What is so different about male menopause? Testosterone Replacement Therapy. Is it also from Mars?
She runs for Botox, he gets a new car. She is wearing provocative outfits, he is pumping iron at the gym, starts roller skating and takes flying lessons. She speaks about her hot flash to her friend, and he feels down because of his lack of sexual drive. The difference – he keeps it to himself. They are both 50 years old, but they perceive aging differently. It might be that men are from Mars but their testosterone imbalance is a very common earthy condition.
I have so many patients that share stories behind the closed door, their symptoms of menopause and andropause and I am glad that because of the high tech times we live in plus a good treatment protocol, we can help. Yes, we can.
Of course, it is your body and you may decide to deal with it, but my opinion is that if you can live better, then why not?
If you are over 45 man and experience common symptoms related to aging, such as decrease of sexual desire, increase of body fat, fatigue, depression, anger, mood changes, decrease of muscle mass and many others, you could be asking your doctor about anropause treatment options for you.
How is available to you to help you with male aging symptoms?
Start with a blood test. Generally, only a blood test can definitively diagnose andropause.
And here is why: After the age of 45, the average testosterone level decreases at a rate of approximately 1% per year. A man may have large variations in his serum testosterone levels over time. Since you may have normal testosterone levels one day and have decreased testosterone levels the next, it is important to look at hormone levels over a period of time. In older men, affected organs may respond differently to androgens. Not all men will need the same level of testosterone to maintain proper function of their brain, bone, prostate, or muscle cells. Therefore, it would be incorrect to say that there is one standard level of testosterone that should be achieved by every man.
How does our testosterone replacement therapy work?
The treatment plans are strictly individualized as we prefer transdermal (through the skin) patches and gels. This method has a number of advantages:
It is easy to apply.
It is relatively safe with low incidence of side effects.
It more closely mimics the natural daily rhythm, with higher levels of testosterone delivered in the morning and decreasing levels delivered as the day progresses.
What are the results or benefits?
- Improved sexual function.
- Improved erectile function.
- Improved mood.
- Improved body composition and strength.
- Increased bone density.
- Improved cardiovascular system.
What are the negative effects?
Men with a history of prostate cancer or breast cancer are absolutely not candidates for testosterone therapy. The testosterone can make both of these hormonally sensitive cancers grow more rapidly.
Other negative effects may include: fluid retention, problems with fertility, sleep apnea: tender breasts or enlargement of breasts, increased red blood cell concentration, prostate growth.
Monitoring during treatment is mandatory to avoid negative effects.
Monitoring is the key in hormone replacement therapy. Once started, it is usually maintained for life.
There is not yet a general consensus on how men with testosterone replacement should be monitored. It is clear that those patients who have begun testosterone replacement for a particular symptom should have that symptom carefully observed.
How does monitoring work?
You need to make sure that your testosterone levels are monitored frequently. Once you have achieved the right dosage of hormone, your doctor has to follow your progress and draw blood every 3 months for at least a year. The following year, your blood test has to be repeated every four months. Thereafter, appointments and blood work are required every six months.
Blood work includes hormone levels, a complete chemistry profile including chemistries, lipids, and liver function tests. We also perform a complete blood cell count to check the patient’s hematocrit (an increased hematocrit is a common side effect of testosterone replacement therapy). It is important that you receive serial prostate exams at all of these visits as well as a PSA test.
If you wish to know more, please visit our web site at www.agelesssolutionsmd.com or call Dr. Goldberg at 732 284-6818.