men and hrt
Bio-identical Hormone Replacement Therapy achieves the sustained levels of testosterone that would be produced by normally functioning testicles. This form of therapy is the only kind that produces the natural level of this hormone. Because the testosterone used is totally natural, it is ideal for men wanting the benefits of a bio-identical hormone, without the drawbacks of a synthetic.
Symptoms of testosterone deficiency in men include fatigue, lack of mental acuity, loss of libido, and difficulty achieving or sustaining erection.
Why Bio-identical Hormone therapy for men?
Hormonal needs for men has received national attention, but with marginal treatment options available. Hormonal treatments for men can be expensive, require daily consumption, and in many cases, need to be carefully timed with their partner’s needs for normal sexual activities and pleasure.
Bio-identical hormone pellet therapy administered by Dr. Tirpack is the preferred method of testosterone therapy that gives sustained and consistent testosterone levels throughout the day, for 4 to 6 months, without any “roller coaster” blood levels of testosterone, which can result in mood and energy fluctuations for the patient. Dr. Tirpack has had excellent results treating men with Bio-identical Hormone Therapy. There have been no reported side effects in the entire history of this type of therapy. Current medical research now defines a male equivalent to menopause as andropause. Men experience a more gradual decline in hormone levels. They lose approximately one percent of their testosterone and 2.5 percent of their DHEA per year beginning at age 30.
Men find themselves lacking in sexual desire, gaining weight, losing muscle mass and feeling sluggish, depressed and irritable. Yet, they believe they must endure these body and hormonal changes as part of aging.
Testosterone is responsible for normal growth and development of male sex organs and maintenance of secondary sex characteristics. It is the primary androgenic hormone.
When the tests fail to produce normal levels of testosterone, testosterone deficiency results. Hypogonadism is caused by primary testicular failure. Testosterone levels are low and pituitary gonadotropins are elevated. In hypogonadism, there is inadequate secretion of pituitary gonadotropins. In addition to a low testosterone level, LH and FSH levels are low or low-normal. The development of hypogonadism after puberty frequently results in complaints such as diminished libido, erectile dysfunction, infertility, gynecomastia, changes in body composition, reductions in body and facial hair, and osteoporosis. Hypogonadal men report higher levels of anger, confusion and depression.
There are now a variety of products available to treat testosterone deficiency. Successful management of testosterone replacement therapy requires appropriate evaluation and an understanding of the benefits and risks of treatment.
Proper Diagnosis of Testosterone Deficiency
There are many causes of testosterone deficiency, A medical history, physical exam, and the proper laboratory evaluations are imperative. The medical history should include questions regarding abnormalities at birth, the current status of sexual function and secondary sexual characteristics, such as beard growth, muscular strength, and energy level. Hypogonadal men have statistically significant reductions in the incidence of nocturnal erections, the degree of penile rigidity during erection, and the frequency of sexual thoughts, feelings of desire, and sexual fantasies. Furthermore, alterations in body composition, changes in adipose tissue, increases in percentage of body fat and reduction in muscle mass are frequently seen in hypogonadal men.
Proper labs should be drawn to determine a diagnosis. The following levels should be drawn in the morning. FSH, LH, SHBG, Total and Free Testosterone, Estradiol and Estrone.
Clinical rational for Testosterone Replacement Therapy
Testosterone replacement should, in theory, approximate the natural, endogenous production of the hormone. The average male produces 4-7 mg of testosterone per day in a circadian pattern, with maximal plasma levels attained in early morning and minimal levels in the evening.
The clinical rationale for treatment of testosterone deficiency may include:
Increasing bone density
Enhancing body composition by increasing muscle strength and reducing adipose tissue
Improving energy and mood
Improving libido and erectile function