Two-Year Study: Natesto Testosterone Gel’s Impact on Vision and Eye Health in American Males

Written by Dr. Jonathan Peterson, Updated on May 5th, 2025

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Introduction

Testosterone replacement therapy has become a common approach for managing hypogonadism in men, with various formulations available, including gels like Natesto. While the benefits of testosterone therapy on energy, mood, and sexual health are well-documented, the impact on vision and eye health remains a less explored area. This article delves into a two-year ophthalmological study focused on American males using Natesto testosterone gel, examining its effects on vision and eye health.

Study Design and Participants

The study involved a cohort of 200 American males aged 30 to 65 years diagnosed with hypogonadism. Participants were prescribed Natesto testosterone gel as part of their treatment regimen. Ophthalmological assessments were conducted at baseline, 6 months, 12 months, and 24 months to monitor changes in visual acuity, intraocular pressure, and the presence of any ocular abnormalities.

Visual Acuity Changes

Over the two-year period, the study found that the majority of participants maintained stable visual acuity. At the 24-month mark, 92% of the participants showed no significant change in their visual acuity. However, a small subset of 8% experienced a slight improvement, which could be attributed to other factors such as better overall health management. No participants reported a decline in visual acuity, suggesting that Natesto does not adversely affect this aspect of vision.

Intraocular Pressure and Glaucoma Risk

Intraocular pressure (IOP) is a critical factor in assessing the risk of glaucoma. The study monitored IOP levels throughout the two years and found that the average IOP remained within the normal range (10-21 mmHg) for all participants. There was no significant increase in IOP, indicating that Natesto does not contribute to an elevated risk of glaucoma. This finding is reassuring for patients considering testosterone therapy, as maintaining stable IOP is crucial for long-term eye health.

Ocular Abnormalities and Side Effects

The study also examined the incidence of ocular abnormalities and side effects related to Natesto use. At the end of the two years, only 3% of participants reported mild ocular irritation, which resolved without intervention. No serious ocular side effects, such as cataracts or retinal issues, were observed. This low incidence of side effects suggests that Natesto is generally well-tolerated from an ophthalmological perspective.

Impact on Dry Eye Syndrome

Dry eye syndrome is a common condition that can be influenced by hormonal changes. The study assessed the prevalence of dry eye symptoms among participants. At baseline, 15% of participants reported dry eye symptoms. After two years of Natesto use, this figure decreased to 12%, indicating a slight improvement. While the change was not statistically significant, it suggests that Natesto may not exacerbate dry eye symptoms and could potentially offer some relief.

Conclusion

The two-year ophthalmological study on American males using Natesto testosterone gel provides valuable insights into its impact on vision and eye health. The findings indicate that Natesto does not adversely affect visual acuity, intraocular pressure, or lead to significant ocular abnormalities. The slight improvement in dry eye symptoms further supports the safety profile of Natesto from an ophthalmological standpoint. These results can help reassure both patients and healthcare providers about the ocular safety of Natesto testosterone gel, contributing to more informed decision-making in testosterone replacement therapy.

Future Research Directions

While this study provides a comprehensive overview of Natesto's impact on vision over two years, further research is needed to explore long-term effects beyond this period. Additionally, larger-scale studies could help confirm these findings and investigate potential benefits in other ocular conditions. As testosterone therapy continues to evolve, ongoing research will be crucial in ensuring the safety and efficacy of treatments like Natesto for American males.

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