Testosterone Replacement Therapy

Research shows that about 1 out of 4 men over the age of 30 may have low testosterone. Circulating testosterone levels decline progressively with age, starting in the second and third decade of life. Testing for testosterone deficiency requires a comprehensive understanding of the intricacies of hormone balance before one makes a commitment to what may be lifelong therapy.

Testosterone is the androgenic hormone primarily responsible for normal growth and development of male sex and reproductive organs, including the penis, testicles, scrotum, prostate, and seminal vesicles. It facilitates the development of secondary male sex characteristics such as musculature, bone mass, fat distribution, hair patterns, laryngeal enlargement, and vocal chord thickening. Additionally, normal testosterone levels maintain energy level, healthy mood, fertility, and sexual desire. The number of men diagnosed with hypogonadism, commonly referred to as “Low T” has grown dramatically in recent years due to an increasing awareness of the importance of hormones in a man’s health and well being.

Are you one of the millions of men that suffer with?

• Low Libido

• Gaining fat around the middle

• Muscle loss or weakness

• Low energy and fatigue

• Loss of focus

• Male breasts

Do you also have any of these common hypogonadism symptoms?

• Depression and anxiety

• Mood swings and irritability

• Decrease sense of wellbeing

• Decline in focus and memorization

• Memory loss

• Erectile dysfunction

• Night sweat and hot flashes

• Sleep apnea or insomnia

• Palpitation

• Constipation or increased bowel movements

• Decline in exercise response

• Increased body fat

Testosterone Replacement Therapy is essential for men with hypogonadism. In these men, full replacement of testosterone is necessary. The amount of total testosterone in men can range from 300 to 1100 ng/dl, while the range for free testosterone is 9 to 30 ng/dl. Utilizing free testosterone levels instead of total T levels is more accurate.

Because the range is so broad, testosterone optimization must be individualized. In general, Dr. Liqaa aims to provide the lowest dose of testosterone that relieves symptoms and causes the man to be in the optimized zone while monitoring testosterone and its by-products for any potential unwanted side effects. There are several delivery method options, and Dr. Liqaa presents the pros and cons of each before a mutually agreed-upon delivery method is instituted.

It is also important to note that men should not be started on testosterone replacement without a careful endocrine evaluation to determine the cause of the low testosterone. Serious conditions, including pituitary tumors, can present with low testosterone.

Women have testosterone, too.

Men have 10 to 20 times higher levels of testosterone than women. Nonetheless, even this small amount of testosterone in women is essential for maintaining sexual function and healthy bladder and vaginal function.

When used in small, physiologic doses with monitoring of testosterone blood levels, testosterone in women is well tolerated. High doses must be avoided as they can cause facial hair, scalp hair loss, voice deepening, and acne. Just like men, women should not be started on testosterone replacement without a careful endocrine evaluation to determine if it will provide a health benefit.

At Empower HRT Clinic, we offer convenient telehealth appointments to make care accessible and private for our patients. The first appointment (Initial Intake) covers a thorough history, interview, education, and lab test orders. The second appointment (reports of findings) focuses on reviewing the lab tests, creating a treatment plan, and scheduling future follow-ups. Upon the compilation of the initial intake and the report of findings, we enroll our patients in a monthly membership program to help make the cost of the treatment program more affordable. Once patients become members of our clinic, they can enjoy discounts on medications and high-quality supplements. Hormone adjustments and balancing can be done through phone or written communications, with a return visit to Dr. Liqaa needed only every 4-6 months. You'll need regular testing and adjustments, and they can be conveniently performed through a lab near your home.