A New Look At Testosterone Therapy In [location_name]
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In the last ten years, San Marcos, TX has experienced an increase in the popularity of testosterone replacement therapy (TRT). Many older men are opting for this treatment to enhance their vitality and reignite their sexual interest.
TRT remains a divisive issue despite its popularity, as its benefits and potential health risks remain uncertain. Previous research has hinted at a possible correlation between TRT and a higher risk of cardiovascular disease, prompting safety concerns.
Dr. Frances Hayes, a Reproductive Endocrinologist at Massachusetts General Hospital and a faculty member at Harvard, has noted the shortcomings in certain 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 research confirms this stance. At the 2015 American Heart Association Scientific Sessions, a study encompassing 1,472 men aged 52 to 63 with low testosterone and without a history of cardiovascular disease demonstrated that TRT did not raise the risk of heart attack, stroke, or mortality in healthy subjects.
Moreover, in the August 2015 Mayo Clinic Proceedings, no correlation was found between TRT and 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 connection between TRT and various health issues remains uncertain. While earlier studies suggested a possible link between TRT and an increased risk of prostate cancer, research published in the December 2015 Journal of Urology found no elevated risk of aggressive prostate cancer after five years of TRT exposure. This finding contradicts prevailing beliefs and underscores the need for continued investigation into the long-term effects of TRT.
TRT’s long-term risks are uncertain because of inadequate follow-up in several studies. Nevertheless, it may be appropriate for individuals to consider TRT as an option in particular cases.
Who Is a Candidate For TRT In [location_name]?
To obtain a TRT prescription in San Marcos, TX, patients need to meet two conditions: testosterone levels below 600 nanograms per deciliter (ng/dL) and experiencing multiple symptoms (refer to page 7). Dr. Hayes stresses the importance of these prerequisites, “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.”
Testosterone levels are typically assessed through a standard blood test. Because testosterone levels can fluctuate daily and are influenced by medication and diet, multiple tests are required to ensure accurate measurement. Dr. Hayes discusses this requirement in her explanation, “In around 30% of cases where the initial testosterone test indicates low levels, subsequent tests show normal levels.”
According to Dr. Hayes, low testosterone levels and the presence of various symptoms may not always warrant testosterone replacement therapy (TRT) as the immediate solution, “By understanding the underlying cause of declining levels, we can address it and naturally enhance low levels.”
TRT is frequently highlighted for its potential benefits to sexual well-being and vitality. According to research published in the February 18, 2016 issue of The New England Journal of Medicine, a study involving 790 men aged 65 and older assessed TRT’s effects. Those undergoing TRT for one year reported enhancements in sexual function such as activity, desire, and erectile function, compared to those given a placebo. However, the group experienced only minimal improvements in mood and noted no changes in walking speed, a measure of TRT’s impact on vitality.
“Your doctor should also consider any additional factors that could influence levels, such as medication or medical conditions,” suggests Dr. Hayes. In these cases, your doctor may address the root cause or adjust your medication or dosage to avoid impacting testosterone levels.
It’s important for men to recognize the limitations of TRT, which is frequently marketed as a quick-fix solution. “Its outcomes are typically not as astounding as men expect,” Dr. Hayes observes.
The benefits of testosterone replacement therapy (TRT) in sexual health and vitality are demonstrated in a study outlined in the February 18, 2016 edition of The New England Journal of Medicine. Researchers studied 790 men aged 65 and older, revealing that participants who underwent TRT for one year experienced improvements in sexual function, such as activity, desire, and erectile function, compared to those given a placebo. However, the study noted only slight improvements in mood and no changes in walking speed, indicating TRT’s limited impact on vitality.
Using TRT
Administering TRT is possible through gel application or injections. Gel application involves spreading a daily dose, about the size of a ketchup packet, over the upper arms, shoulders, or thighs. Injections are typically given into the buttocks every two weeks.
Both methods provide unique benefits, with gels maintaining steady testosterone levels. “However, you should be careful to avoid close skin contact for a few hours, especially with women, as testosterone could cause acne or hair growth,” Dr. Hayes advises.
Post-injection, testosterone levels may briefly peak before gradually declining, leading to mood swings and energy fluctuations akin to a roller-coaster ride.
In San Marcos, TX, most men typically achieve symptom relief within four to six weeks, with changes in muscle mass possibly taking three to six months. Understanding that TRT isn’t necessarily a lifelong obligation is essential. “If the factor that caused your testosterone drop is resolved, you should try stopping the treatment and be re-evaluated by your doctor,” says Dr. Hayes.