Testosterone Replacement Therapy (TRT)

Why should Men Care About Low Testosterone?

Testosterone is a natural hormone responsible for the normal growth and development of certain male organs and for maintenance of other masculine traits. In men, testosterone is produced in the testes (the reproductive glands that also produce sperm) and regulated by the hypothalamus and pituitary gland.

What is Low-T?

During puberty, the male sex hormone, testosterone helps boys develop male physical features like body and facial hair, deeper voices and muscle strength. Testosterone is also needed for men to make sperm.

When a man does not have enough testosterone in his body it is called hypogonadism, or low-T. Levels of the hormone normally decrease with age. About 4 out of 10 men over the age of 45 have low testosterone. It is seen in about 2 out of 10 men over 60, 3 out of 10 men over 70, and 3 out of 10 men over 80 years old. Men with certain health problems, including diabetes and obesity, also tend to also have low testosterone.

You may have low-T if you have the following:

  • Loss of Mental Clarity and Difficulty Concentrating
  • Studies have shown that men who take testosterone tend to experience an increase in memory. Testosterone affects many physical processes in the body, and focus, clarity, and memory are no exception. Life issues caused by low testosterone- such as stress and relationship issues- can also play a role in the struggle to focus.
  • Depressed Mood or Irritability
  • Low testosterone can result in a number of mood changes. Hormonal imbalances are often to blame for depression, anxiety, and other mood issues. Fatigue caused by low testosterone can also add to these issues.
  • Less energy
  • Low testosterone can result in a lack of energy. If you find that you’re feeling sleepy for much of the day, even after you’ve had a good night of rest, there’s a high chance that a hormonal imbalance is to blame. Many patients find that their energy levels soar after they begin testosterone therapy.
  • Less Muscle Mass and Strength
  • Testosterone encourages muscle growth. When men do not have enough testosterone, it can inhibit muscle growth. Muscle tissue burns calories at a higher rate than fat tissue. When men have low testosterone, it can result in fat gain, and for most men, that gain happens around the belly and hips. Sometimes, the imbalance of testosterone and estrogen can cause men to hold onto more body fat than they would otherwise.
  • Increased Hair Loss
  • Some men begin to lose hair as they age, and low testosterone can also play a role, especially if the balding occurs suddenly.
  • Fewer and Weaker Erections, Low Sex Drive
  • While most men experience a decrease in interest and libido as they age, low testosterone causes a steeper drop-off than what is normal for most men. Low testosterone can cause a variety of health issues (such as hair loss and erectile dysfunction) that may also inhibit certain desires.
  • More Body Fat
  • Testosterone encourages muscle growth. When men do not have enough testosterone, it can inhibit muscle growth. Muscle tissue burns calories at a higher rate than fat tissue. When men have low testosterone, it can result in fat gain, and for most men, that gain happens around the belly and hips. Sometimes, the imbalance of testosterone and estrogen can cause men to hold onto more body fat than they would otherwise.
  • Anemia and Bone Density
  • Testosterone plays a role in red blood cell production, so low T may increase your risk for anemia. However, researchers have found that testosterone replacement therapy may help improve anemia for those with low T. https://www.sciencedaily.com/releases/2017/02/170221130722.htm
  • Treating Low-T
  • If the symptoms of low-T are bothering you, the team at Komin Medical Group is here to talk with you about whether or not you are a candidate for Testosterone Replacement Therapy (TRT).

Our program follows four easy steps:

1. Health Assessment

During your first visit, one of our physicians will conduct a comprehensive health assessment, and order a blood test that will include a full lab panel including your PSA, A1C, and more. All of your lab results, the responses to our health questionnaire and your medical history will be discussed with our medical provider at your next office visit.

2. Personalized Treatment Plan

Based on your health assessment, lab results and medical history, your provider will create your personalized testosterone replacement therapy treatment plan, if testosterone therapy is appropriate.

3. Treatment Regimen

Your treatment regimen is based on your personalized plan. If your numbers indicate low t, we will discuss testosterone replacement treatment options using testosterone replacement injections, which are administered by a medical professional in our office typically every seven to 10 days.  There are also options to self-administer at home if you prefer.

4. Optimization and Prevention

In addition to regular follow-up assessments to review progress, our provider will order periodic lab work to monitor testosterone levels, prostrate issues and red blood count.  Once your testosterone replacement therapy regimen is underway to address symptoms of low testosterone (or other underlying health conditions), your provider will optimize treatments to maximize your health and wellness.

Are there any side effects?

Men with an untreated heart problem, sleep apnea or a history of elevated red blood cell counts should not take TRT, as testosterone could worsen these conditions. Men with prostate or breast cancer should carefully use TRT for the same reason.  Men planning on having children should avoid TRT, because it can decrease sperm count and fertility.

Do not take TRT for non-medical reasons, such as body building, preventing aging changes or performance enhancement. Men who have normal testosterone levels will not be helped by Testosterone Replacement Therapy.

Testosterone Replacement Therapy Side Effects

Side effects of TRT can include:

  • acne
  • breast swelling or soreness
  • high red blood cell count
  • swelling of the feet or ankles
  • smaller testicles
  • infertility
  • enlarged prostate

Regular follow-up visits can reduce the risk of developing these side effects.  Most patients who have been treated for Low T report feeling energized, stronger and less irritable.  Many enjoy more productive sleep and a renewed sense of self, find it easier to concentrate and remember, and experience an increase in libido.

Komin Medical Group takes a holistic approach to men’s healthcare.  As your healthcare parter, our medical professionals proactively address other conditions you’re currently experiencing or could experience later on, including sleep apnea or allergies. These conditions may also affect testosterone levels.

Our providers get to know you on a personal level and gather important health data often to assess progress with greater efficiency.

At Komin Medical Group, we focus on treating your symptoms of low testosterone levels, so you can rediscover the best version of yourself.

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