Testosterone therapy - Renew Wellness Clinic

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What is Testosterone Therapy?

Testosterone therapy, also known as TRT (Testosterone Replacement Therapy), is a treatment that aims to raise low testosterone levels in men back to normal levels. It can help alleviate symptoms associated with low testosterone like low energy, decreased libido, erectile dysfunction, and depressed mood.

The goal of testosterone therapy is to get testosterone levels into the mid-normal range, which is typically 400-700 ng/dL for adult males. This is done through one of several delivery methods:

• Testosterone injections - Getting an intramuscular injection of testosterone cypionate or testosterone enanthate every 2-3 weeks. This delivers a dose of testosterone directly into the bloodstream.
• Testosterone gels - Applying a medicated gel containing testosterone to the upper arms/shoulders daily. The testosterone gets absorbed through the skin into the bloodstream.
• Testosterone patches - Using an adhesive skin patch that steadily releases testosterone into the blood through the skin. Patches are changed daily.
• Testosterone pellets - Getting pellets containing crystallized testosterone implanted under the skin every 3-6 months. The pellets slowly release testosterone.

Who is a Candidate for Testosterone Therapy?

The Endocrine Society's guidelines state testosterone therapy can be considered for men displaying hypogonadism. This refers to the body not producing enough testosterone on its own due to injury, infection, or genetic conditions.

Some signs a physician checks for include:

• Total testosterone level below 300 ng/dL
• Presence of hypogonadal symptoms (low energy, decreased sexual function, etc.)

Are there Risks with Testosterone Therapy?

Potential side effects include:

• Increased red blood cell production causing thicker blood
• Prostate issues like enlargement/cancer
• Acne and oily skin
• Breast enlargement (gynecomastia)
• Testicular shrinkage due to natural testosterone production slowing

Testosterone therapy also has the risk of worsening untreated sleep apnea.

Thus, physicians at Renew Wellness Clinic monitor patients on testosterone closely through regular bloodwork and weigh risks vs benefits. Those with pre-existing conditions may not be candidates for therapy.