Why guys can now get testosterone even if they have heart problems
Testosterone Replacement, Where Are We in 2025?
Not medical advice. For informational purposes only. Always consult a healthcare professional. Terms
Doctors used to say no to testosterone for men with heart issues or cancer, but now they look at each person’s risks and benefits. New ways to take it (like pills or shots under the skin) are easier, and tests can now tell who might benefit most.
Surprising Findings
The FDA removed its black box warning on testosterone in 2025 based on the TRAVERSE trial’s cardiovascular safety data.
For over a decade, testosterone was feared to increase heart attack risk—this reversal contradicts decades of caution and prior guidelines.
Practical Takeaways
If you have low testosterone and a history of heart disease, prostate cancer, or fertility issues, ask your doctor about a risk-stratified evaluation—not an automatic refusal.
Not medical advice. For informational purposes only. Always consult a healthcare professional. Terms
Doctors used to say no to testosterone for men with heart issues or cancer, but now they look at each person’s risks and benefits. New ways to take it (like pills or shots under the skin) are easier, and tests can now tell who might benefit most.
Surprising Findings
The FDA removed its black box warning on testosterone in 2025 based on the TRAVERSE trial’s cardiovascular safety data.
For over a decade, testosterone was feared to increase heart attack risk—this reversal contradicts decades of caution and prior guidelines.
Practical Takeaways
If you have low testosterone and a history of heart disease, prostate cancer, or fertility issues, ask your doctor about a risk-stratified evaluation—not an automatic refusal.
Publication
Journal
Trends in Urology & Men's Health
Year
2025
Authors
Arnaav Walia, Peyton Coady, Beatriz Sofia‐Hernandez, Haarika Gudlavalleti, A. El-Achkar, Shannon Elise Dunnam, V. Madhusoodanan, Taylor P. Kohn, Mohit Khera
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Studies with lots of people and strict methods show that giving men testosterone at normal body levels doesn’t make them more likely to die or have serious heart problems.
Giving men the right amount of testosterone to bring their levels back to normal doesn’t make their heart worse — and might even help their metabolism and blood sugar.
New ways to give testosterone—like a small shot under the skin or a pill—are easier for people to use and they’re more likely to stick with them than older methods like injections or skin patches.
Doctors today are using new blood tests and genetic info to figure out the best treatment for men with low testosterone, instead of using the same approach for everyone.
Men who have heart problems, trouble having kids, or used to have prostate cancer don’t have to be automatically told no to testosterone treatment anymore—doctors can now look at the pros and cons and decide if it might be safe for them.