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  • Better Sex Blog
  • About Maze
    • Meet the Experts
    • Insurance Coverage
    • Our Published Studies
    • Additional Resources
    • In the News
    • Join Our Team
  • TRT/Low T
  • ED
  • Sexual Health
    • Low Libido
    • Premature Ejaculation
    • Delayed Ejaculation
    • Peyronie’s Disease
    • Chronic Pelvic Pain Syndrome
    • Gay/Bisexual Men’s Sexual Health
    • Penile Rehabilitation
    • Sexual Education
  • Reproductive Health
    • Male Infertility
    • Azoospermia Treatment
    • Semen Analysis
    • Extended Sperm Search & Microfreeze (ESSM)
    • Sperm Mapping
    • Sperm Extraction Procedure
    • Varicoceles/Varicocelectomy
    • Epididymal Obstruction
    • Sperm Banking
    • Vasectomy
  • Better Sex Blog
Contact Us
logo
  • About Maze
    • Meet the Experts
    • Insurance Coverage
    • Our Published Studies
    • Additional Resources
    • In the News
    • Join Our Team
  • TRT/Low T
  • ED
  • Sexual Health
    • Low Libido
    • Premature Ejaculation
    • Delayed Ejaculation
    • Peyronie’s Disease
    • Chronic Pelvic Pain Syndrome
    • Gay/Bisexual Men’s Sexual Health
    • Penile Rehabilitation
    • Sexual Education
  • Reproductive Health
    • Male Infertility
    • Azoospermia Treatment
    • Semen Analysis
    • Extended Sperm Search & Microfreeze (ESSM)
    • Sperm Mapping
    • Sperm Extraction Procedure
    • Varicoceles/Varicocelectomy
    • Epididymal Obstruction
    • Sperm Banking
    • Vasectomy
  • Better Sex Blog
Patient login
  • Westchester: (914) 997-4100
  • New York City: (646) 380-2600
  • Connecticut: (203) 831-9900
  • New Jersey: (973) 472-0600

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Results

Back to TRT
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What to Expect and When

One of the most common questions men ask before starting TRT is, “When will I feel better?” The truth is, results take time. Most men will not notice major changes for the first couple of months, though some report more frequent and firmer morning erections soon after starting. Occasionally, men feel almost euphoric in the early weeks — “I feel 18 again!” — but this spike is temporary. Long-term improvements build gradually, as your body adjusts and hormone levels stabilize.

Typical Timeline of Results

  • Month 1–2: Subtle changes begin, especially improved morning erections. Some men feel little at this stage, which is normal.
  • Month 4: Noticeable increases in muscle mass, energy, and stamina. Many men lose fat while gaining lean muscle, even if the scale doesn’t change.
  • Month 6: Erectile function improves. Spontaneous erections and morning erections become stronger; ED medications may become less necessary.
  • Month 9+: Libido and sexual interest usually show significant improvement, though this may take longer than other benefits.
  • Month 12: For about 90% of men who stay consistent and reach excellent hormone levels, TRT becomes a true game-changer — restoring vitality, confidence, and overall quality of life.

Key Symptom Improvements

Energy & Muscle Mass (4 months)

  • Increased lean body mass, decreased fat mass (average 4 lbs muscle gained, 4 lbs fat lost).
  • Improved exercise performance and recovery.
  • Daytime stamina improves — no more mid-afternoon crash.
  • Waist size decreases while arms, shoulders, and chest look stronger.

Erectile Function (6 months)

  • Stronger, more frequent morning and nocturnal erections.
  • Spontaneous erections return for men with mild ED; others may still need medication but often at lower doses or less frequently.
  • TRT improves erectile quality, but should not be expected to cure severe ED on its own.

Libido & Sexual Interest (9 months)

  • Desire for intimacy gradually improves after consistent hormone optimization.
  • May take longer to notice compared to muscle and energy changes, but most men experience meaningful improvements over time.

Why Patience Matters

Some men stop TRT too early, believing it “doesn’t work.” In almost every case, this happens because they:

  • Never achieved optimal testosterone levels, or
  • Did not stay on treatment long enough.


At Maze Men’s Health, we encourage patients to commit to a full year of therapy. With careful monitoring and adjustment, TRT helps the vast majority of men feel stronger, more focused, more energetic, and more sexually confident.

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Maze Men’s Sexual & Reproductive Health

Led by Michael A. Werner, MD, a board-certified urologist specializing in sexual and reproductive health, Maze has always focused on making a difference in people’s lives. This approach — one of compassion, medical sophistication and an openness to new techniques — extends to each individual area of our practice.

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