Some studies showing that TRT doesn't increase PSA.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4814970/


"There was no change in the serum concentration of prostate-specific antigen in any group" - https://www.ncbi.nlm.nih.gov/pubmed/8637535


"The prostate saturation model suggests that the androgen receptor (AR) is saturated at serum testosterone levels of 150–200 ng/dl, and that additional serum testosterone above this level has limited, if any, effects within the prostate. Indeed, studies in the modern era of PSA assessments indicate that TST does not affect prostate size, intraprostatic testosterone levels, or prostate-cancer progression, provided the baseline serum testosterone level is greater than this AR saturation point" - http://www.nature.com/nrurol/journal/v11/n9/abs/nrurol.2014.163.html


" In other words, there is a limit to the ability of androgens to stimulate prostate growth, whether benign or malignant. This explains why serum prostate-specific antigen (PSA) does not correlate with serum T concentrations in a normal population, [15] yet PSA declines dramatically with experimental androgen deprivation in healthy volunteers, [16] and why 5 alpha reductase inhibitors that produce castrate-level dihydrotestosterone (DHT) concentrations reduce serum PSA by approximately half. [17] Yet administration of supraphysiological T doses to healthy volunteers for as long as 9 months does not result in increased PSA or prostate volume." - http://www.ajandrology.com/article....ssue=2;spage=206;epage=211;aulast=Morgentaler


"No significant change occurred in the prostate volume or serum PSA levels at any dose of exogenous testosterone." "A total of 31 healthy volunteers 21 to 39 years old were randomized to receive either 100, 250 or 500 mg. testosterone via intramuscular injection once a week for 15 weeks"
- https://www.ncbi.nlm.nih.gov/pubmed/9649259

http://www.jurology.com/article/S0022-5347(11)03846-8/abstract

This study talks mostly about androgen saturation theory. It suggests that men with total testosterone lower than 250ng/dl may experience increased PSA, but those >250ng/dl won't.
 

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TRT Hormone Predictor Widget

TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

ℹ️ Input Parameters

Normal range: 300-1000 ng/dL

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Results will appear here after calculation

Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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