“The specific protocol used by a given patient to treat misophonia differs with respect to the extent of the patient’s control (for example, listening to music at home, watching a movie in a theater, watching a movie at home with the sound level set by a spouse), type of sound (for example, music, books on tape, TV show, movies), the sound level used, and the environment where the patient is exposed (for example, home, movie theater, school). In one protocol, the offensive sound (for example, the sound of eating produced by other people) is mixed with a sound which evokes a positive reaction (for example, music) which is initially set at a level that partially masks the offensive sound. Over time the volume level of the positive sound is gradually decreased.” (Using TRT to Treat Hyperacusis, Misophonia and Phonophobia, ENT & Audiology News, January/February, 2013)
Other significant adverse effects of testosterone supplementation include acceleration of pre-existing prostate cancer growth in individuals who have undergone androgen deprivation; increased hematocrit , which can require venipuncture in order to treat; and, exacerbation of sleep apnea .  Adverse effects may also include minor side-effects such as acne and oily skin, as well as, significant hair loss and/or thinning of the hair, which may be prevented with 5-alpha reductase inhibitors ordinarily used for the treatment of benign prostatic hyperplasia , such as finasteride .  Exogenous testosterone may also cause suppression of spermatogenesis , leading to, in some cases, infertility.  It is recommended that physicians screen for prostate cancer with a digital rectal exam and prostate-specific antigen (PSA) level before starting therapy, and monitor PSA and hematocrit levels closely during therapy.