Thousands of women have their uterus and ovaries removed every year and immediately get forced into menopause. Their estradiol, progesterone and testosterone levels bottom out and they become very symptomatic. Unfortunately, many of their doctors do not explain the impending feeling of being miserable. They experience no sex drive, vaginal dryness, hot flashes, night sweats, irritability, fatigue, weight gain and mood swings (and about 50 other symptoms). In addition their risks for bone loss, heart disease and dementia sky rocket. The good news is that there is a solution and they can feel amazing again. I have become an expert
In my day to day business I get to speak to many married men and women about their health and happiness. As part of my initial consult I always ask them about the health of their marriage is because an unhappy marriage creates a lot of stress on the body and ultimately leads to suboptimal health. It seems as if an extraordinary amount of couples I speak with are having little to no regular sex and as a result are not happy. The goal of this post is to: Let you know that you are not alone In many cases,
At what age should men start using testosterone replacement therapy? The first answer I am about to give you is based on the medical literature and not my opinion. There was a great study in the Journal of Circulation in 2007 that concluded “men who have testosterone levels in the upper quartile of the normal range had a 25-30% reduction in mortality from all causes, including heart disease and cancer.” (The range for testosterone is approximately 350-1198 for most labs) In addition there is good medical evidence that men who have higher testosterone levels have
Testosterone replacement therapy in theory has a negative effect on sperm counts in reproductive men. As a result men who still want to have kids have to look for alternative treatments to taking testosterone. The current regimen for men who want to have kids is to use HCG 500 units daily subcutaneous injection. Background: Testosterone is produced primarily in the testicles in men. A hormone called Luteinizing Hormone (LH) produced in the pituitary gland in the brain is what signals the testicles to make testosterone. The pituitary gland acts like a thermostat. It senses how
I am often asked by patients which form of testosterone is best. “Should I use a cream, gel, pellets or injection?” The answer is that it depends. Each has its own advantages and disadvantages. Let me go through them with so you are better equipped to make that decision with your doctor. Topical Cream: Advantage is you can use very high doses vs gels. In a standard lipoderm cream we can use up to 200mg/gram. Compare that to androgel which only has 10mg/gram or 20mg/gram. Creams will also provide very stable levels daily.
