Men’s Health Redlands
Andropause – Hormone Balancing for Men
Andropause is gradual, progressive decline of testosterone in men that results in mild to severe physiological and psychological changes. Low testosterone levels are associated with Parkinson’s disease, Alzheimer’s disease, and rapid aging. Symptoms of low testosterone levels include erectile dysfunction, muscular weakness, and weight gain. They can be detected as early as the mid-thirties.
The mainstay of treatment for Andropause is testosterone supplementation. Testosterone pellets are the most effective form of therapy. Supplementation can also be administered in a topical gel, sublingual lozenges, or intramuscular injections.
Male Testosterone Implant Treatment
The bioavailability of testosterone from the pellets is virtually complete. There is no inactivation, no change in clotting factors and no swings in plasma testosterone levels as seen with injections and other forms of testosterone therapy. It is suitable for patients who do not absorb the topical creams and gels and do not like the frequent dosing and fluctuations of sublingual lozenges (troches). Testosterone does not cause prostate cancer, but may stimulate an undiagnosed prostate cancer. Testosterone may also increase the production of red blood cells (which is a normal function of testosterone). Testosterone carries a possible increase risk of heart attack and strokes. Testosterone, delivered by pellet implantation, may decrease sperm production and decrease testicular size, which may be prevented by an aromatase inhibitor.
The implanted pellets deliver testosterone for four to six months depending on the patient. When the pellets are first implanted, testosterone and estrogen levels are checked to assess the absorption of testosterone and the conversion to estrogen. On average, testosterone pellets are implanted at 6-month intervals