BioIdentical Hormone Replacement Therapy for Men

Studies have shown that men begin losing testosterone at a rate of 3% to 10% per year beginning at age 30. Medical research has defined the male equivalent to menopause as andropause. Symptoms of testosterone deficiency in men may include fatigue, lack of mental clarity, loss of libido, and difficulty achieving or sustaining an erection.

Hormonal treatments for men can be expensive, require daily consumption and in many cases need to be carefully timed with their partner’s sexual needs. Bio-identical hormone pellet therapy is the only method of testosterone treatment that gives sustained and consistent testosterone levels throughout the day for four to six months without any drastic “roller coaster” blood testosterone levels.

Testosterone supplementation with BHRT can treat the following:

  • Decline in your feeling of general well-being
  • Foggy Thinking/Lacking Sharpness
  • Forgetfulness
  • Feeling that you have passed your peak
  • Fatigued/Decreased Energy
  • Muscular and Joint Pain
  • Decrease in muscular strength
  • Difficulty losing excess fat
  • Excessive Sweating (independent of strain)
  • Sleeping Problems
  • Irritability (easily upset about little things, moody)
  • Nervousness/Anxiety
  • Difficulty handling stress
  • Depressive Mood
  • Decrease in sexual desire/Libido
  • Decrease in ability/frequency to perform
  • sexually
  • Decrease in number of morning erections
  • Headaches/Migraines
  • Dry Skin and Hair

​​​​Even younger men in their 20’s and early 30’s are eager to attain that “competitive edge” in various sporting activities and lifestyle. Testosterone supplementation can provide greater gains in the gym, strength, stamina, and shorter recovery times that have obvious benefits for many endeavors.

In addition to these symptoms that you can “feel” there are many physiological benefits toward your overall health that can be achieved with bioidentical hormone therapy. Among these benefits, these hormones can decrease cholesterol, improve cardiovascular health, decrease blood pressure, help with diabetes and insulin resistance, improve osteoporosis, help to treat Alzheimer’s, and can improve your chances of avoiding certain kinds of cancer.

Hormone Replacement in Men is Gaining Popularity

Healthy, aging men can expect to have a predictable decline in the male sex hormone, testosterone, which can lead to decreased energy and fatigue, weight gain, loss of muscle mass, and loss of sex drive or erectile function. They will also have increasing risk for heart disease, diabetes, osteoporosis and dementia. Yikes!

Take heart, men, for there is something you can do about it!

Men can supplement their hormones, just like women. The decline in male hormones is called andropause, with a decline in hormones similar to menopause in women, but it occurs over 10-15 years instead of the few years it takes for menopause.

Men don’t usually have hot flashes or night sweats and unlike the mood swings noted with the wildly fluctuating hormone levels during menopause, men tend to just get more and more apathetic, with decreasing motivation, security, and confidence. Feeling so blah causes many men to feel anxious or depressed. Insomnia is also common with low testosterone.

Physiologic Health Benefits of Bioidentical Hormone Therapy

Testosterone Replacement Therapy (TRT) is a well established science and there are hundreds of studies documenting the safety and effectiveness of TRT. Some of the largest studies simply observe that men who are low in testosterone have about a 50% increased death rate over the subsequent decade when compared to men with normal testosterone levels.

Heart disease is the number one killer in men. Testosterone helps prevent heart disease by improving the cholesterol profile, discouraging blood clots, and by keeping blood vessels open and elastic. Testosterone can be given to men with advanced heart disease and is shown to improve their functional ability to stress the heart.

Sarcopenia is the age-related loss of muscle mass, strength and function. Muscle is replaced by fat and fibrous tissue. Hormone decline, particularly androgens like testosterone, is one of the biggest reasons for sarcopenia in men and women. Maintaining muscle mass means less frailty, more energy and more stamina.

Testosterone indirectly prevents diabetes by preventing sarcopenia. But, TRT also has a direct effect on helping insulin work better. Several studies show men who replace testosterone need about 50% as much insulin. Adding TRT to an exercise program results in much better blood sugar control than exercise alone. TRT should be considered in all patients with type 2 diabetes or metabolic syndrome X.

Osteoporosis or “brittle bones” is not as common in men as women, since men build stronger bones in the first place because of testosterone. However, the mortality and disability caused by osteoporosis in men is worse than in women! Again, TRT has a direct stimulating effect on bone — testosterone will build bone!

Dementia and depression are much higher in men with low testosterone levels. Testosterone has both protective and growth-stimulating effects on nerve tissue in the brain, and is shown to have a regulating effect on the plaque that accumulates in the brain with Alzheimer’s Dementia. TRT improves cognition and mood, especially abstract and spatial skills such as reading a map, coordination and balance, and motor control.

The myth of testosterone causing prostate cancer has been thoroughly debunked. In fact, at the time of diagnosis, men with prostate cancer tend to have a lower testosterone level than average. Men with low testosterone also tend to have more aggressive forms of prostate cancer. TRT does not increase the risk of cancer, and recent studies show it is even safe to use TRT after treatment of prostate cancer.

Adverse Effects Associated with Bioidentical Hormone Therapy

This all sounds great, but what are the risks of TRT? The main risk is if a man already has an existing prostate cancer, then TRT will stimulate the cancer. We monitor this through routine blood testing and it is very rarely an issue. TRT will also cause an increase in the production of red blood cells, which alone does not cause blood clotting like other syndromes of increased bone marrow cells, so this is not a big issue.

Advantages of Bioidentical Hormone Pellet Insertion

When replacing testosterone, we only use bioidentical hormones that are derived from natural plant based sources. This means the molecular structure of the hormone supplement is exactly the same as the hormones produced by your body. Thus, your body recognizes these hormones as if it produced them itself. The best delivery method for TRT is the placement of small, time release pellets placed easily under the skin of the hip/buttock which last 4-6 months. This method allows for steady testosterone levels, which can self adjust to your needs in times of stress or exercise. Furthermore, you don’t have to remember to rub on messy creams daily (which can rub off on others), have uncomfortable weekly injections (which cause wild fluctuations in your testosterone levels resulting in a roller coaster of mood and energy), or swallow a daily pill (which can be poorly absorbed and is metabolized by the liver, placing you at possible risk for adverse effects). This is why bioidentical hormone pellets are the preferred method of treatment at Action Health Centers.

Improved mood, energy, sleep, sex drive and general outlook will usually start within a few weeks of TRT. It may take a few months to fully appreciate the improved stamina, muscle-building, fat-burning and erectile function effects of TRT. TRT prevents disease and helps maintain quality of life, and like other age-management strategies, it is changing the paradigm of normal aging!