A New Look At Testosterone Therapy In [location_name]

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In the last decade, testosterone replacement therapy (TRT) has gained widespread popularity in Temecula. Many older men have opted for TRT to restore their hormone levels, seeking renewed energy and a rekindled sex drive.

Despite its popularity, TRT remains controversial because of the uncertain benefits and potential health risks. Concerns about its safety emerged years ago when studies indicated a possible connection between TRT and increased cardiovascular disease risk.

According to Dr. Frances Hayes, a reproductive endocrinologist with Harvard-affiliated Massachusetts General Hospital, several 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

New research has affirmed this stance. A study disclosed at the 2015 American Heart Association Scientific Sessions involved 1,472 men between the ages of 52 and 63 who had low testosterone and no heart disease history.

The study found that TRT did not elevate the risk of heart attack, stroke, or death among healthy men.

Additionally, research featured in the August 2015 Mayo Clinic Proceedings showed no association 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.

TRT’s connection with other health conditions presents a mixed picture. While TRT has been linked to a heightened prevalence of prostate cancer in the past, a study released in the December 2015 Journal of Urology discovered that exposure to TRT for a period of five years did not result in a greater risk of aggressive prostate cancer.

TRT’s long-term risks remain uncertain, given the limited follow-up in numerous studies. Nonetheless, this doesn’t necessarily mean TRT should be avoided altogether. For certain men, it can still be a feasible choice.

Who Is a Candidate For TRT In [location_name]?

For TRT prescription eligibility in Temecula, meeting two conditions is crucial: low testosterone levels (below 600 nanograms per deciliter (ng/dL)) and experiencing multiple symptoms (refer to page 7). According to Dr. Hayes, “Although it’s feasible to have low levels sans symptoms, if key symptoms like fatigue and sexual dysfunction are absent, starting TRT isn’t recommended due to ongoing uncertainties regarding its long-term safety.”

Testosterone levels are typically measured using a standard blood test. Since these levels can fluctuate daily and are susceptible to medication and diet influences, multiple tests are necessary. Dr. Hayes highlights, “Around 30% of cases with an initial low testosterone test result in normal levels upon repeat testing.”

Low testosterone levels and various symptoms don’t always prompt immediate testosterone replacement therapy (TRT). Dr. Hayes suggests, “By pinpointing the root cause of declining levels, we can often rectify it and naturally elevate low levels.”

Consider weight gain as an example, often the primary cause of declining levels. “Weight plays a more significant role in testosterone levels than aging. With increased weight, testosterone levels tend to decrease,” she explains. A five-point climb on the body mass index (BMI) scale, like progressing from 30 to 35, is equivalent to adding 10 years to your age concerning testosterone levels.

“Your doctor should also consider any other factors that may affect levels, such as medication or medical conditions,” recommends Dr. Hayes. In such scenarios, your doctor might address the underlying issue or adjust your medication or dosage to avoid impacting testosterone levels.

It’s crucial for men to understand the limitations of TRT, as many see it as a miracle cure. “Its effects are typically not as astounding as men might hope,” Dr. Hayes remarks.

As an illustration, 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, encompassing 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 impact on vitality.

Using TRT

TRT can be delivered through gel application or injection. When using a gel, you spread the daily dose, similar in size to a ketchup packet, over both upper arms, shoulders, or thighs. Injections are usually given into the buttocks every two weeks.

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

Injections can cause testosterone levels to spike for a few days after administration, followed by a gradual decline. This can result in a roller-coaster effect, with mood and energy levels rising and then falling.

Many men in Temecula notice symptom relief within four to six weeks, while muscle mass increases may require three to six months.

Lifelong TRT might not be necessary. “If the underlying issue that lowered your testosterone is resolved, you should attempt a trial off treatment and consult your doctor for re-evaluation,” says Dr. Hayes.