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Testosterone propionate is primarily used in cases of androgen insufficiency in men, as well as problems that typically surround low testosterone levels, such as decreased libido and impotence in adults, and undescended testicles in adolescents and young adults. Testosterone propionate has also been used to treat menopausal women, menorrhagia (heavy menstrual bleeding), menstrual tension, chronic cystic mastitis (fibrocystic breast), endometriosis, and hyperlactation, among other uses, including the use of the male hormone testosterone. For female patients.

Testosterone propionate has a long history of availability in the United States and other countries, and remains a very common form of testosterone on the global market today.

Testosterone propionate was the first acceptable testosterone ester and therefore has a decades-long history as a available therapeutic agent. Many companies have been selling it for decades and will continue to do so as long as it remains in demand. But other (more modern) forms of testosterone such as testosterone enanthate and testosterone cypropionate are more popular today because they act much more slowly and do not require frequent injections.

Propionate is removed before the testosterone it carries becomes active in the body, and ultimately does little more than slow down steroid release.