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Testosterone Replacement Therapy Facts and Myths

Written by Dr. Welsh, Published on October 25th, 2018

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The Truth about Testosterone

Although Testosterone Replacement can be an amazing option for men that have been diagnosed with Testosterone Deficiency, it isn't for everyone. As with any medical treatment, there are some potential risks associated with treatment, especially with certain sensitive groups.

Here are some important things you need to think about before you begin Testosterone HRT.

Can Bio-Identical Testosterone boost my energy levels?

Yes. Testosterone plays a huge role in male metabolism and energy maintenance. If you are suffering from Testosterone Deficiency, Testosterone Replacement can and likely will lead to increased energy levels.

Can Testosterone increase my sex drive?

Yes it can. In addition to restoring sexual function, Testosterone Replacement Therapy can enhance libido as well. Testosterone is the primary hormone of male sexuality, and it can make a man psychologically ready for sex as well as physiologically.

Can Testosterone Replacement contribute to greater physical health?

Yes. A large segment of men that choose BioIdentical Testosterone experience changes in muscle-fat ratio as a result of treatment. Testosterone helps burn fat more quickly and effectively, and it can also noticeably increase muscle mass and tone. In combination with exercise and a good diet, Testosterone HRT can contribute to major changes in physical shape.

What are the risks of Testosterone HRT?

Testosterone Replacement can lead to the development of certain side-effects. Most patients do not experience symptoms which lead them to suspend therapy.

Side Effects associated with Testosterone Replacement are:

Testicular Shrinkage - Because Testosterone Replacement Therapy provides an exogenous source of Testosterone, it sometimes causes the testes to produce less Testosterone, which can lead to Testicular Shrinkage.

Decreased Sperm Count - In addition to potentially reducing the body's natural Testosterone Production, it can also disrupt the biological chain of events that lead to sperm development. Reduced Sperm Count can lead to reduced levels of fertility.

Oily Skin, or the Development of Acne - Some men experience increased production of oil by the pores of the skin. This increase in oil production can also lead to increased acne.

Gynecomastia - Testosterone Hormone Replacement Therapy can lead to increased breast size. This is because, if the body receives too much Testosterone, it begins to convert some of that Testosterone into Estrogen, which can cause tissue in the chest to grow abnormally.

Increased Red Blood Cell Production - Testosterone Replacement has been found to increase the propagation of Red Blood Cells. For at-risk patients, this can increase the risk of stroke and heart attack. This symptom occurs most often with Testosterone Injection Therapy, and at-risk patients should consider other forms of Testosterone Replacement, such as creams or patches.

Besides increased Red Blood Cell Count, all of the above symptoms are generally the result of a slight overdose, and they can all be corrected or mitigated by changing the dosage. All of the above symptoms are also completely reversible.

Who should choose to avoid Low-T Treatment with Testosterone Replacement Therapy?

The Endocrine Society has a well-defined set of regulations as to who should and should not consider Testosterone Replacement Therapy. With regard to the current body of medical knowledge, the Society recommends against Testosterone Replacement in patients that are afflicted with Breast Cancer or Prostate Cancer. Patients at high risk for either of these diseases should be very cautious when considering this treatment.

There are a number of recent studies which infer that men that have experienced Prostate Cancer, but have been treated successfully can still use Testosterone Replacement Therapy safely. For these patients especially, it is vitally important that they are monitored closely for changes in health.

Before any man chooses Testosterone Replacement Therapy, they should speak openly with a physician in order to properly assess any potential cancer risk.

There are also some medical conditions which may interact poorly with Testosterone Replacement Therapy. Some patients may still be recommended for Testosterone Replacement, but it is important to proceed with care in these instances:

Abnormally High Red Blood Cell Production - Patients with naturally high RBC Counts are at increased risk of both stroke and heart attack, and Testosterone Replacement can increase the risk of complications.

Congestive Heart Failure - Although there is evidence that patients with mild to moderate Congestive Heart Failure can benefit from Testosterone, those experiencing severe heart failure are recommended to avoid Testosterone HRT.

Benign Prostatic Hyperplasia, or other issues with the urinary tract - In some cases, Testosterone Replacement Therapy can increase the severity of problems such as difficulty urinating that are associated with BPH and other urinary tract issues.

Sleep Apnea - Although Testosterone can be an effective aspect of Sleep Apnea Treatment, Increased Testosterone can actually complicate untreated Sleep Apnea. Before turning to Testosterone Replacement, it is important to treat any underlying issues related to Sleep Apnea.

Is Testosterone HRT an Effective Erectile Dysfunction Treatment?

Yes, for many patients. Although Testosterone Deficiency is not the only reason that Erectile Dysfunction occurs, it can be the most effective means to treat the issue, especially for men that have Clinically Low Testosterone Levels.

By restoring Normal Testosterone Production, you can restore normal sexual arousal and also increase libido significantly. When discussing Erectile Dysfunction with your doctor, be sure to discuss the whole story, so that he or she can consider the most effective means to treat your medical condition.

How is Testosterone Administered to Treat Low-T?

There are a number of different means to perform Testosterone Replacement Therapy. Each form of treatment has its own benefits and drawbacks, and it's up to you and your doctor to decide what's best for you. The following are common Low-T Treatments Available today:

Testosterone Gels - Gels are probably the easiest and simplest way to perform Testosterone Replacement. These Gels or creams are applied once every day, generally to concealed or semi-concealed areas such as the underarms, shoulders, or abdomen.

Avoid applying Testosterone directly to the testicles, because this can increase the chance that your treatment inhibits your body's natural ability to produce the hormone.

Also, because Testosterone Gels are delivered directly upon the skin, it is important to protect others from making contact with the treated area, especially women and children.

Testosterone Patches - Patches work in a manner similar to gels: They provide Testosterone slowly through the course of the day. Like Testosterone Gels, treatment is generally intended to be applied on a daily basis, generally at the same time each day.

Patches are great for patients that don't want to deal with the risks involved with Gel Application of Testosterone, but still want to apply treatment simply and easily. The biggest problem with Testosterone Patches is that they are more likely to cause skin irritation than Testosterone Gels.

Testosterone Buccal Patches - Buccal Testosterone is delivered in the form of a small patch that is placed on the upper gums, above either the left or right incisor. This form of Testosterone Treatment is incredibly easy to conceal, and there is no risk of contaminating others with Testosterone.

Anyone that smokes or has issues with gum disease or gingivitis should not use this method, because some patients experience irritation and in some cases it may lead to or contribute to gum disease. This risk is only considered mild, and not severe.

Testosterone Injections - This was the original form of Bio-Identical Testosterone adapted for medical use. Testosterone Shots are still very popular today, even though they are the most labor-intensive form of Testosterone Administration.

The biggest benefit of Testosterone Injections is that many formulations stay active in the body for a long time. Testosterone Cypionate, for example, only requires injections once per week. Injectable Testosterone is formulated in specific ways that slow down the rate at which they are metabolized by the body. Most are formulated as ester compounds, which means that the Testosterone Molecules are combined with Esters, which break down at specific rates dependent upon their structure, making Testosterone Injections incredibly versatile.

There a few drawbacks to Testosterone Deficiency, however. As mentioned earlier, Testosterone Injections can lead to increased Red Blood Cell Counts, which can contribute to certain health conditions, especially in at-risk groups. Another drawback is obvious: many men simply aren't comfortable with a pattern of routine injections if it can be avoided. A third drawback is that administration can sometimes lead to irritation and discomfort at the injection site.

Testosterone Sprays - The most notable form of Spray Testosterone is Axiron. This form of Testosterone is similar to a Testosterone Gel, but is delivered in the form of a spray. Generally, Testosterone Sprays are delivered to the armpit, and can be a simple and effective way to deliver the medication.

Testosterone Sprays have the same issues as the Gel form of Testosterone. They can lead to skin irritation in some patients, and patients have to make a conscious effort to avoid exposing others to the treated area before either a sufficient time has passed, or before the treatment has been washed off.

Testosterone Dermal Pellets - For patients that simply want to live their lives without thinking about medicating themselves for Testosterone, Subcutaneous Testosterone Pellets may be the best option. In this form of Testosterone Replacement Therapy, a physician will surgically implant Testosterone Pellets just below top layers of the skin. Many men love it, because a single administration lasts for a period of three to six months, dwarfing even the weekly or bi-monthly injections associated with Testosterone Injection Treatment.

Although this form of treatment is incredibly effective, it is the most invasive form of Testosterone Replacement Therapy. In order to start therapy, you must undergo surgery to administer the pellets. This surgery is minor, but it may still convince you to turn to a less invasive form of treatment.

How should I be Monitored while taking Testosterone?

Out-patient treatment is relatively simple in regard to Testosterone Hormone Replacement Therapy. After you begin your initial treatments, you will be required to visit your physician after three and six months of therapy in order to monitor how your body responds to treatment. If your Testosterone Levels appear healthy and there are no significant side-effects, then you can sustain treatment safely. After these three initial visits to the doctor in the first six months, you will visit your doctor annually around the anniversary of your first treatment in order to continually assess your health.

If, after any of these visits to the doctor, it appears that your T-Levels still remain abnormally low, your doctor may recommend increasing your Testosterone Dosage. In addition to this, Red Blood Cell counts will be monitored with every checkup.

If you showed signs of Osteoporosis when you began Testosterone Treatment, your physician will begin monitoring your Bone Mineral Density at some point between one and two years of therapy.

In addition to all of this, your physician will counsel you in regard to prostate cancer risk, so that you may maximize the benefits of therapy while minimizing the risk of prostate cancer. Current studies indicate that Testosterone Replacement Therapy probably does not increase the risk of Prostate and Breast cancer, but it may exacerbate the cancers after they appear, which is why this regular monitoring and risk-management is incredibly important.

How long is it necessary to use Testosterone HRT?

Unfortunately, Testosterone Hormone Replacement Therapy is not a cure for physiologically low Testosterone Levels. However, Testosterone HRT is a highly effective treatment for restoring your normal Free and Bio-Available Testosterone Levels so that you have the Testosterone your body needs to function as if your Testosterone Production were absolutely normal. This does mean that the benefits of Testosterone Replacement begin to fade in the months and years after successful treatment.

Do You Think Testosterone is Right for You?

Testosterone Replacement Therapy is an amazing treatment option that offers numerous benefits for aging men. Some women may even benefit from Testosterone Hormone Replacement.

If you feel that Low-T is having a negative impact upon the way that you live your life, we encourage you to contact a medical professional like those at the Conscious Evolution Institute in order to take an important first step to restoring greater health and vitality to your life!


Video - The facts And Myths Of Testosterone Hormone Replacement


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Testosterone Therapy Benefits

Correctly performed testosterone therapy can be your ticket to health.

Three sided solution: Testosterone + HCG + Arimidex

If your doctor only prescribes testosterone by itself, you will probably have a rough ride. The tendency is for you to feel great the first couple months, while you increase testosterone levels, followed by a slow deterioration, once your estrogen creeps up.

High estrogen negates a lot of the positives from testosterone therapy, resulting in the same symptoms of low testosterone you had in the first place!

The solution is to add a drug called Arimidex. It's called an aromatase inhibitor, which essentially blocks the conversion of testosterone to estrogen. It has the effect of increasing testosterone levels, while keeping your estrogen low.

Once you have your testosterone and estrogen solved, it's time to stop the next inevitable decline? Shrinking testicles.

This is where HCG (human chorionic gonadotropin) comes in. It prevents both infertility and testicle shrinkage. Your testicles shrink because your body thinks it doesn't need to make testosterone anymore.

For some, small testicles may seem like just a cosmetic problem. But HGC does more than increase testicle size, it also increases adrenal function, which can have positive effects on well-being, libido, and energy.





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Disclaimer: The board-certified American physician specialists at our reputable medical clinic do not provide prescriptions and HRT treatments unless there is a clinical necessity for the patient at the time of the assessment. Clinically based hormone deficiency is determined by blood testing, physical exam, related symptoms evaluation, medical history documentation, and doctor-patient consultation. These statements presented here at our website have not been evaluated by the FDA.

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