Creating a Telegram bot in Python that can send media requires several steps. I'll provide a high-level overview, but you may need to consult the official Telegram Bot API documentation and install relevant Python packages. Here's a basic outline:

1. **Create a Telegram Bot**:
   - Open the Telegram app and search for the "BotFather" user.
   - Start a chat with BotFather and use the `/newbot` command to create a new bot.
   - Follow the instructions and you'll receive a token for your bot. Save this token securely.

2. **Install Python Libraries**:
   - You'll need the `python-telegram-bot` library. You can install it using pip:
     ```bash
     pip install python-telegram-bot
     ```

3. **Write Python Code**:
   - Create a Python script for your bot. Below is a simple example:

   ```python
   import telegram
   from telegram.ext import Updater, CommandHandler, MessageHandler, Filters

   # Replace 'YOUR_BOT_TOKEN' with the token you received from BotFather.
   bot = telegram.Bot(token='YOUR_BOT_TOKEN')

   def start(update, context):
       update.message.reply_text("Hello! I'm your bot. Send me media!")

   def send_media(update, context):
       # Assuming you want to reply with the same media received.
       # You can modify this to send specific media.
       media = update.message.photo[-1] if update.message.photo else None
       if media:
           update.message.reply_photo(media.file_id)
       else:
           update.message.reply_text("I can only handle photos for now.")

   def main():
       updater = Updater(token='YOUR_BOT_TOKEN', use_context=True)
       dp = updater.dispatcher

       dp.add_handler(CommandHandler("start", start))
       dp.add_handler(MessageHandler(Filters.photo, send_media))

       updater.start_polling()
       updater.idle()

   if __name__ == '__main__':
       main()
   ```

4. **Run the Bot**:
   - Save the script and run it with Python. Your bot should now be active.

5. **Test Your Bot**:
   - Send a photo to your bot on Telegram, and it should reply with the same photo.

This is a very basic example. You can extend your bot's functionality to handle other types of media, respond to different commands, or even interact with external APIs. Be sure to review the official documentation for the `python-telegram-bot` library for more advanced usage.