How can a testosterone doctor help you?
Testosterone is a steroid and sex hormone that plays a major role in female and male sex drive. In men, testosterone creates and maintains muscle strength and mass, bone mineral density, thicker skin and it is responsible for the production of secondary male sex characteristics including facial hair and a deeper voice.
In most cases, a simple blood test that checks for low testosterone levels is used to establish low testosterone, or low t, in men who are experiencing low libido, infertility or erectile dysfunction. As testosterone also impacts mood and mental clarity, additional symptoms of low t may include depression, anger, mood swings, fatigue or confusion.
You should not rely solely on a single blood test to tell you that you have low testosterone levels, however. Levels can fluctuate throughout the day and tend to be higher first thing in the morning. This is why doctors typically test your testosterone in the morning. You may need several tests to confirm testosterone deficiency.
Most testosterone doctors prescribe the following regimen for low t in men.
Testosterone Cypionate Injections
Testosterone Cypionate is intended for intramuscular injection. it is an oil soluble 17 (beta)-cyclopentylpropionate ester of the androgenic testosterone hormone.
Male Testosterone Treatment Products
- Testosterone enanthate/cypionate. 200 per ml bottles.
- Arimidex. Anastrozole pill/capsule .5 or 1 milligram.
- HCG. 5000 to 10,000 unit bottle.
Your hormone doctor will likely not prescribe testosterone alone to better control the main metabolite estrogen. High estrogen levels will negate the benefits of testosterone replacement. The goal of hormone therapy is achieving and maintaining ideal hormone and testosterone levels of:
- Total testosterone: 800-1000 ng/dl
- Free testosterone: 250-300 pg/ml
- Estradiol: 20-30 pg/ml
- SHBG: 10-30 nmol/l
- DHT: 60-70 ng/dl
- Prolactin: 2-3 ng/ml
- DHEA-S: 300 ug/dl
- Melatonin: 3-6 mg
Hormone treatments for men may be done in the form of patches, oral medication or injections. Supplemental testosterone may be provided by an injection every two to three weeks, or through a gel or skin patch applied to the skin. Both methods provide a continuous testosterone delivery so it can be absorbed at the same pace as the body would normally produce it. Testosterone pills do not work well, as they may cause liver dysfunction and do not provide a sufficient level of the hormone. If the gel is used, the application site must be covered to avoid contact with children or women. This patch may also fall off if you sweat or be irritating to the skin.
One of the newer methods is a tablet that sticks to the gums and is absorbed slowly into the bloodstream. The tablet is replaced about every twelve hours. This tablet may cause mouth irritation, a bitter taste in the mouth, and headaches, although these side effects typically disappear within a couple of weeks.
The most serious risks of prolonged testosterone therapy includes gynecomastia, acne, decreased testicular size, and an increased risk of benign prostate enlargement or prostate cancer in older men. Men who have liver, heart, or kidney disease are also at a higher risk for fluid accumulation that can contribute to congestive heart failure. Additional side effects may include sleep-related breathing difficulties or erections that last too long.
When administered correctly by a testosterone doctor, male hormone replacement can improve physical, metal, sexual and emotional health.
Additional testosterone-boosting herbal supplements and vitamins may also help to improve hormone levels in men. Along with medication and supplements, hormone replacement therapy may be prescribed to improve testosterone production in the body.
There are many health benefits of testosterone replacement, including an improved sex drive, improved energy levels, boosted muscle mass, decreased anxiety and irritability and better sleep.
What Causes Low Testosterone?
Low testosterone in men can be caused by a number of underlying problems, including pituitary disorder; testicular damage from viral infection, injury or alcoholism; chronic kidney or liver disease; too much iron; or cancer treatment. Stress can also contribute to low testosterone production.
There is no known natural method to increase testosterone levels. Men who have low testosterone for their age are treated with testosterone replacement therapy designed to restore normal levels and improve libido, bone density, muscle mass, mood and sexual performance.
Men face many serious health issues, including erectile dysfunction and prostate cancer, that may be addressed through proper diet and supplements. Get a free, customized vitamin and supplement recommendation from Anti-Aging Group Health.