A New Look At Testosterone Therapy In [location_name]

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Over the past decade, TRT has become highly popular in [location_name]. Numerous older men have turned to this therapy to rejuvenate their hormone levels, hoping to boost their energy and revive their sexual drive.

Despite being widely utilized, TRT is a divisive issue due to uncertain benefits and potential health risks. Years ago, studies hinted at a possible link between TRT and a heightened risk of cardiovascular disease, causing safety concerns.

The limitations in some studies are pointed out by Dr. Frances Hayes, a reproductive endocrinologist at the Harvard-affiliated Massachusetts General Hospital.

“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

New research has corroborated this stance. A study disclosed at the 2015 American Heart Association Scientific Sessions included 1,472 men aged 52 to 63 with low testosterone and no history of cardiovascular disease.

Research concluded that TRT did not increase the chances of heart attack, stroke, or death among healthy men.

Moreover, research featured in the August 2015 Mayo Clinic Proceedings found no association 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.

The relationship between TRT and other health problems is multifaceted. Although TRT has been associated with a heightened incidence of prostate cancer in the past, 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.

TRT’s long-term risks continue to be uncertain, given the limited follow-up in numerous studies. Nonetheless, this shouldn’t discourage individuals from exploring TRT as an option. It could still be appropriate for certain individuals.

Who Is a Candidate For TRT In [location_name]?

TRT prescription in Plano – North necessitates meeting two prerequisites: low testosterone levels (below 600 nanograms per deciliter (ng/dL)) and experiencing various symptoms (refer to page 7). Dr. Hayes emphasizes, “While it’s conceivable to have low levels without symptoms, if crucial symptoms like fatigue and sexual dysfunction aren’t present, initiating TRT isn’t advisable due to current uncertainties surrounding its long-term safety.”

A standard blood test is typically used to evaluate testosterone levels. Given their daily fluctuations and susceptibility to medication and diet influences, multiple tests are required. Dr. Hayes notes, “In approximately 30% of cases where the initial testosterone test shows low levels, subsequent tests indicate normal levels.”

Even in the presence of low testosterone levels and multiple symptoms, immediate testosterone replacement therapy (TRT) isn’t always recommended. Dr. Hayes advises, “Identifying the root cause of declining levels allows us to address it and naturally increase low levels.”

Consider weight gain, for example, often the top cause of decreasing levels. “Weight exerts a greater influence on testosterone levels than aging. With an increase in weight, testosterone levels tend to fall,” she emphasizes. A five-point increase on the body mass index (BMI) scale, like progressing from 30 to 35, equates to adding 10 years to your age in terms of testosterone levels.

“Your doctor should also consider any additional factors that could influence levels, such as medication or medical conditions,” recommends Dr. Hayes. In such scenarios, your doctor might manage the root cause 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.

As an example, sexual health and vitality are frequently highlighted as benefits of TRT. A study in the Feb. 18, 2016 issue of The New England Journal of Medicine explored the impact of TRT on 790 men aged 65 and older. Those administered TRT for a year, as opposed to those on a placebo, noticed enhancements in sexual function, including activity, desire, and erectile function. Nevertheless, the group experienced only a marginal improvement in mood and observed no alterations in walking speed, a measure of TRT’s effect on vitality.

Using TRT

TRT is frequently administered either via gel or injection. With a gel, you apply the daily dose, about the size of a ketchup packet, over both upper arms, shoulders, or thighs. Injections are generally given into the buttocks every two weeks.

Each method has its own perks. Gels result in more stable testosterone levels. “However, you need to avoid close skin contact for a few hours, especially with women, since testosterone can cause acne or hair growth,” Dr. Hayes explains.

Testosterone injections lead to high levels for several days, which then gradually decrease, creating a roller-coaster effect with fluctuating mood and energy levels.

Improvement in symptoms for most men in Plano – North is usually experienced within four to six weeks, while muscle mass changes might take three to six months.

TRT might not be necessary indefinitely. “If the cause of your low testosterone is resolved, you should try stopping the treatment and get re-evaluated by your doctor,” says Dr. Hayes.