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_ TESTOSTERONE THERAPY
 

Some men are interested in testosterone therapy even if their testosterone levels are considered normal. Find out whether testosterone therapy could be helpful for you.

The possibilities of testosterone therapy are enticing — increase your muscle mass, sharpen your memory and mental focus, boost your libido, and improve your energy level. As you get older, testosterone therapy may sound like the ultimate anti-aging formula.

What is testosterone?
Testosterone is a hormone produced by the testicles and is responsible for the proper development of male sexual characteristics. Testosterone is also important for maintaining muscle bulk, adequate levels of red blood cells, bone growth, sense of well-being and sexual function. In men, testosterone helps maintain:

  • Bone density
  • Fat distribution
  • Muscle mass
  • Muscle strength
  • Red blood cell production
  • Sex drive
  • Sperm production

Your doctor can prescribe a synthetic version of testosterone. Testosterone therapy using testosterone replacement medications may be necessary for men who have very low levels of testosterone (hypogonadism). Testosterone therapy medications are available as injections, patches and gels.

What happens to your testosterone level as you age?
Your body's testosterone level peaks during adolescence and early adulthood. Starting around btween the age 30 - 40, your body produces less testosterone. For most men, testosterone levels decline modestly.

Does a naturally declining testosterone level cause the signs and symptoms of aging?
It's not clear that naturally falling testosterone levels cause any signs and symptoms in men. Studies of men who have very low levels of testosterone due to diseases and treatments may offer some clues to the role testosterone plays in a man's body as he ages. According to those studies, testosterone deficiency can have several effects on the body, including:

  • Decreased sexual function
  • Loss of bone density
  • Loss of muscle mass
  • Increase in fat mass
  • Reduced muscle strength
  • Memory loss
  • Mood changes and depression

Some men experience these signs and symptoms, but don't have unusually low levels of testosterone. Others may have low levels of testosterone, but don't experience any signs and symptoms that would prompt them to seek treatment.

 
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You talk to your doctor about testosterone therapy? If you're concerned that you might have a hormone deficiency, talk to your doctor. A decline in testosterone that falls below normal values may be a reason to take supplemental testosterone. There is some controversy about whether testosterone therapy should be used in men who have naturally lower testosterone levels as a result of aging. It remains unclear whether restoring the testosterone levels to those of youth benefits older men.

Erectile Dysfunction: Testosterone Replacement Therapy?
Inadequate production of testosterone is not a common cause of erectile dysfunction; however, when ED does occur due to decreased testosterone production, testosterone replacement therapy may improve the problem.

Other causes of lowered testosterone levels include:

  • Injury, infection, or loss of the testicles
  • Chemotherapy or radiation treatment for cancer
  • Genetic abnormalities such as Klinefelter's Syndrome (extra X chromosome).
  • Hemochromatosis (too much iron in the body).
  • Dysfunction of the pituitary gland (a gland in the brain that produces many important hormones).
  • Inflammatory diseases such as sarcoidosis (a condition that causes inflammation of the lungs).
  • Medications, especially hormones used to treat prostate cancer and corticosteroid drugs.
  • Chronic illness.
  • Chronic kidney failure.
  • Liver cirrhosis.
  • Stress.
  • Alcoholism.

Who Shouldn't Take Testosterone Replacement Therapy?
Men who have prostate cancer or breast cancer should not take testosterone replacement therapy. Men considering testosterone replacement therapy should get a thorough prostate cancer screening - including a rectal exam and PSA test.

 

 
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