Doctor insights on:
Herbal Testosterone Blocker
Cause: The many different causes of ed prompt a medical evaluation to sort out potential problems which would be missed by treating empirically.See 1 more doctor answer
How safe is herbal "Saw palmetto" it decreases the conversion of testosterone to DHT. Is this process safe? What is DHT for? Is blocking DHT safe?
Possibly: Selective estrogenic receptor modulators (serms) such as Clomiphene citrate or tamoxifen should increase lh (luteinizing hormone) and testosterone in men. Aromatase inhibitors (anastrazole) will also increase testosterone. The goal is to have testosterone to Estradiol ratio greater than 10. Certain clinical issues such as narcotic or obesity related low t are helped with these medications.
On new testosterone med. This one is compounded with a built in estrogen blocker. Is this a safe and effective strategy for upping levels?
None: There are no testosterone "boosters", no matter what the internet and tv and your friends may tell you. The only way to "boost" your testosterone is through a healthy life style, proper nutrition, exercise, and avoidance of toxins like alcohol and tobacco. Save your money, and your health. Stay away from anabolics as well.
Since spironolactone is a testosterone blocker, would that be bad for the body or decreases testosterone level.
Does not lower level: Spironolactone is not a "testosterone" blocker per say. It designed to block aldosterone receptors from being activated. It is not perfect and does have some anti-masculine side effects (gynecomastia). If a doctor prescribed your medication for blood pressure control, prior heart attack, heart failure, or liver disease it is more likely to make you live longer and better than not.
Can a man take an estrogen blocker to increase slightly low t levels, or is testosterone the only true way to raise levels? Do some men take only that?
Yes, no, yes: There are many ways to increase testosterone if it's proven necessary. It's our job to understand your specific needs and thus develop a regimen that works for you. Testosterone supplementation can render you infertile so if you want more kids, I wouldn't recommend it. In someone w/higher estrogens, an aromatase inhibitor is a consideration but only after you review risk vs benefit w/your provider.See 1 more doctor answer
When a male uses a DHT blocker does that mean that instead of excess testosterone converting to DHT it will convert to estrogen? Is blocking DHT safe?
Yes (maybe): As you noted, 5ARIs (alpha reductase inhibitors) block conversion of Testosterone into Dihydrotestosterone. However, as a consequence, you might convert T into Estradiol (estrogen). This is real concern w/potential side effects such as gynecomastia, loss of libido, erectile dysfunction listed in small print for drug. There have also been reports of infertility. Only u can decide if benefit > riskSee 1 more doctor answer
If I am concerned with estrogen levels after starting testosterone therapy, are doctors willing to prescribe an estrogen blocker?
Why the concern?: Testosterone replacement is supposed to restore normal levels, not higher than normal. As such, with normal levels, estrogen production should not be excessive. If you have cirrhosis of the liver, you may have elevated estrogen. If you notice breast enlargement on therapy, have your physician check an Estradiol level, and if elevated, consider Letrozole or arimidex (anastrozole).See 5 more doctor answers
Go see ur family doc: Are you a male or female? For what purpose do you want to lower your testosterone? For men w/prostate cancer, chemotherapy is an option to lower T but not w/o increasing heart disease risk. For women w/polycystic ovarian syndrome or hirsutism, we often prescribe off-label spironolactone for its anti-androgen effect. Regardless, you need to chat w/your family doc to determine what's best for you.
Depends upon age...: During fetal development, testosterone is useful to make genetic male look like a boy when born. In adolescence, T is useful during puberty in developing secondary sexual characteristics eg hair etc. While low T can account for many conditions such as fatigue, depression, loss of sex drive, etc, there are many more common reasons for this than low T. Excess T is bad, too, so not DIY project.
Multiple Choices: I assume that you are a male. He gold standard is the morning blood test of total testosterone. If you have no other metabolic abnormalities, then a level below 300ng/dl is diagnostic for low-t. Saliva & urine tests are available, but they are not diagnostic nor accepted by current guidelines.See 1 more doctor answer
Depends: Testosterone replacement for men can help with fatigue, energy, muscle mass, memory and focus as well as depression. It can come as gels, creams, injections and compounded pills/creams. The level of testosterone, your response to meds and your compliance will affect what is the right medication for you. Speak with your physician.See 1 more doctor answer
TV ads vs real need: You've asked a very difficult question to answer that is still being pondered around country. Clearly, there are those whose testosterone is truly low and benefit from replacement. But there is also great concern that big pharm is medicalizing a normal part of aging and w/o fully understanding all risks ; side effects. Does add'l testosterone make a difference? In some men, yes, but at what risk?
Not really: Androderm is just a brand of testosterone so if you take/apply enough androderm, you shouldn't need add'l t. However, if you don't like clinical effect/benefit (or aren't receiving any), check your t level. You might need an add'l patch! If you have to apply too many patches, you might want to consider another form of t replacement. Good luck!See 1 more doctor answer