The Process of Testosterone Replacement Therapy

Men should have their prostate examined before beginning testosterone replacement therapy. The purpose of this examination, which is usually performed by urologists, is to determine the state of the prostate gland, which is prone to cancer. While prostate cancer is very common and usually harmless, any irregularities, hypertrophy, or even urinary complaints must be identified and treated before starting testosterone therapy. If you’re looking for more tips, Vitality Internal Medicine – Dr. Ben Evans – Phoenix testosterone replacement therapy has it for you.

Men, in particular, require a PSA (prostate gland specific antigen) blood test. If the test’s results are abnormally high, a PSA-2 test to determine prostatic hypertrophy may be ordered. In men with prostate cancer, androgenic hormone is not an option because testosterone can aggravate the disease.
After starting testosterone replacement therapy, men should have their prostate and PSA tested every 6 months or as directed by their doctor.

The testes secrete androgenic hormone, or testosterone, throughout the day, and it is metabolised by physical exertion and stress. As a result, it is common for doctors to request that blood be drawn first thing in the morning, when life’s demands have not yet had an impact on the body’s level. Furthermore, it is common for a doctor to perform two blood tests over a period of time in order to obtain an average reading.

Once it’s been determined that a testosterone deficiency exists and that there are no prostate cancer risks that prevent replacement therapy, the best way to administer the treatment can be determined.
Injection, pills, patches, and gel are currently available delivery methods.

The injection method is normally done weekly or fortnightly, but there is a concern that there will be peaks and troughs in testosterone levels between injections. These fluctuations in testosterone levels can result in a burst of energy and motivation right after an injection, followed by lethargy and possibly depression as the next injection approaches. Because of the digestive process, the pill method has its own set of issues. Taking pills sends a flood of testosterone to the liver, which isn’t interested in it and converts it to oestrogen, defeating the purpose. The bottom line is that you are ingesting far more testosterone than your bloodstream can handle.

Patches deliver testosterone to your bloodstream on a regular basis through the skin; the only drawback is that the patches can irritate your skin. This can be mitigated by rotating to new sites every day.
If you really must have replacement therapy, gel is without a doubt the best alternative. It releases the hormone into the bloodstream on a daily basis through the skin and has no skin irritation side effects.