Testosterone Replacement Therapy

Effective Treatments for ED, Low-T, and Premature Issues.

Testosterone Replacement Therapy Philadelphia, PA

As men age, production of hormones such as testosterone from your glands is less than what was produced when they were younger. This is a normal process and in some cases has no effect on sexual health or daily functioning. Typically, as men age they are used to living life at a slower and lower pace than what might be possible if their hormone levels were properly corrected and adjusted.

Iron Mountain Men’s Health works with each individual patient to identify and treat the issues and the problems related to low testosterone.

Dr. Appel founded Iron Mountain Men’s Health to help men with issues related to low testosterone, erectile dysfunction and premature ejaculation. As a patient of Dr. Appel you will receive safe treatment with monitoring to assure your health. We have years of experience and are familiar with all the effective treatments and best practices that our patient’s can benefit from.

Testosterone and other hormone levels are not always checked, but are the standard of care when evaluating issues of relating to ED. For some men despite a “normal” level of testosterone, they may still experience the common symptoms associated with low testosterone.

Low Testosterone (Low T)

Low testosterone (Low T) refers to the body’s levels of hormone falling below the range of levels considered to be “normal” by the medical community. Low T, can be the result of other medical problems and treatments but it can also be the cause of sexual problems.

Testosterone is a hormone that is most prevalent in men. It helps control and regulate sexual functions. It also contributes to muscle and bone strength. While low testosterone can lead to a variety of sexual problems, it has implications for men’s overall health.

Testosterone is a sex hormone that contributes significantly to the reproduction, growth and maintenance of a healthy body. It is found in both men and women, but men have more testosterone compared to women. Testosterone is produced in the testes, and it is the hormone behind the growth of male sexual organs and secondary sexual characteristics.

When young boys get to puberty, testosterone production level increases. This enhances male features development such as hair growth on the face and other parts of the body, hoarse voice, and muscle strength. However, testosterone levels decrease by 1 to 2 percent every year as time progresses. A decrease in testosterone levels begins towards the end of your 20s or the beginning of your 30s.

Low Testosterone Symptoms

Men with the following symptoms could benefit from an evaluation:

  • Depression
  • Erectile dysfunction
  • Fatigue decreased energy levels
  • Loss of libido (sex drive)
  • Low energy levels
  • Memory loss
  • Muscle loss
  • Weight gain

Iron Mountain Men’s Health will analyze your hormone levels and determine if certain treatments might restore your virility. In many cases, optimizing your testosterone and other hormone levels can lead to a more robust life.

How to Treat Low Testosterone

To diagnose this problem, your doctor will check other detailed conditions apart from normal signs and symptoms. You will be required to disclose your health history information such as your experience as you approached puberty, history of head trauma, head surgery or brain tumor, whether you have had injuries or infection to your testicles, past or present use of anabolic steroids, among others.

Your doctor will also conduct various physical examinations to examine the following: Waist circumference for obesity, the presence of the testicles and whether they are the correct size, metabolic syndrome, volume and pattern of your hair, prostate size and other unusual signs.

You may also be required to carry out the following blood tests: Total testosterone levels, luteinizing hormone, follicle-stimulating hormone, estrogen levels to assist in identifying the cause of the low-T level, prolactin level to help identify the possibility of pituitary problems or tumors and hemoglobin testing.

For more diagnosis, your doctors can carry out the following tests: Follicle-stimulating hormone, a test that assists in determining sperm-making function; estradiol hormone, which is done if you are developing breast tissue, Magnetic resonance imaging (MRI) which is done on the pituitary gland, bone tests and chromosomes tests.

If clinical and laboratory tests show testosterone deficiency, your doctor may recommend TRT. Men who have prostate cancer or breast cancer should not take testosterone replacement therapy.

Causes of Low Testosterone Levels

As men age, production of hormones such as testosterone from glands is less than what was produced when they were younger. This is a normal process and in some cases has no effect on sexual health or daily functioning. Typically, as men age they are used to living life at a slower and lower pace than what might be possible if their hormone levels were properly corrected and adjusted.

Low testosterone in men may be a result of either natural or external factors. Some men have inborn conditions that cause testosterone deficiency, such as:

  • Klinefelter syndrome
  • Noonan syndrome
  • Ambiguous genitalia (This is when sexual organs develop abnormally)

Some of the external factors that may cause low levels in men include:

  • Testicles damage as a result of an accident
  • Effects of chemotherapy or radiation
  • Removal of testicles due to cancer
  • Hormone deficiency as a result of a pituitary gland dysfunction
  • Autoimmune (This is when the body produce antibodies that fight against each other)
  • Diseases such as HIV/AIDS, high blood pressure, diabetes, uncontrolled cholesterol levels.
  • Use of medications such as antidepressants and narcotic pain medication.
  • Obesity

Signs of Low Testosterone

When men have low levels of testosterone below what is required, they will develop a range of signs which include:

1. Reduced Libido – If testosterone production drops below normal, men start experiencing a significant decline in sex drive since testosterone plays a vital role in enhancing libido.

2. Erectile dysfunction – Men with reduced desire to have sex also have challenges with maintaining an erection. Testosterone is not responsible for erection, but it causes receptors in the brain to manufacture nitric oxide. Production of nitric oxide activates a series of chemical reactions responsible for an erection to occur.

3. Decrease in Semen Production producing infertility – Semen is the whitish fluid that helps in the movement of sperm in the body. Testosterone plays a critical function in the production of semen. Therefore, a drastic decrease in Testosterone below the expected levels leads to low semen volume.

4. Hair Loss – At Puberty, young boys start developing facial and body hair growth. However, as they age, they may experience a reduction in hair volume, including balding, due to a decrease in testosterone levels, since it is responsible for hair production.

5. Reduced Muscle Mass – Testosterone contributes significantly to the growth of muscles. Low testosterone in men means a drastic loss of muscle mass, but it doesn’t affect the muscles’ function.

6. Increased Body Fat – Men with reduced testosterone have higher chances of gaining excess fats in the body. Also, they may start developing breast tissues due to hormonal imbalance, particularly the imbalance between testosterone and estrogen in men.

7. Loss of Bone Mass, Osteoporosis – Reduction in bone mass is a condition linked to women. This condition, however, can be experienced by men with low levels of testosterone since it helps in the production and strengthening of bones. Therefore, older men have a decreased bone mass and are more susceptible to bone fractures.

What is Testosterone Replacement Therapy

The progressive decrease in testosterone doesn’t cause conspicuous symptoms, but a considerable drop in testosterone levels may do so. Apart from age, low testosterone in men can be a result of a medical condition. In men it leads to reduced libido and erectile dysfunction. Therefore, men with low testosterone can consider boosting their levels by undergoing testosterone replacement therapy (TRT).

TRT, also known as Androgen replacement therapy, is a form of hormone treatment that involves the restoration of testosterone to reverse the effects of male hypogonadism. Hypogonadism occurs as a result of low testosterone production by the testes.

TRT is also used to balance abnormal testosterone levels brought by autoimmune conditions, genetic disorders, undescended testicles, sex organ surgeries, radiation therapy for cancer, among others.

TRT is essential since it helps to minimize the impacts or delay the genesis of normal male aging. TRT is applied in men who have lost the potential to produce testosterone due to diseases or other treatments.

TRT is administered in several ways depending on the complexity of your problem. Some methods may require the administration to be carried daily, while others may need to be performed weekly or monthly.

Some TRT methods include Oral medications, transdermal patches, topical creams, among others. Another method of TRT is rubbing testosterone on your arms daily.

In most cases, men with low testosterone tend to purchase TRT supplements from vitamin and herbal stores instead of seeking medical attention. However, it is paramount to understand that you cannot use TRT supplements without a doctor’s legal prescription and direction.

TRT Before and After Treatment

If you are contemplating undergoing TRT, it is imperative to understand what to anticipate before and after treatment. Below are some guidelines:
Before TRT Treatment

Before the treatment

The doctor will be required to do a thorough medical check-up to evaluate your overall health. Some of the usual tests that may be conducted include A bone-density scan, prostate cancer testing, sleep apnea evaluation and the level of the red blood cells in your body, commonly known as Hemoglobin and Hematocrit measurement.

TRT is highly discouraged to Patients with red blood cells above 54 percent, a remarkably enlarged prostate, history of prostate cancer or those undergoing prostate cancer treatment, uncontrolled heart failure.

After the treatment

Your hormone levels will start to improve. The hormonal balance will be accompanied by several positives changes in your body which include: A surge in your libido, growth in the muscle mass, improved capacity to build muscle easily, a rise in energy levels and enhanced mood.

Side Effects of Testosterone

While treatment can enhance a person’s quality of life we must also support our patients for their over all healthcare. At Iron Mountain Men’s Health, we regularly monitor your hormone levels in your blood closely. This helps to limit side effects and allows us to adjust the levels efficiently.

There is an increased risk of a worsening of prostate-related issues such as prostate cancer and benign prostatic hyperplasia(BPH), changes in red blood cell level, cholesterol level, hormone levels, and PSA level, hair loss, mood changes, breast growth, testicular shrinkage, decreased sperm count, acne, worsening of sleep apnea.

Treatment may or may not increase the risk of heart attack and death in those with or without heart disease. The FDA requires that testosterone replacement products carry a warning about the risk of blood clots in veins.

Low Testosterone Treatment Options

The treatment for low testosterone via TRT is available in oral, topical and injectable forms. Not all options are appropriate for everyone. At Iron Mountain Men’s Health we will customize a treatment plan that fits your needs

Can Low Testosterone Cause ED?

Yes, it can inhibit sexual function, and sex drive and can effect men in other ways including erectile dysfunction

At Iron Mountain Men’s Health we will analyze your hormone levels and determine if certain treatments might restore your virility as well as ensuring this is a safe option for you. In many cases, optimizing your testosterone and other hormone levels can lead to a more robust life.