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Health and Hormone Therapy – Men

Testosterone Deficient Men

Counseling and Decision Making

If a therapy is chosen, the patient and physician should agree on goals, whether they are short-term, long-term, or both. Routine follow-up is essential to achieving therapeutic goals as some men may experience side effects or not achieve their desired benefits.

A Step-Wise Treatment Strategy

At OC Sports and Wellness, hormone balance is essential to overall wellness. We can determine whether you have Testosterone deficiency and adequately replace testosterone under medical supervision.

At OC Sports and Wellness we have men come in for a physical exam and to complete a Men’s Health Questionnaire. We will review your past medical history, family history and social history and review your current medications and supplements. Next, we obtain morning fasting blood work that will look for nutritional and hormonal imbalances.

Testosterone is the main androgen in the body. Androgen deficiency is defined as a total Testosterone < 300 ng/dl. If clinically warranted, a therapeutic trial of Testosterone cream or gel will be initiated. Repeat questionnaires and lab work in 6-7 weeks.

Commonly Observed Benefits of Testosterone Replacement

  • Increased libido
  • Increase in muscle mass
  • Decreased body fat
  • Increase in bone density
  • Improvement in cognition and mood
  • Increases in energy and decreases in fatigue
  • Possible favorable effect on cardiovascular disease

Facts About Testosterone Deficiency

  • Testosterone deficiency affects 2-4 million men in the U.S.
  • Low levels of testosterone have been associated with high-grade prostate cancer, higher stage at presentation and worse prognosis

Possible Risks

  • Transfer of cream or gel to a spouse or child. We recommend that you avoid contact with others for several hours after application
  • Increases in aggressiveness, irritability and impulsiveness. This is not typically seen with physiologic (standard) levels of testosterone replacement.
  • Testicular atrophy and/or infertility. This is usually reversible with cessation of treatment
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