If my testosterone is low, will I have to take the Testosterone Replacement Therapy forever? Medical studies conclude that it is safe and effective to stay on a TRT program for 20+ years. As long as a patient is monitored every 6-12 months and remains in a normal human testosterone range, there is no need to ‘cycle’ off of testosterone replacement. Should you decide to stop the program, your body will go back to producing those levels it produced prior to therapy (less the natural 1 to 3% testosterone degradation for each of those years and for each year to follow).
I think this approach is fine. I must say having been doing this for years, treating hundreds and thousands of men I have been underwhelmed with the results with topicals. Injections can cause peaks and valley and I have many younger men inject twice a week that smooths out the peaks and valleys. I think it is appropriate to follow the advice of your primary doctor and endocrinologist. I have just seen too many men spend months or years with gels with sub optimal results. Many men are diagnosed with depression and are not really depressed (I have no idea if this applies to you), but the presumed depression is base dupon low T.
My recommendation would be to pursue this but if a few months pass and results are modest consider another approach. Pellets are one approach to have smooth levels of T and are placed every 4 months.