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What is Andropause?

This can also be known as “Male Menopause”. After the age of 40, hormones such as testosterone start to decline about 10% with each decade of life.

This can lead to symptoms of fatigue, depression, weight gain, and low libido. This can lead to a diagnosis of male hypogonadism, a condition in which the male primary reproductive organs are not functioning optimally.

The gonads are endocrine glands that produce hormones and as a natural part of the aging process, the levels start to decline. Other conditions such as:

Some studies show that low testosterone levels can lead to health conditions such as osteopenia, obesity, cognitive decline, fatigue, erectile dysfunction.

How do you find out if you have low testosterone or are in Andropause?

It can be simply discovered with a comprehensive blood test that includes testing for testosterone levels. Blood tests are recommended to be taken fasting and between the hours of 7-11 A.M for best readings and to help physicians make the best interpretation of findings. 

NameResultReferenceInterpretationStatusLab
Testosterone, Total, LC/MS211 ng/dLAdult Males > 18 yearsLOWFinal03
Example of LOW Testosterone levels on lab work before Testosterone replacement

Other signs and symptoms commonly associated with andropause include:

  1. Erectile Dysfunction
  2. Low libido
  3. Fatigue
  4. Depression
  5. Muscle loss
  6. Insomnia
  7. Gynecomastia (development of male breasts)
  8. Mood swings
  9. Irritability

These symptoms can be seen when testosterone levels are below the optimal range. If you want to find out your optimal levels or see if testosterone is an option for you, please schedule an appointment with us and we can help you get your hormones dialed in. 

Potential Benefits from Testosterone Replacement Therapy

Several studies have shown that most patients will experience an increased muscle mass and improved body composition when they are determined to be an eligible candidates for hormone replacement therapy.

Furthermore, patients will also experience an improvement in libido, energy, and mood. Long-term benefits include improving bone mass density and helping to reduce the risk of fractures and osteoporosis.

In addition, motivation is a key psychological component that improves when testosterone levels are optimal. Another benefit that is often not discussed is that testosterone can improve anemia levels as this hormone has an effect on red blood cells in the body.

Testosterone deficiency can cause about a 10-20% decrease in a protein in your blood called hemoglobin, which is responsible for transporting oxygen to your body.

If you want to find out your optimal levels or see if testosterone is an option for you, please schedule an appointment with us and we can help you get your hormones dialed in. 

Potential Side Effects from Testosterone Replacement Therapy 

Like with any hormone,  side effects of testosterone replacement therapy include acne, increased body hair growth, and increased red blood cells.

There is no conclusive research evidence that proves that testosterone replacement therapy causes an increased risk of prostate cancer or even a condition known as BPH (Benign Prostatic Hyperplasia). 

Types of Testosterone Replacement Therapy 

There are several types of testosterone replacement therapy including oral prescriptions, creams, gels, injections, and pellet therapy.

What is the best type of therapy for you will be based on your levels and after consultation with the doctor.

Schedule your consultation with one of the doctors here at Natural Endocrinology Specialists and we can help you understand what is the best kind for you.

Did you know that you might have low testosterone?

At the age of 30 years, both men and women will start to have testosterone levels decline. Yes, women also have testosterone levels, but they should be 1/10th of men. 

Symptoms of low testosterone in women include:

Symptoms of low testosterone in men:

How we can help you with your testosterone levels

At the age of 30, testosterone levels naturally start to decline in both men and women. Testosterone replacement can help improve energy, libido, weight, bone density, metabolism, and overall wellbeing.

In men, when testosterone levels decline toward <400, lack of libido occurs, when levels are <350, obesity emerges, and <230, erectile dysfunction is seen.

How our process works

Testosterone is a controlled substance and requires periodic monitoring. At your doctor’s visit, screening questions, labs and imaging will require prior to initiating therapy. Not every patient is a candidate for replacement therapy.

Those who are NOT candidates include patients with cancer (any kind), untreated sleep apnea, blood disorders, heart disease, desire for fertility, and more. 

There are many types of hormone replacement therapy options including creams, capsules, troches, patches, injections, and pellet therapy.

You will work with your doctor to help determine which one is right for you. We require that you have lab work minimally two times per year to help your doctor analyze your lab results and to make decisions about therapy dose and duration.

Dr. Linda Khoshaba is the Leading Integrative Health and Hormone Doctor in Scottsdale, Arizona. She has extensive experience working in the field as a Hormone Specialist and Natural Endocrinologist.

7500 E. Pinnacle Peak Rd.
Suite A 109
Scottsdale, AZ 85255
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