How to Lower Blood Pressure While on Testosterone Therapy

Testosterone Replacement Therapy (TRT) is a popular medical intervention designed to address testosterone deficiencies in individuals. While it offers various benefits, there have been concerns about its potential impact on blood pressure. 

In this comprehensive guide, we’ll tackle the intricacies of Testosterone Replacement Therapy and its advantages, and learn how to lower blood pressure while on testosterone and answer questions like, "Does TRT raise blood pressure?" 

Let's dive in.

What is Testosterone Replacement Therapy?

Testosterone Replacement Therapy involves the administration of testosterone to individuals with low testosterone levels. Testosterone is an important hormone responsible for various bodily functions, including developing male characteristics, maintaining muscle mass, and regulating libido. 

In What Form is TRT Administered?

TRT comes in various forms, such as injections, gels, patches, and implants, to restore testosterone levels to a healthy range.

Who Should Take TRT?

TRT is typically prescribed for men experiencing symptoms of low testosterone, such as fatigue, reduced libido, muscle loss, and mood swings. It's important to note that TRT should only be administered under the supervision of a qualified healthcare professional after a thorough evaluation of the individual's medical history, symptoms, and blood tests indicating low testosterone levels.

Benefits of Testosterone Replacement Therapy

Let’s go through each advantage of TRT in detail so you can assess whether or not these benefits are worth it to you.

Increased Energy Levels

One of the primary benefits of TRT is the noticeable increase in energy levels. Individuals undergoing TRT often report feeling more energized, which can significantly improve overall quality of life.

Improved Libido

Another significant advantage of TRT is the enhancement of libido. Low testosterone levels can contribute to a reduced interest in sexual activity, and TRT can effectively address this issue, improving sexual function and satisfaction.

Reduced Body Fat

TRT has been linked to a reduction in body fat. This is particularly beneficial for individuals struggling with weight management, as increased testosterone levels can contribute to improved metabolism and fat loss.

Better Sleep Patterns

Sleep disturbances are often associated with low testosterone levels. TRT can help regulate sleep patterns, leading to better sleep quality and overall improved rest.

Improved Overall Mood

Testosterone plays a crucial role in mood regulation. TRT has been shown to positively impact mood, reducing irritability and mood swings associated with low testosterone levels.

Increased Strength and Lean Muscle Mass

One of the well-known effects of testosterone is its role in muscle development. TRT can contribute to increased muscle mass and strength, making it particularly beneficial for individuals engaged in regular physical activity.

Better Insulin Sensitivity

TRT has been linked to improved insulin sensitivity, which is needed for maintaining stable blood sugar levels. This can be especially beneficial for those at risk of or managing diabetes.

Does TRT Increase Blood Pressure?

Recent studies have indicated that certain forms of testosterone replacement therapy (TRT) can modestly elevate blood pressure, particularly when using newer oral formulations.

According to a 2023 study in the New England Journal of Medicine (Lincoff et al.), TRT was associated with a slight increase in systolic blood pressure, averaging about 1–3 mmHg compared to placebo. Similarly, Bhat & Dobs (2023) found that oral TRT formulations, such as JATENZO® and TLANDO®, demonstrated statistically significant increases in 24-hour ambulatory systolic blood pressure (around 3.8–4.9 mmHg higher compared to topical formulations).

The exact reason for this increase is still being explored but may relate to TRT-induced rises in hematocrit (red blood cell count) or fluid retention.

However, it's important to note that TRT did not significantly increase major adverse cardiovascular events, such as heart attacks or strokes, in men already at risk (Lincoff et al., 2023; Harvard Health Publishing, 2023). The elevated blood pressure observed was relatively minor, though careful monitoring remains crucial.

For those undergoing TRT or considering treatment, regular blood pressure checks and communication with a healthcare provider are essential to manage potential cardiovascular risks effectively.

Risks Connected to High Blood Pressure

While an increase in blood pressure is natural when undergoing TRT, it’s important to decrease these levels as it can trigger other complications. Here are some risks associated with high blood pressure:

Stroke

High blood pressure is a well-established risk factor for stroke. Individuals with elevated blood pressure levels are at an increased risk of experiencing a stroke, which can have severe and lasting consequences on neurological function.

Kidney Damage

The kidneys play a crucial role in blood pressure regulation. Prolonged high blood pressure can damage the blood vessels in the kidneys, leading to impaired kidney function and an increased risk of kidney disease.

Erectile Dysfunction

High blood pressure can impact blood flow throughout the body, including the genital area. This can contribute to erectile dysfunction, a condition that can significantly affect your quality of life and intimate relationships.

Heart Attack

An increase in blood pressure is a major risk factor for heart attack. The increased workload on the heart can lead to the development of coronary artery disease, ultimately increasing the likelihood of a heart attack.

How to Lower Blood Pressure While on TRT

If you notice that you often get high blood pressure, it’s important to know how to lower blood pressure while on testosterone to improve your overall well-being and avoid putting yourself in any complications in the future. Here’s how to lower blood pressure while on testosterone replacement therapy.

Maintain a Healthy Diet

Adopting a heart-healthy diet is crucial for managing blood pressure. Emphasize fruits, vegetables, whole grains, and lean proteins while limiting saturated fats, cholesterol, and sodium. Consider working with a nutritionist to create a personalized diet plan.

Monitor Your Blood Pressure Regularly

Regular monitoring of blood pressure is important if you’re on TRT. Home blood pressure monitors are readily available and offer a convenient way to track blood pressure trends. Monitoring it consistently enables timely intervention if any fluctuations are detected.

Avoid Excessive Alcohol Consumption

There’s nothing like a good nightcap at the end of the day. But having it every day can be concerning. Excessive alcohol intake can contribute to high blood pressure. If you like to drink alcohol, do so in moderation. Let your friends know you’re watching your intake so they don’t pressure you to drink more.

Exercise Regularly

Physical activity is a potent tool for managing blood pressure. Engage in regular aerobic exercise, such as brisk walking, jogging, or cycling, for at least 150 minutes per week. Additionally, include strength training exercises at least twice a week.

Quit Smoking

Smoking is a major risk factor for high blood pressure and cardiovascular disease. If you’re a smoker, then you already know by now that quitting smoking has numerous health benefits, including the reduction of blood pressure and the overall improvement of cardiovascular health. Sure, this is a hard habit to stop cold turkey, but if you’re really serious about improving your overall health, then this is something you need to look into.

Adopt Stress Management Techniques

Are you the type to get stressed easily? Chronic stress can contribute to elevated blood pressure. It’s time to practice stress-reducing techniques such as deep breathing, meditation, yoga, or mindfulness to promote relaxation and maintain healthy blood pressure levels.

Get Enough Sleep

Do you sleep for at least 8 hours a day? Lack of sleep can lead to several side effects, which is why getting some good quality sleep is important. Not getting enough sleep can affect your blood pressure regulation. Aim for 7-9 hours of sleep per night and establish a consistent sleep routine to support healthy sleep patterns.

Limit Caffeine Intake

But first, coffee! If you need to have your daily dose of caffeine, consuming it moderately isn’t exactly concerning. It’s still advisable to watch your intake as it can be easy to go overboard with it, especially when you’re stressed and need a fixer-upper. Drinking a lot of coffee can lead to a temporary spike in blood pressure. Be mindful of caffeine consumption, especially if you are sensitive to its effects.

Drink Plenty of Water

Whether you have low testosterone or not, getting enough hydration, including blood pressure regulation, is important for your overall health. You should aim to drink at least eight 8-ounce glasses of water per day, and adjust your intake based on factors such as climate, physical activity, and specific needs.

Conclusion

Testosterone Replacement Therapy can offer significant benefits for individuals dealing with low testosterone levels. While concerns about its impact on blood pressure exist, you can take proactive measures to maintain healthy levels by learning how to lower blood pressure while on testosterone. Individuals on TRT can optimize their overall well-being by adopting a holistic approach that includes a healthy lifestyle, regular monitoring, and addressing potential risk factors. 

As with any medical intervention, it's crucial to consult with healthcare professionals to ensure personalized and safe treatment. Remember, a proactive approach to health can lead to a fulfilling and energetic life while on Testosterone Replacement Therapy.

Get Assessed for Testosterone Replacement Therapy!

Before you make the big decision to undergo TRT, make sure you’ve been assessed thoroughly by a qualified healthcare professional. At Craft Men’s Clinic, we make the process easier and more convenient.

We provide effective testosterone treatments at an affordable cost. Your journey with us begins with a FREE assessment! Sign up today to get yours, and all you have to pay for is the lab work, where we will discuss the results and develop a customized treatment plan for you if qualified.

‍