How To Talk To Your Doctor About TRT

Written by the UPGUYS Editorial Team

Published on September 03, 2025

Bringing up symptoms like low energy, reduced sex drive, or mood changes can feel uncomfortable for many men, even in a doctor’s office. 

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But these signs may point to low testosterone, a condition that affects up to 40% of men over 40. 

In Canada, more men are starting to explore testosterone replacement therapy (TRT), but hesitation and stigma often delay important conversations. 

This guide is here to help you feel prepared and confident when speaking to your doctor about low T and whether TRT in Canada could be right for you. 

Topics covered in this article: 

Track Your Symptoms to Build Your Case 

Before talking to your doctor about testosterone replacement therapy (TRT) in Canada, it helps to come prepared. Keeping a daily symptom journal can give your physician a clearer picture of what you're experiencing and how it’s affecting your quality of life. 

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Focus on logging symptoms such as: 

1. Persistent fatigue or low energy 
2. Decreased sex drive or fewer morning erections 
3. Mood swings, irritability, or low motivation 
4. Muscle loss or reduced physical performance 

Make note of when symptoms occur, how severe they feel, and how they impact your work, sleep, relationships, or workouts. This kind of tracking helps your doctor understand the bigger picture and decide whether blood testing for testosterone levels is the right next step. 

Key Talking Points for Your Appointment 

When you meet with your doctor to discuss testosterone replacement therapy (TRT) in Canada, clarity and honesty go a long way. Don’t just say you feel “off” or “tired.” Instead, describe exactly what has changed in your body, mood, or sexual health. 

You can use the points below to prepare for your appointment: 

1. Do you have a decrease in libido or sex drive? 
2. Are you experiencing erection difficulties, especially in the morning? 
3. Have you noticed a lack of energy or increased fatigue? 
4. Are you feeling depressed, irritable, or emotionally flat? 
5. Have you experienced a loss in strength or muscle mass despite regular activity? 
6. Are you struggling with concentration or memory? 
7. Do you fall asleep after dinner or find it harder to stay awake? 
8. Are you gaining body fat, especially around the belly? 
9. Has your endurance or physical performance declined? 
10. Have you lost height or noticed weaker bones? 

Answering “yes” to several of these questions is a strong reason to ask your doctor for testosterone testing. 

What to Expect After the Conversation 

Once you’ve spoken to your doctor about low testosterone symptoms, the next steps usually follow a clear clinical process. 

Here’s what you can expect: 

1. Bloodwork is ordered to measure your testosterone levels. This is often done early in the morning when hormone levels are highest. Your doctor may test both total and free testosterone. 
2. Symptom evaluation is just as important as lab numbers. Even if your levels fall into the lower-normal range, ongoing symptoms may still justify further attention. 
3. Follow-up appointments are common, especially if your initial results are borderline. Your doctor may repeat the test or refer you to an endocrinologist. 
4. Treatment discussions come next if low testosterone is confirmed. This could include lifestyle recommendations, like weight loss or sleep improvements, or a more detailed conversation about testosterone replacement therapy (TRT) in Canada. 

The goal is to find the right solution based on your lab results, symptoms, and long-term health. Having this conversation sets everything else in motion. 

UPGUYS Support for Your Discussion in Canada 

If you're unsure how to begin the conversation about testosterone replacement therapy (TRT) in Canada, UPGUYS can help you take the first step confidently. 

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Here’s how we support you through the entire process: 

1. Free lab requisitions: Our licensed Canadian doctors can provide lab orders to test your testosterone levels based on your symptoms. 
2. Easy doctor access: Speak with a healthcare professional from the comfort of home. No waiting rooms, no unnecessary stress. 
3. Clear treatment guidance: If low testosterone is confirmed, your doctor will explain the options, including whether TRT is appropriate. 
4. Ongoing care: Follow-ups, dosage adjustments, and support are built into our care model, ensuring your treatment stays safe and effective. 

You don’t have to figure this out alone. UPGUYS makes it easier to talk about your symptoms, get tested, and make informed decisions about your health. 

Conclusion: Start the Conversation, Take Control 

Talking to your doctor about low testosterone might feel uncomfortable, but it’s a critical step toward better health and energy. With nearly 40% of men over 40 in Canada possibly affected, you’re far from alone. Whether you’re struggling with fatigue, low libido, or mood changes, tracking your symptoms and asking the right questions can lead to real answers. 

Testosterone replacement therapy (TRT) in Canada is a legitimate, medically supervised option — but only when it’s the right fit. The path forward starts with a conversation. When you're ready, UPGUYS is here to help you move forward with clarity and confidence. 

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