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Hormone Replacement Therapy for Men

Do men have a “biological clock?”

Is “male menopause” fact or fiction?

The term “biological clock” is commonly associated with women and the decline in production of eggs and estrogens, progesterone and testosterone occurring with menopause.

Science has demonstrated that testosterone and fertility also decline in men.

The decline in testosterone levels after age 30 has been termed “andropause.” Levels of sex hormones in men decline with age about 1 percent per year.

The rate of decline can be the same in healthy men as well as those with chronic diseases, obesity, alcoholism, prescription medication, or prostate problems.

Estimates suggest that between 2 and 4 million men in the United States suffer from this age-related decrease in testosterone and the potential for so called “hypogonadism” (dysfunction in the testes, pituitary gland and/or hypothalamus).

Health problems associated with male hormone imbalances and hypogonadism may include some of the following:

If you experience any of the symptom below you might be low in testosterone:

  • Fat Weight Gain
  • Loss of Muscle Mass and Strength
  • Loss of Bone Mass and Strength
  • Fatigue, lack of energy
  • Joint Pains
  • Decreased Libido
  • Loss of Erectile Ability
  • Depression
  • Mental Confusion
  • Sleep Loss
  • Migraine/Severe Headache
  • Decrease in strength and/or endurance
  • Loss of height
  • Decreased “enjoyment of life”
  • Becoming sad and/or grumpy
  • Erections less strong
  • Recent deterioration in your ability to play sports
  • Falling asleep after dinner
  • Recent deterioration in your work performance

Hypogonadism may also be associated with type II diabetes, musculoskeletal frailty, cardiovascular disease, and the metabolic syndrome. Men with these health problems often do not have tests to evaluate their hormones. They either go untreated, or have treatments that are not addressing the underlying issues. As a result, people do not feel better, and may have unnecessary side effects.

Our Approach
  1. We provide prospective patients with an extensive intake questionnaire that outlines patient issues and helps us focus our intervention.
  2. Once the questionnaire is returned to us and assessed, we send the person an order for the appropriate blood work.
    • We test hormonal levels and more.
      • Testosterone total and free
      • Dihydrotestosterone
      • Estradiol
      • PSA
      • Thyroid
      • Red Blood Counts
      • Cholesterol
    • This information allows us to formulate a picture of the person’s needs and a clear plan of action.
  3. When we receive the test results, we are ready to schedule an appointment.
  4. The test results and their meaning are discussed at the appointment.
  5. We develop a treatment plan customized to each person.
    • As an example, if a person is low in testosterone and we can correlate that with their signs and symptoms, they may qualify for testosterone therapy. There are many ways to do testosterone therapy, including pills, creams, gels, patches, injections, and subcutaneous (under the skin) pellets. Each approach has pros and cons. We discuss what method is appropriate for each individual based on his health status, medical results, and preferences. Once testosterone therapy is started, we follow the person closely both with blood work and clinical monitoring. Our patients usually report favorable results and satisfaction.