The specter of performance-enhancing drugs is very high in elite-level sports. The desire to win and be rewarded – especially financially – has further fueled the “win at all costs” and “if you’re not cheating you’re not trying hard enough” mentalities.
Testosterone-replacement therapy (TRT) primarily is intended to treat fairly uncommon conditions of teenage boys who were not maturing properly.
The legitimate use of TRT, as it pertains to elite-level athletes, is a relatively new phenomenon – and potentially a very slippery slope and ripe for abuse.