A New Look At Testosterone Therapy In [location_name]

Get Started Now

In the last ten years, testosterone replacement therapy (TRT) has seen a notable rise in popularity in Grapevine. Millions of older men have turned to TRT to restore hormone levels, seeking to refuel their energy and revitalize their sex drive.

Despite its popularity, TRT remains a contentious topic due to uncertain benefits and potential health risks. Years ago, safety concerns emerged when studies indicated a possible link between TRT and a higher risk of cardiovascular disease.

Reproductive endocrinologist Dr. Frances Hayes, of Harvard-affiliated Massachusetts General Hospital, points out the limitations in these studies.

“For instance, in one study, TRT doses were much higher than what would usually be prescribed, and the subjects tended to be more frail, with other health problems,” she says. “Other studies showed no evidence of increased risk.”

THE LATEST FINDINGS

Recent investigations have affirmed this position. Research reported at the 2015 American Heart Association Scientific Sessions involved 1,472 men aged 52 to 63 with low testosterone and no previous heart disease.

The results indicated that TRT did not contribute to a higher incidence of heart attack, stroke, or death in healthy men.

A study in the August 2015 Mayo Clinic Proceedings indicated no connection between TRT and blood clots in veins among 30,000 men. “Right now, the jury is still out about TRT’s influence on cardiovascular disease,” says Dr. Hayes.

TRT’s relationship with other health issues presents a mixed scenario. Despite previous associations between TRT and a higher risk of prostate cancer, a study published in the December 2015 Journal of Urology indicated that exposure to TRT over a five-year period was not correlated with an increased risk of aggressive prostate cancer.

With limited follow-up in various studies, the long-term risks of TRT remain unknown. Yet, it’s crucial not to discount TRT altogether. It could still be a suitable option for certain individuals.

Who Is a Candidate For TRT In [location_name]?

TRT prescription in Grapevine eligibility hinges on meeting two conditions: low testosterone levels (below 600 nanograms per deciliter (ng/dL)) and experiencing multiple symptoms (refer to page 7). According to Dr. Hayes, “While low levels can occur without symptoms, if critical symptoms like fatigue and sexual dysfunction aren’t evident, starting TRT isn’t advisable given current uncertainties regarding its long-term safety.”

A standard blood test is commonly employed to assess testosterone levels. Given the fluctuations that can occur daily and the impact of medication and diet, multiple tests are required. Dr. Hayes mentions, ” In approximately 30% of cases where the initial testosterone test indicates low levels, subsequent tests demonstrate normal levels,” says Dr. Hayes.

Despite having low testosterone levels and exhibiting various symptoms, testosterone replacement therapy (TRT) might not be the immediate approach. Dr. Hayes suggests, “By identifying the source of declining levels, we can often address it and naturally elevate low levels.”

Consider weight gain, for example, often the main contributor to declining levels. “Weight exerts a more significant influence on testosterone levels than aging. With increased weight, testosterone levels tend to decrease,” she points out. A five-point rise on the body mass index (BMI) scale, like progressing from 30 to 35, is equivalent to adding 10 years to your age concerning testosterone levels.

“Your doctor should also assess any other factors that could impact levels, like medication or medical conditions,” advises Dr. Hayes. In such instances, your doctor might address the underlying condition or adjust your medication or dosage to avoid impacting testosterone levels.

Men also need to understand the boundaries of TRT, as it’s often seen as a panacea. “Its impact is usually not as dramatic as men expect,” Dr. Hayes states.

For example, sexual health and vitality are commonly lauded benefits of TRT. A study outlined in the Feb. 18, 2016 issue of The New England Journal of Medicine investigated the impacts of TRT on 790 men aged 65 and older. Those undergoing TRT for one year, in contrast to those receiving a placebo, noted enhancements in sexual function, including activity, desire, and erectile function. However, the group experienced only a slight mood improvement and saw no alterations in walking speed, which was used to assess TRT’s effect on vitality.

Using TRT

TRT is often administered by gel application or injection. The gel is applied daily, with a dose the size of a ketchup packet, spread over the upper arms, shoulders, or thighs. Injections are typically given into the buttocks every two weeks.

Each method offers distinct benefits. Gels ensure stable levels of testosterone. “However, you should be cautious of close skin contact for a few hours, especially with women, as testosterone can cause acne or hair growth,” advises Dr. Hayes.

Post-injection testosterone levels can spike for a few days and then gradually come down, leading to a roller-coaster effect with fluctuating mood and energy levels.

Symptom improvement is often seen within four to six weeks for most men in Grapevine, while changes in muscle mass can take up to six months.

TRT doesn’t always have to be indefinite. “If the initial cause of your low testosterone levels is resolved, you should try coming off treatment and consult your doctor for re-evaluation,” says Dr. Hayes.