A New Look At Testosterone Therapy In [location_name]

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In the past decade, testosterone replacement therapy (TRT) has surged in popularity in North Scottsdale. Numerous older men have turned to TRT to balance hormone levels, aiming to refuel their energy and reignite their sexual desire.

Despite its growing popularity, TRT is controversial because of uncertain benefits and potential health risks. Safety concerns were raised years ago when studies indicated a possible connection between TRT and increased cardiovascular disease risk.

Dr. Frances Hayes, a reproductive endocrinologist with Harvard-affiliated Massachusetts General Hospital, observes that some of these studies had limitations.

“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 reinforced this position. Research shared 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 showed that TRT did not raise the chances of heart attack, stroke, or death in healthy men.

A study published in the August 2015 Mayo Clinic Proceedings found no link 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 uncertain. Yet, it’s crucial not to dismiss TRT altogether. It could still be a suitable option for certain individuals.

Who Is a Candidate For TRT In [location_name]?

TRT prescription in North Scottsdale 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 typically used to assess testosterone levels. Due to their susceptibility to daily fluctuations and the influence of medication and diet, multiple tests are necessary. Dr. Hayes mentions, “In approximately 30% of cases where the initial testosterone test shows low levels, subsequent tests indicate normal levels.”

Low testosterone levels and several symptoms don’t automatically indicate testosterone replacement therapy (TRT) as the first step. 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, frequently the primary culprit behind diminishing levels. “Weight plays a more significant role in testosterone levels than aging. With increased weight, testosterone levels typically decrease,” she remarks. A five-point climb on the body mass index (BMI) scale, such as transitioning from 30 to 35, is akin to adding 10 years to your age concerning testosterone levels.

“Your doctor should also assess any other 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 frequently hailed as a panacea. “Its outcomes are typically not as extraordinary as men envision,” 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 frequently administered either via gel or injection. When using a gel, the daily dose, about the size of a ketchup packet, is spread over the upper arms, shoulders, or thighs. Injections are generally given into the buttocks every two weeks.

Both methods offer specific benefits. Gels ensure more consistent levels of testosterone. “But be cautious to avoid close skin contact for a few hours, particularly with women, as testosterone could lead to acne or hair growth,” Dr. Hayes explains.

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

Improvement in symptoms is usually felt by most men in North Scottsdale within four to six weeks, with muscle mass increases taking three to six months.

TRT isn’t always a lifetime commitment. “If the issue that led to your testosterone drop resolves, you should try stopping the treatment and be re-evaluated by your doctor,” says Dr. Hayes.