The American Association of Clinical Endocrinologists and the Endocrine Society advise not to prescribe them in the absence of a confirmed deficiency.
That’s because therapy carries risks. The FDA recently required that prescription testosterone (including AndroGel, Alvera Tone Review, Axiron, Fortesta and Testim) include a warning about an increased risk of heart attack and stroke. In June 2014, the agency began requiring a warning about the risks of blood clots.
Other research suggests that the treatment could encourage the growth of an existing prostate cancer, boost the risk of sleep apnea and cause enlarged prostate, enlargement and tenderness in the breasts Alvera Tone Review, swollen feet and a low sperm count.