A New Look At Testosterone Therapy In [location_name], AZ

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In the last decade, testosterone replacement therapy (TRT) has gained considerable popularity in NORTH MESA, AZ. Numerous older men have turned to TRT to restore their hormone levels, seeking to enhance their energy and revitalize their sexual vitality.

Despite its growing popularity, TRT is still a subject of controversy because of its uncertain benefits and potential health risks. In the past, concerns were raised about its safety when studies indicated a possible connection between TRT and an increased risk of cardiovascular disease.

Dr. Frances Hayes, a reproductive endocrinologist at Harvard-affiliated Massachusetts General Hospital, points out that some of these studies were limited in scope.

“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 research has supported this perspective. At the 2015 American Heart Association Scientific Sessions, findings from a study involving 1,472 men aged 52 to 63, all with low testosterone levels and no history of heart disease, were presented.

Researchers found that men in good health who underwent TRT did not show a higher risk of heart attack, stroke, or mortality.

Furthermore, a study featured in the August 2015 issue of Mayo Clinic Proceedings concluded that TRT showed no association with venous blood clots among 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 issues varies widely. Although TRT has historically been linked to a higher incidence of prostate cancer, a study published in the December 2015 Journal of Urology found that exposure to TRT over a five-year period did not correlate with an increased risk of aggressive prostate cancer.

The ongoing uncertainties about the long-term risks of TRT persist because many studies have limited follow-up. Nonetheless, this does not mean that TRT should be avoided altogether. For certain groups of men, this therapy can be a suitable choice.

Who Is a Candidate For TRT In [location_name], AZ?

To qualify for a TRT prescription in NORTH MESA, AZ, individuals must meet two criteria: testosterone levels below 600 nanograms per deciliter (ng/dL) and the manifestation of several symptoms (refer to page 7). Dr. Hayes explains, “While it’s possible to have low levels without symptoms, if you lack key symptoms, particularly fatigue and sexual dysfunction, it’s not advisable to start TRT due to current uncertainties surrounding its long-term safety.”

Testosterone levels are typically assessed using a standard blood test. Multiple tests are often necessary because levels can fluctuate daily, influenced by factors such as medication and diet. Dr. Hayes mentions, “In 30% of instances where the first testosterone test indicates low levels, subsequent tests show normal levels.”

Despite low testosterone levels and multiple symptoms, testosterone replacement therapy (TRT) isn’t necessarily the initial course of action. “Identifying the underlying cause of declining levels allows us to address it and naturally boost low levels,” states Dr. Hayes.

Consider weight gain, which is frequently the primary cause of declining levels. “Weight exerts a more substantial influence on testosterone levels than aging. As weight increases, testosterone levels decrease,” she explains. A five-point increase on the body mass index (BMI) scale, such as moving from 30 to 35, is akin to adding 10 years to your age in terms of its impact on testosterone levels.

“Your doctor should also assess any additional factors that could impact levels, such as medication or medical conditions,” advises Dr. Hayes. In such cases, your doctor might address the root cause or modify your medication or dosage to avoid affecting testosterone levels.

It’s important for men to acknowledge the limitations of TRT, as many perceive it as a sort of quick-fix solution. “Its results are often less remarkable than many men envision,” notes Dr. Hayes.

Consider sexual health and vitality, often highlighted as benefits of TRT. A study published in the February 18, 2016 issue of The New England Journal of Medicine analyzed TRT’s effects on 790 men aged 65 and older. Those who received TRT for one year, compared to those on a placebo, showed improvements in sexual function, including activity, desire, and erectile function. However, the group experienced only minimal mood enhancement and no changes in walking speed, which measures TRT’s impact on vitality.

Using TRT

TRT is often delivered through gel application or injections. When using a gel, you apply a daily dose roughly the size of a ketchup packet to either upper arms, shoulders, or thighs. Injections are typically administered biweekly into the buttocks.

Each method offers distinct advantages, with gels ensuring more consistent testosterone levels. “However, you must avoid close skin contact for a few hours, especially with women, as the testosterone can cause acne or hair growth,” advises Dr. Hayes.

Injections can cause testosterone levels to spike for several days after administration before gradually declining. This fluctuation can create a roller-coaster effect, with mood and energy levels peaking before diminishing.

In North Mesa, AZ, most men typically notice symptom improvement within four to six weeks, though changes such as increased muscle mass may take three to six months.

Moreover, TRT may not need to be a lifelong treatment. “If the cause of your low testosterone levels resolves, you should try stopping treatment and get re-evaluated by your doctor,” says Dr. Hayes.