A New Look At Testosterone Therapy In [location_name]

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In the last ten years, testosterone replacement therapy (TRT) has become increasingly popular in Lee’s Summit. Millions of older men have opted for TRT to normalize their hormone levels, hoping to enhance their energy and rekindle their sex drive.

Despite its popularity, TRT remains a debated issue because of uncertain benefits and potential health risks. Years ago, studies suggested a possible association between TRT and a higher risk of cardiovascular disease, raising safety concerns.

Reproductive endocrinologist Dr. Frances Hayes, affiliated with Harvard’s Massachusetts General Hospital, observes the limitations in some 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 upheld this view. Research presented at the 2015 American Heart Association Scientific Sessions involved 1,472 men, aged 52 to 63, with low testosterone levels and no history of cardiovascular disease.

Research indicated that healthy men on TRT did not face a heightened risk of heart attack, stroke, or death.

Additionally, a study featured in the August 2015 Mayo Clinic Proceedings found 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.

In addition, the December 2015 Journal of Urology study revealed that exposure to TRT over a five-year period was not associated with an increased risk of aggressive prostate cancer, highlighting the need for further research into the effects of TRT on prostate health.

With limited follow-up in many studies, the long-term risks of TRT remain a mystery. 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 eligibility in Lee’s Summit 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 shows low levels, subsequent tests demonstrate normal levels.”

Low testosterone levels and multiple symptoms don’t necessarily indicate immediate testosterone replacement therapy (TRT). According to Dr. Hayes, “Understanding the cause behind declining levels allows us to address it and naturally enhance 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 additional factors that may 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.

It’s crucial for men to recognize the limitations of TRT, as it’s often perceived as a wonder cure. “Its effects are generally not as transformative as many believe,” says Dr. Hayes.

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 can be provided by either gel application or injection. When using a gel, you spread the daily dose, similar to the size of a ketchup packet, over the upper arms, shoulders, or thighs. Injections are usually administered into the buttocks biweekly.

Each method provides unique benefits. Gels result in more stable levels of testosterone. “However, you should be cautious of close skin contact for a few hours, especially with women, since testosterone can cause acne or hair growth,” Dr. Hayes explains.

Post-injection, testosterone levels can increase significantly for a few days and then slowly decrease, leading to a roller-coaster effect with mood and energy level fluctuations.

Many men in Lee’s Summit feel an improvement in symptoms within four to six weeks, although muscle mass increases might take three to six months.

TRT may not need to be a permanent treatment. “If the problem that caused your testosterone levels to drop is resolved, you should try discontinuing treatment and be re-evaluated by your doctor,” says Dr. Hayes.