Doctor insights on:
What Are The Indications For Testosterone Supplementation In Men
Several: There are three primary indicators for testosterone supplementation: low testosterone level on a blood test, a low free testosterone, and erectile dysfunction. Free testosterone is the testosterone not bound to protein that is available for use (as bound testosterone can not be used in the body). See your doctor for a morning testosterone blood test. ...Read moreSee 1 more doctor answer
Anti-androgens: While spironolactone is typically used as a water pill in high blood pressure & heart failure etc, it can also be prescribed for its anti-androgen effects (http://www.drugs.com/spironolactone.html). Depending upon effect of "high" testosterone, hormonal contraception can also be used to combat some signs & symptoms, such as acne. Best to check w/your family doc to first discover cause of high T. ...Read more
Various: High testosterone in females can lead to weight gain, acne, hair growth, infertility, abnormal periods, cliteromegaly, aggression, increases in sex drive, abnormal cholesterol, high blood counts, liver problems, etc. None of these are good. Don't take testosterone if you're a female, and if you have endogenous elevation of testosterone, have your doctor check out why and treat it. ...Read more
What are the screening tests to be done in males beyond 40 years of age? What are the ones in females? Any app for the same?
What are the pros and cons of trying hCG shots for treatment of low testosterone in 32 year old male? Are there any significant risks?
Very complex answer: Need >400 chars, but: HCG is used more when fertility is desired bc testosterone can cause dec in testicular volume and sperm count. If ur lh/fsh hormone levels are elevated, then HCG probly won't work, but if not, the HCG will will stimulate leydig cells in testes to produce more testosterone. No significant side effects at usual doses. ...Read moreSee 1 more doctor answer
Is there any recent research about what purpose prolactin serves in men or whether low prolactin levels are harmful for them?
In case of testosterone deficit for young male, does doctors usually prescribe hCG and Clomid (clomiphene) instead of testo supplementation ? What you think ?
It depends....: It depends why a young man has testosterone deficiency. There are certain pituitary conditions that lead to testosterone deficiency. Testicular varicose veins (varicocele) can also lead to low testosterone production. The idea is to find out where the problem lies before discussing which treatments are best. They all have their pros and cons. ...Read moreSee 1 more doctor answer
What are treatment options and medication side effects for low testosterone in a young male (25)?
Low T: There are several treatment options for low t in younger men. We do not give testosterone as we can shut off their own system of production. This usually is due to the system decreasing production and not the bodies ability to produce. We find the underlying cause for the low level such as Insulin resistance or low dhea. We can also use HCG injections or Clomid (clomiphene) to stimulate the production. ...Read more
Endocrinologist: High testosterone levels in females could be a marker for endocrine problems in females coming from dna abnormalities, or hypothalamic/ or other central brain disorders. You need to rule out skin to skin transference from a male partner using a prescription transdermal testosterone like AndroGel of Axiron to name a few. Skin to skin contact should be avoided for at least 6 hours after applicaton. ...Read more
None: That i know of. Most men of your age will benefit from vitamin d, specially if they live in northern places & use sun block. Not for urethra, but for general health. There is little scientific evidence of any other vitamins being good for anything. Healthy diet with lots of fresh fruit & vegetables, low in sugar & carbs & modest with red meat is better than all the vitamins in the world. ...Read more
Few if needed: The key is to only use if needed and get the right amount to replace a deficit. Too much can cause problems with the prostate, atrophy of the testicles, fluctuations in libido and mood, elevated lipids, and acne. Blood levels of free testosterone can guide the amount of replacement. ...Read moreSee 1 more doctor answer
Is there a normal level of estradiol for males in their thirties? Is there a normalized estrogen-testosterone ratio?
Total testosterone level is 163 and free is 31.4 and my doctor prescribed axiron. Are there any side effects to this relating to sperm count?
Yes: It is important to have multiple tests of testosterone done before starting medication. They should be done in the morning. It is also important to check lh and fsh levels to see if the problem is in the testicles or pituitary/hypothalamus. Long term testosterone usage is associated with infertility since your testicles stop working. ...Read moreSee 1 more doctor answer
Thyroid disease?: Hi. It's not clear from your statement if you're being treated for hyperthyroidism or hypothyroidism. So let's assume you must be being treated for abnormal thyroid function. In these cases, I usually use a goal for TSH of roughly 1-2. If treating hypothyroidism, l-thyroxine therapy brings TSH down to that range and if treating hyperthyroidism, methimazole (or equivalent) brings TSH up to there. ...Read more
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