Doctor insights on:
How Long Does It Take To Feel The Effects Of Testosterone Replacement Therapy For A Teenager With Hypogonadism
How long does it take to feel the effects of testosterone replacement therapy for a teenager with hypogonadism?
Depends on levels: I usually see improvement by the second or third injection and that tends to correlate largely on serum levels. Depot injection tend to have peak/trough effect versus gels which provide a more "physiological" absorption rate, however my experience with gels in teen age boys have disappointing to say the least! (added the risk of skin transmission to other children). ...Read more
Depends: Testosterone replacement is done in many different forms for men and at different starting points. How quickly a man will feel a difference depends on the type of replacement used and his baseline. In general most men feel a difference within 4-8 weeks. If you do not, you need your levels checked anyways at 3months but do it sooner to adjust your medication. ...Read more
I have hypogonadism and was wondering what hormone replacement therapy would do to a 17 year old male, entering late stages of puberty (started late)?
Pediatric endocrine: Hopefully you are under the care of a pediatric endocrinologist who specializes in exactly the kind of issue you are having. Based upon the hormones that your body is already producing, an endocrinologist can determine exactly where your hypogonadism is coming from, and tailor hormonal treatment to correct it. Early therapy can create normal hormone levels and resume normal sexual development. ...Read more
1 week -- 6 weeks: Depending on the route (cream, injections, or testosterone pellets), some men can experience an increase in their energy, improvements in their sleep, and changes in their mood, concentration, and focus as early as one week. For others, it may take as much as 6 weeks to reach peak hormone levels and peak response rates. ...Read more
What happens if testosterone replacement therapy leads to infertility can this be reversed and how so and how long thanks in advanced?
Assuming you: Were healthy, in 2-3 months things go back to normal. ...Read more
Adult-onset hypogonadotropic hypogonadism--how does gnrh therapy differ from normal testosterone therapy? Which therapy is best for 42 year old male?
Only for children: Gnrh is by injection, vey expensive, and only for children -- it wouldn't be appropriate or effective or prescribed for you. Stick with transdermal testosterone. Hopefully, you've had your undescended testicle fixed early in childhood, as they can become cancerous of not brought down surgically early in life. If it's still undescended, see you doctor soon. ...Read more
Hypogonadism: At 25 you need to find out why you are hypo-gonadic. The underlying cause must be determined and tat needs to be treated. ...Read more
What are the side effects of testosterone replacement therapy gels? Like axiron, androgel or fortesta?
Testosterone: There are multiple side effects including high hemoglobin, liver enzymes, ? Prostate ca and more. ...Read more
Yes: In short, our testosterone levels will decline with age. The extent varies but for some men it drops too low causing various symptoms, notably fatigue. Replacement is very real, and in some instances, may even reduce risk for heart attacks and heart disease. Talk with your family doc to see if you would be a good candidate. ...Read more
On Testosterone replacement therapy. 50mg T compounded with 0.5mg anastrazole three times a day. Seems like high dose. Unheard of?
Would I be ok if I took some testosterone replacement therapy even tho doctor says my t-levels are ok?
Maybe (not). . .: How "ok" is ok? It's like asking if tutoring someone who's passing with a "d" grade will make a difference. Well, "d" is passing so why worry, right? But if you're aiming to become class valedictorian, than even a "b+" isn't good enough. Back to "ok" testosterone level. Why was it checked? How do you feel? Any different from before? If you've always been "a" student & just got first "d" grade. .. ...Read more
FTM requires two things:
1: I do not take care of such patients unless I am notified by a Psychologist who is taking care of the patient.
2: I do not see any indication for aromatase inhibitors to be given in addition to testosterone.
I have been fortunate to have reasonable success with FTM and MTF. ...Read more
On testosterone replacement therapy. Good or bad in lieu of jama nov 5 article citing increased cardiac event risk. Trt benefits outweigh risks?
Unknown: As is indicated in the article, we need randomized, prospective studies to truly know the risks and benefits of testosterone treatment. The real problem is that as many as 80% of men who are on testosterone, were placed on it for inappropriate reasons, including inadequate testing or misinterpretation of results. Mother nature has a way of striking back when we do inappropriate things to our body. ...Read more
Odd question: Hi. If you're deficient in testosterone, you take replacement. Dose is titrated to keep you in the normal range. Testosterone treatment will NOT confer fertility. Options for replacement include transdermal (gel, liquid, and patch), and intramuscular. You take testo, and it replaces. Am I missing something? Good luck! ...Read more
What do u want 2 kno: Check out this website. Many people have asked the same question over & over. Better yet, ask yourself why you're interested. Then ask your family doc if you qualify. Go there 1st where they have your best interest at heart rather than Low T clinic which just has single agenda. Ask about desired benefit vs potential risks. Are the potential side effects worth the desired benefits? ...Read more
Could you still get testosterone replacement therapy when you have double the minimal level (300)?
Sure but. . .: Could you vs should you? 2 very different questions. Could you? Sure but most docs, including myself, probably wouldn't, at least not w/o searching for other cause of symptoms leading to your search for testosterone replacement. It's not likely that "low T" is present in someone w/twice the lower limit of normal. Don't forget that there are many real risks associated w/TRT including blood clots ...Read more
17yo or 43yo?: Assuming that you actually need testosterone replacement therapy, TRT would hopefully resolve issues that made you & your doctor search for cause and arrive at diagnosis of hypogonadism. However, it's also important to determine cause of low T, not just which TRT to choose. My concern w/traditional TRT in 17yo is testicular atrophy/failure & infertility, assuming that's not already an issue. ...Read more
What are the best/safest options of testosterone replacement therapy? Pellets/injections/patches/gels?
Pellet: My patients seem to get better and more consistent levels with testosterone pellets. In addition to better levels, the convenience factor puts it at the top of the list. Generally, an insertion for males will last 4-5 months, females, 3-4 months. For those who don't want pellets, my suggestion would be to use injections next and patches last. ...Read more
Is it true that once a man starts testosterone replacement therapy, he needs to continue it for the rest of his life?
Depends: On the cause. If the cause is a permanent condition such as a chromosomal abnormality or surgical removal of testes...Then u will need replacement for life. If its a functional problem- like recovering from a big illness, or severe insomnia or depression, or prolactinoma, when the problem resolves, the testosterone levels will normalize too, and you won't need to cont testosterone tx. ...Read more
What is the timeframe for testosterone replacement therapy too make a realistic difference in my testosterone levels?
If you're using: A topical gel like you should be, it can normalize your levels in just a few days. Recheck after one month and readjust dose in necessary. ...Read more
Testosterone replace: Not usually. Call your doctor to report this and see if you need an examination. ...Read more
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