treatment options for anxiety, especially if symptoms persist or worsen