A New Look At Testosterone Therapy In [location_name]

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Over the last decade, there has been a notable increase in the popularity of testosterone replacement therapy (TRT) in Newport Beach. Numerous older men have chosen TRT to restore hormone levels, with the goal of boosting their energy and reigniting their sexual desire.

While TRT has gained popularity, it remains controversial because of its uncertain benefits and potential health risks. Years ago, safety concerns were raised when studies showed a possible link between TRT and an increased risk of cardiovascular disease.

Reproductive endocrinologist Dr. Frances Hayes, of Harvard-affiliated Massachusetts General Hospital, points out that some of these studies were limited.

“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

The latest research supports this position. A study presented at the 2015 American Heart Association Scientific Sessions involved 1,472 men, aged 52 to 63, with low testosterone levels and no heart disease history.

The research indicated that healthy men on TRT did not face a greater risk of heart attack, stroke, or death.

Further research published in the August 2015 Mayo Clinic Proceedings found no relationship between TRT and venous blood clots in a cohort of 30,000 men. “Right now, the jury is still out about TRT’s influence on cardiovascular disease,” says Dr. Hayes.

The relationship between TRT and other health problems is multifaceted. While TRT has previously been linked to a higher rate of prostate cancer, a study printed in the December 2015 Journal of Urology concluded that exposure to TRT for a period of five years did not elevate the risk of aggressive prostate cancer.

With limited follow-up in numerous studies, the long-term risks of TRT remain unknown. Yet, it’s essential not to discount TRT entirely. It might still be a viable choice for certain men.

Who Is a Candidate For TRT In [location_name]?

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

Utilizing a standard blood test is a routine practice to determine testosterone levels. Because these levels can vary daily and are impacted by medication and diet, multiple tests are essential. Dr. Hayes notes, “About 30% of cases where the initial testosterone test indicates low levels show normal levels upon retesting.”

Low testosterone levels and multiple symptoms don’t automatically lead to testosterone replacement therapy (TRT). According to Dr. Hayes, “Understanding the reason behind declining levels allows us to tackle it and naturally enhance low levels.”

Consider weight gain, for example, often the chief culprit behind decreasing levels. “Weight has a more pronounced effect on testosterone levels than aging. With rising weight, testosterone levels typically decrease,” she remarks. A five-point increase on the body mass index (BMI) scale, such as transitioning from 30 to 35, is tantamount to adding 10 years to your age concerning testosterone levels.

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

Men must comprehend the limitations of TRT, as it’s frequently perceived as a panacea. “Its outcomes are generally not as extraordinary as men anticipate,” Dr. Hayes clarifies.

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. For the gel, you spread the daily dose, comparable to the size of a ketchup packet, on both upper arms, shoulders, or thighs. Injections are typically given in the buttocks every two weeks.

There are advantages to each method. Gels produce less variability in testosterone levels. “However, you should avoid close skin contact for a few hours, especially with women, as testosterone can cause acne or hair growth,” warns Dr. Hayes.

Post-injection, testosterone levels can peak for a few days before slowly decreasing. This fluctuation can create a roller-coaster effect, where mood and energy levels initially rise and then fall.

Symptom relief is typically felt by most men in Newport Beach within four to six weeks, though muscle mass increases may take up to six months.

TRT may not be required forever. “If the initial cause of your testosterone decrease is resolved, you should try coming off treatment and be re-evaluated by your doctor,” says Dr. Hayes.