Low testosterone levels plague many men to varying degrees of severity and may interfere with quality of life.
A number of low testosterone treatments are available, depending on age and health status.
When seeking treatment for low testosterone, it is important to schedule a visit with your doctor first.
The doctor will be able to take a blood test to determine exactly where you are in the range of average hormone levels for adult men.
Be aware that treatment when your levels are within normal ranges based on age may contribute to a number of adverse side effects and reactions.
The normal range is based on age differs, so talk to your doctor about these numbers.
The adult male averages 300 to just over 1,000 ng per deciliter of testosterone in the blood serum. Buy Testo-Max online here.
Table of Contents
Low testosterone treatments range from prescription strength injection solutions to topical creams, gels, and lotions.
They also include natural supplements that don’t contain the hormone but are designed to boost production.
They work mainly through support of the pituitary or hypothalamus glands.
A few of the most common treatment options include:
Each of these Testosterone treatment options comes with their own benefits and drawbacks.
It’s important to talk to your doctor about the benefits as well as risk of low T treatment plans, especially based on age, current health status, and your goals in regard to the treatment.
Different products may be recommended based on such goals, as increased sperm production which can ease symptoms of infertility.
Treatment may be recommended for individuals diagnosed with a variety of erectile dysfunction situations, such as difficulty obtaining and maintaining an erection, impotence, and low volume of ejaculate.
Individuals also have options when it comes to over-the-counter low testosterone supplements.
Men (and women) should be aware that taking some forms of testosterone boosters or enhancers when levels are normal may experience unexpected side effects and adverse reactions.
Natural and dietary supplements don’t contain the hormone per se, but are designed to promote glandular health and wellness that can boost and enhance production and secretions in the body’s endocrine system.
Some of these products can be taken even with healthy testosterone levels for the purpose of performance and bodybuilding.
However, doctors generally do not encourage or endorse use of these products for treating low testosterone.
There are various treatments for all categories of low testosterone, but these treatments can be categorized under two major medical treatments which are:
Attempting to recover endogenous testosterone production in the patient by restoring HPTA function may not be the first line of action in the doctor’s view.
Recovering HPTA function is an increasingly popular treatment protocol for low testosterone, but it is not popular to the level where it is the generally accepted or adopted treatment.
This is the most popular and widely used treatment for low testosterone.
While no standard low testosterone procedure exists, testosterone replacement therapy (TRT) has been the first treatment for low testosterone that medical experts began administrating.
TRT is presently the first line of treatment for low testosterone.
The normal target when administering exogenous testosterone is to administer doses that will imitate the normal physiological range of the body, such as administering 50-70mg/week of testosterone.
In this case, administering a dose of 100mg of a long-ester testosterone variant (testosterone enanthate or cypionate) once per week is enough.
As soon as the weight of the testosterone ester and other possible wastage is removed, the subsequent amount of exogenous testosterone will normally fall within the body’s physiological range.
Exogenous testosterone can also be administered in the form of transdermal gel, such as AndroGel (5-10mg/day or 35-70mg/week).
Any type of testosterone application can be adjusted based on the decisions of the patient and physician.
Ideally, this involves the input of the patients—how the patient feels and how they are faring during the therapy.
Blood tests are also needed to monitor the true levels of testosterone in the blood plasma.
The blood work or test carried out while engaging in any TRT will normally monitor of hormone panel, including the following:
The parameters above are the most important values that should be monitored for any individual on TRT.
Most of the medical experts or physicians that know and understand TRT will conduct these tests.
Though there are other values that can be tested when conducting a blood test for a low testosterone patient, the ones listed above are held to be the most important.
The most essential value is thought to be ‘Total Testosterone Levels.’
This is because both the physician and patient must know the level that the administered exogenous testosterone has increased the testosterone level in the body of the patient, followed by the amount of testosterone that is circulating freely and the amount that is bound to the sex hormone binding globulin (SHGB).
After the total testosterone levels, the next parameter to monitor is estrogen levels.
Increasing estrogen levels are a possibility, and this can exhibit estrogenic side effects.
Using an aromatase inhibitor mildly may be necessary and lowering the doses of testosterone may also be necessary.
These changes will often come under the recommendations of a physician. People engaging in TRT may use either Arimidex (Anastrozole) or Aromasin (Exemestane).
An aromatase inhibitor is used moderately for controlling estrogen when aromatization problems surface while taking TRT.
Femara (Letrozole) is not usually used because of its strong nature.
After these essential values, cholesterol, liver function and PSA levels are also monitored because they can be influenced and changed by testosterone administration.
Thus, blood tests are often done bi-monthly as there is a need for them to be monitored at that frequency.
This is a good place to comment on Leydig cell atrophy. Even though it is well-documented that TRT is a lifetime treatment, some patients may want to refrain from it.
Some patients otherwise willing to engage in the lifetime therapy of TRT want to prevent testicular atrophy, and this puts them off of the therapy altogether.
The most commonly asked questions by TRT patients is “how can testicular atrophy be avoided during a TRT?”
The best answer to this question is considered by many to be by using Human Chorionic Gonadotropin (HCG).
HCG is extracted from pregnant women’s urine, and its structure is similar to the structure of luteinizing hormone (LH).
HCG functions in a similar manner to luteinizing hormone in the body as it stimulates the Leydig cells of the testes to start or resume the production of testosterone, which results in the prevention of protracted testicular and Leydig cell atrophy.
Even though many protocols exist for the intermittent administration of HCG while engaging in TRT, the dominant guideline is to administer HCG frequently—once per several weeks or bi-monthly at a dose of about 500-1000iu every 2-3 days for 1-2 weeks in order to maintain normal testicular size and testicular function.
This particular treatment is less known and attempted among physicians.
But before resorting to TRT, in which exogenous testosterone will be used by a patient for life, recovering HPTA function is felt by many to be a worthwhile endeavour.
Aging of the Leydig cells is responsible for andropause or age-related low testosterone, and this does not reduce or lower luteinizing hormone secretion from the pituitary gland.
Thus, in this case, the only treatment option for low testosterone is to use exogenous testosterone.
On the other hand, if the low testosterone condition is caused by reduced FSH and LH output, such as in those suffering from Anabolic Steroid Induced Hypogonadism (ASIH), HPTA recovery via TSC is a viable route to recovery.
It is true that after using anabolic steroids for a longer period, the serum gonadotropins and testosterone levels are greatly suppressed.
The issue with the administration of testosterone replacement therapy is it is really indefinite in nature.
That is to say, patients may need to be administered exogenous testosterone consistently for life and they cannot reactivate endogenous production of testosterone within the body.
Normally, selective estrogen receptor modulators, aromatase inhibitors and HCG are combined together in an attempt to resume HPTA operations without the need for the sufferer to engage in TRT.
After trying this with no positive results, TRT may be the individual’s only option.
Aromatase inhibitors (AI) have been confirmed by a study published in 2008 to increase LH, FSH and the levels of serum testosterone.
Selective estrogen receptor modulators (SERM) have often been used as a treatment option to recover HPTA in the medical field.
This is due to SERM’s estrogen aggressive activities on the pituitary gland, leading to an increase in the production of testosterone by the Leydig cells.
Even though TRT is the standard treatment for low testosterone, many medical experts are continuously adopting the utilization of testosterone stimulating compounds, such as AI, SERM and HCG, as a treatment for low testosterone that is unrelated to the aging of the Leydig cells.
Side effects of low testosterone treatments depend on the type and dosage as well as frequency of the treatment.
Some of the most common side effects associated with any form of treatment in relation to topical creams include but are not limited to:
If you have been recommended any form of low testosterone treatment and experience effects that are not usual for you, consult with your doctor.
Adjustment of dosage or type of low testosterone medication you’re receiving may be a possibility.
Remember that not everyone reacts the same way to any form of treatment and that’s especially true when it comes to hormones.
Hormones are powerful components of the body; one hormone can affect another, positively or negatively.
It’s also important for individuals undergoing treatment for low testosterone to stay in contact with their physician and adhere to regularly scheduled appointments so that testosterone levels can be checked to make sure they don’t exceed normal range.
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