In addition, some research shows that testosterone therapy may increase the risk of heart disease. Male hypogonadism and its treatment are a rapidly evolving area. While male hypogonadism was previously underdiagnosed, the apparently increasing incidence and the increasing range of treatment options may facilitate greater awareness of the condition. Symptoms in the elderly have a complex origin.
It can be reasonably assumed that the age-related decline in testosterone levels is partly responsible for the symptoms of aging. The benefits and risks of testosterone therapy should be clearly discussed with the patient and prostate and other risk factors evaluated before starting testosterone treatment.
Testosterone replacement
therapy has some benefits on muscle mass and strength, fat mass, bone mass, sexual function, mood, and a general sense of well-being. Therefore, it seems logical to consider that in older men with lower than normal testosterone levels and clinical symptoms that suggest androgen deficiency, hormone replacement therapy, combined with physical activity (resistance training) and adequate nutrition, will result in an optimal increase in muscle strength, BMD and general sense of well-being.However, data are not yet available on the clinical effects of androgen replacement, such as cardiovascular morbidity and mortality rates, falls and bone fractures. The response to testosterone treatment should be evaluated. If symptoms and signs do not improve, treatment should be discontinued and the patient investigated for other possible causes of the clinical presentation. The main contraindication for androgen supplementation is the presence of a prostatic carcinoma.
If your periods were interrupted due to testosterone treatment, be sure to report any recurrence of bleeding or spots to your healthcare provider, who may request an ultrasound or other tests to ensure that the bleeding is not a symptom of an imbalance of the lining of the uterus. Sometimes, this imbalance can cause a precancerous condition, although this is rare in transgender men. Missing a dose or changing it can sometimes cause bleeding or blemishes to return. Some men may return to more severe spotting or bleeding after months or even years of testosterone treatment.
In most cases, this represents changes in the body's metabolism over time. To be safe, always talk to your doctor about any news or changes in bleeding patterns. While the beneficial effects of testosterone are rarely discussed and widely publicized, there is little literature on the risks of using testosterone. Any man who has a comorbidity that prevents TRT should be informed of all Risks.
When administering TRT to a patient, factors such as exacerbation of prostate cancer, male breast cancer, worsening benign prostatic hyperplasia (BPH), polycythemia, and an increased risk of obstructive sleep apnea (OSA) must be taken into account. The purpose of this review is to highlight the risks and summarize the current literature on TRT safety. Hypogonadism hinders the ability to produce normal amounts of testosterone because of a problem in the testicles or in the pituitary gland that controls the testicles. During testosterone treatment, if hematocrit (HCT) increases by more than 54%, testosterone treatment should be continued until the TCH normalizes.
There are several different types of testosterone replacement, including tablets, injections, transdermal, oral systems, granules, and oral testosterone preparations. Acne can be minimized by using an adequate dose of testosterone that avoids excessively high levels. Many longitudinal studies that investigated the relationship between endogenous testosterone levels and the subsequent risk of prostate cancer found no association. Millions of American men use a prescription testosterone injection or gel as a form of testosterone replacement therapy (often referred to as TRT therapy) to restore normal levels of the male hormone.
Rarely, testosterone therapy can cause you to completely lose the ability to create fertile eggs or become pregnant. The risks of testosterone replacement therapy depend on age, life circumstances, and other medical conditions. Testosterone may reduce your ability to become pregnant, but it doesn't completely eliminate the risk of pregnancy. Although available data is limited, testosterone does not appear to increase the risk of uterine, ovarian, or breast cancer.
