Managing Testosterone Safely

Testosterone is a safe and effective medication when used under medical supervision. This article covers practical safety information to help you manage your treatment confidently.

Disclaimer: This information is for educational purposes only and does not constitute medical advice. Always consult with your healthcare provider before making any changes to your medication.

Regular Monitoring

Staying on top of blood tests is the most important safety measure:

• First year — Blood tests are typically recommended every 3 months.
• After the first year — Testing frequency often moves to every 6–12 months, depending on your provider's guidance.
• Key markers to watch — Testosterone levels, haemoglobin, haematocrit, liver function, and lipids.

Use My Health to log results and set reminders in My Calendar for upcoming tests.

Haemoglobin and Haematocrit

Testosterone stimulates red blood cell production. While this is a normal effect, haemoglobin and haematocrit levels that rise too high can increase health risks. Regular blood tests catch any issues early, and your provider may adjust your dose if levels are elevated.

Injection Safety

If you self-inject testosterone:

• Follow your provider's instructions for injection site, needle size, and technique.
• Rotate injection sites to prevent tissue irritation.
• Use clean technique — Wash your hands, use alcohol swabs, and never reuse needles.
• Dispose of sharps safely — Use a sharps container and follow local disposal guidelines.
• Store testosterone properly — Keep at room temperature, away from direct sunlight and heat.

Gel and Patch Safety

If you use topical testosterone:

• Apply to clean, dry skin at the same time each day.
• Wash hands thoroughly after applying gel to avoid transferring testosterone to others.
• Cover the application area with clothing until the gel has dried completely.
• Avoid skin-to-skin contact at the application site, especially with partners, children, and pets.

When to Contact Your Provider

Reach out to your healthcare provider if you experience:

• Persistent headaches or dizziness.
• Unusual swelling in your legs.
• Significant mood changes or persistent low mood.
• Skin reactions at injection or application sites.
• Any symptoms that concern you.

Using Gender Journey for Safety

• Log every dose in My Medications to maintain an accurate record.
• Track blood test results in My Health and review trends regularly.
• Note any side effects or concerns in My Diary.
• Set medication and appointment reminders in My Calendar.