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Testosterone therapy

What is testosterone?

Testosterone Pronounced As: testostron , principal androgen, or male sex hormone. One of the group of compounds known as anabolic steroids, testosterone is secreted by the testes but is also synthesized in small quantities in the ovaries, cortices of the adrenal glands, and placenta, usually from cholesterol. Testosterone is necessary in the fetus for the development of male external genitalia; increased levels of testosterone at puberty are responsible for further growth of male genitalia and for the development and maintenance of male secondary sex characteristics such as facial hair and voice changes. Testosterone also stimulates protein synthesis and accounts for the greater muscular development of the male (see metabolism). For many years, bio-identical hormones have been used by athletes with the goal of improving performance. Now Hormone Replacement Therapy has moved into the mainstream and can be doctor prescribed to anyone over the age of 30 showing a medical need, and who wants to improve their quality of life.

 

 

When does testosterone decline?

Testosterone begins to decline in men at about age 25. Testosterone has a number of effects on muscles, bones, the central nervous system, bone marrow, the prostate and sexual function. Androgens, especially testosterone, regulate the normal growth and development of male sex organs and promote other male characteristics, such as body hair, muscle mass and a deep voice. The most common type of treatment for testosterone deficiency is known as testosterone replacement therapy.

Men who receive testosterone replacement consequently report that they feel sexier, stronger and healthier. They state that it makes them feel as they did when they were in their prime. After all, this is what replenishment of hormones is all about. It is about restoring hormones to youthful levels so you can feel as you did when you were at the peak of your physical and mental ability. Testosterone can stop and reverse the physical decline that robs men of their energy, strength and libido. Testosterone can restore muscle tone and improve stamina. Testosterone Therapy can restore healthy sexual excitement and desire, which in turn, results in an improvement in mood and overall well being.

Testosterone is responsible for the sex drive for both men and women. As testosterone diminishes with age, so does the sexual functioning in both men and women. Restoring testosterone to youthful levels in both men and women can reverse the situation. All too often, men and women automatically assume that as they age, their sexual capacity will diminish. There is no need to accept this loss of sexuality. Testosterone can play a critical role in helping to preserve and even restore sexual function so that we can live our extended life span with the same excitement and enthusiasm we enjoyed during our youth.

Physicians are witnessing an explosion of interest in testosterone as a result of our growing realization that Testosterone Levels decline with age and that many men suffer serious consequences to their physical and mental health as a result. In women, it is expressed as menopause, whereas, in men, it is expressed as andropause. Many of these symptoms and disease processes that we come to accept as normal aging are processes that are actually secondary to low testosterone levels and are easily correctable. Testosterone supplementation results in increased muscle strength, muscle size, increased energy level, decreased fat and increased desire and endurance for exercise. Now both men and women may be treated for their sex hormone deficiencies.

Testosterone replacement in the past has been associated with increased cholesterol levels. We feel this is probably secondary to the use of synthetic testosterone that resulted in liver dysfunction and the concomitant elevation of cholesterol. Studies now show that replenished with natural testosterone results in a decreased cholesterol and increased HDL, similar to what has been realized in women taking estrogen.

Clearly, testosterone is shown to have a positive impact on our health and well being, our moods and our ability to learn and retain information. Testosterone has been administered in the form of injections and oral supplements. We prefer not to use either of these methods as the testosterone is in the synthetic form. Testosterone patches are also available. We have found these patches unacceptable and secondary to the ability to get optional blood levels and feeling of the patch. Most patients prefer not to use these patches after experimenting with them. The method of choice is a natural testosterone injected inter-muscular or as a topical gel applied to the skin.

Testosterone cannot be used if one has prostate cancer. Testosterone has not been shown to cause prostate cancer, however, if one does have prostate cancer, testosterone may cause accelerated growth of this tumor. Therefore, there is a need to monitor the PSA on a regular basis to assure that one does not develop prostate cancer. Prostate cancer is the most common cancer in men. It can be easily detected by an annual PSA test. In addition to testosterone supplementation, THARC recommends the daily use of Saw Palmetto, which is a medication to protect the prostate and prevent enlargement of the prostate due to formation of DHT. Most men develop prostate hypertrophy in their later years, and this can be effectively treated and prevented by daily use of Saw Palmetto.

Testosterone has a number of effects on muscles, bones, the central nervous system, bone marrow, the prostate and sexual function. Androgens, especially testosterone, regulate the normal growth and development of male sex organs and promote other male characteristics, such as body hair, muscle mass and a deep voice. The most common type of treatment for testosterone deficiency is known as testosterone replacement therapy.

What is Hypogonadism? (Testosterone Deficiency)

In men, hypogonadism is a condition in which the testes produce a less than normal amount of testosterone, the male hormone. When too little testosterone is present, men tend to undergo a drop in sexual desire and performance. They may also experience depression, fatigue, loss of motivation and osteoporosis. The size and strength of their muscles may diminish and their body hair may become sparse. These symptoms are not specific to testosterone deficiency, however, some men with hypogonadism often don't recognize that they have a medical problem that is treatable.

Hypogonadism is a term medical professionals use for this condition and you'll see why it is often overlooked. Women go through menopause when their production of female hormones drops off dramatically, usually during middle age.

Testosterone replacement therapy (TRT)

Androgen replacement therapy is hormone treatment for middle-aged and older men which is often intended to counter the natural effects of aging. Androgen replacement is also used for men who have lost their testicular function to disease, or cancer, or to other causes.

As men enter middle age they may notice changes caused by a relative decline in testosterone: fewer erections, fatigue, thinning skin, declining muscle mass and strength, more body fat. This dissatifaction with the changes of aging has led to the development of the idea of androgen replacement therapy.

Male hormones are called androgens from Greek words andro meaning man, and gen meaning giving birth to. Primary among them is the natural hormone testosterone, which is produced in the testes, ovaries and adrenals. Females also produce testosterone in the adrenals and as a precursor to estrogen, but the amount of circulating testosterone is generally far less than in males, although the ranges on the two genders overlap. Both sexes also produce an androgen precursor called dihydroepiandrostene (DHEAS) from which the body can make androgens. Androgens cause the secondary sex characteristics of males: facial hair, thicker skin, low body fat, deeper voice, muscularity, penis and scrotal growth and darkening, broad shoulders, body hair, erection of the penis, etc. With increasing age, testosterone production declines, and many of these changes start to reverse.

This "decline of maleness" with age has given rise to a term: "andropause". This term implies a parallel with menopause in women, although the two states are by no means equivalent. The term manopause has also been used in the popular press.

There are several artificial androgens, including nandrolone and various other manipulations of the testosterone molecule. Androgen replacement is via patch, tablet, pill or cream; or depot injections given into fat or muscle.

Users report an increased alertness and well-being, heightened libido and erection ability, increase in lean muscle mass and concomitant decrease in body fat.

There is the possibility of abuse: some athletes may demand far higher levels of androgen than normal in order to out-perform others, other people may feel they require greater doses in order to achieve what they perceive as a feeling of greater well-being.

Your body's testosterone level hits the highest point during puberty and early adulthood. In the later life, your body produces less testosterone. Mostly men face this problem of a fair decline in the testosterone level.
With the Testosterone Replacement Therapy (TRT), lower-than-normal testosterone levels can be regulated and modified. It can be prescribed synthetic version of testosterone for men who have very low levels of testosterone. Testosterone therapy treatments are available as injections, patches and gels.
The benefits of testosterone therapy are tempting, which include:
  • improve your memory
  • boost up your libido and sperm production
  • increases your sex drive
  • lower Cholesterol Level
  • increase Lean Muscle
  • decrease Body Fat
  • eliminates Cellulite
  • manages red blood cells production
  • improve your energy level

Testosterone Replacement Therapy (TRT) is very useful for men having low Testosterone level and hormonal imbalance. In Testosterone therapy we try to restore your Testosterone level without affecting any other hormones in your body.

What should I expect from testosterone replacement?


In various clinical studies, very good responses to testosterone have been reported for men with low-testosterone and they include:
  • Improvement in mood and sense of well-being 
  • Increased mental and physical energy 
  • Decreased anger, irritability, sadness, tiredness, nervousness 
  • Improved quality of sleep 
  • Improved libido and sexual performance 
  • An increase in lean body mass, a decline in fat mass 
  • An increase in muscle strength (hand grip, upper and lower extremities) 
  • Potentially, a decrease in the risk of heart disease

With testosterone therapy, one's attitude improves, reinforcing self-esteem and self-confidence at work, as well as an increased energy at home and in social activities. Most men will feel more vigorous, experience improved energy levels, mood, concentration, cognition, libido, sexual performance and an overall sense of well-being. These effects are usually noted within 3 to 6 weeks.

Other potential benefits include maintenance or improvement in bone density, improved body composition, muscle mass and muscle strength.


Of course, any ongoing strategy to reduce the symptoms and risks of andropause should incorporate lifestyle approaches such as optimal diet, regular exercise, stress-management and the reduction of tobacco and alcohol intake.