Category Archives: Testosterone Replacement Therapy

This article was originally published here

Int J Impot Res. 2021 Nov 19. doi: 10.1038/s41443-021-00498-5. Online ahead of print.

ABSTRACT

The events of the 2019 SARS-CoV2 virus pandemic have all but ensured that telemedicine will remain an important aspect of patient care delivery. As health technologies evolve, so must physician practices. Currently, there is limited data on the management of testosterone replacement therapy (TRT) in the era of telemedicine. This review aims to explore the potential benefits and pitfalls of TRT management via telemedicine. We also propose a theoretical framework for TRT management via telemedicine. Telemedicine provides patients and physicians with a new mechanism for American Urological Association guideline-concordant TRT management that can increase patient access to care and provide a safe space for men who may otherwise not have been comfortable with in-person evaluation. However, there are significant limitations to the use of telemedicine for the management of TRT, including the inability to perform a physical exam, inability to administer specific medications, technological barriers, data security, and medical-legal considerations, and both patients and providers should engage in shared decision making before pursuing this approach. Understanding and acknowledging the potential pitfalls of telemedicine for TRT management will enable both patients and providers to achieve optimal outcomes and satisfaction.

PMID:34799712 | DOI:10.1038/s41443-021-00498-5

See the article here:
Testosterone replacement therapy in the era of telemedicine - DocWire News

Gender-affirming services have evolved quite a bit in the last 50 years, but we still have a long way to go.

Image Credit: LIVESTRONG.com Creative

From "genderqueer" to "gender-affirming care," the newest terminology in the LGBTQ+ community does much more than slap a new label on an old idea. The words we're now using to identify patients and their health care needs show that the goals of care providers are becoming more closely aligned with the needs of transgender and gender-nonconforming people.

The best part? Gender-affirming care isn't just helping a small fraction of the population; it's making health care better for everyone.

What Is Gender-Affirming Care?

Gender-affirming care describes an array of health services that alleviate the suffering associated with gender dysphoria, defined in the latest edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) as clinically significant distress or impairment related to a strong desire to be of another gender.

But gender-affirming care is more than hormones and surgery. "At its core, it's about seeing the whole person, affirming them exactly as they are," J. Aleah Nesteby, nurse practitioner, former director of LGBTQ services for Cooley-Dickinson Hospital and a clinician and educator with Transhealth Northampton, tells LIVESTRONG.com.

Gender-affirming care isn't just a new way to say "sex change." And that's important, because how trans and gender-nonconforming people's identities and experiences are named and described reflect our broader cultural values of diversity, equity of access and consent.

While language like "sex reassignment" or "gender-confirmation surgery" used to be accepted, today it is recognized that sex assignments at birth are an unscientific guess at best, and that only the individual can confirm their own gender. We don't know everything there is to know about gender, but we know it is evident in early childhood, and no amount of therapy or conditioning can change a person's innate sense of their gender, according to a landmark article in the March 2006 issue of the OAH Magazine of History.

Gender-affirming care allows a patient to change their sex characteristics, bringing their minds and bodies into greater alignment, while continuing to receive a lifetime of competent care from providers who recognize that the challenges people who are trans and gender-nonconforming or nonbinary (TGNC) face are not just medical, but social. This type of care goes far beyond treating dysphoria to acknowledge the physical differences of postoperative bodies and the stress of living with transphobia.

More than 50 years after the first gender clinic (that is, a center that provides transition-related services) opened its doors, gender-affirming care is no longer experimental. The June 2017 issue of The Journal of Sex and Marital Therapy describes it as the best, most effective treatment for gender dysphoria.

The authors behind a March-April 2021 paper in The International Brazilian Journal of Urology agree, adding that gender-affirming care enjoys a very high rate of patient satisfaction. According to the most recent World Professional Association for Transgender Health (WPATH) Standards of Care (SoC), published in 2012, satisfaction rates range from 87 to 97 percent and regrets are rare, topping out at just 1.5 percent.

Who Needs Gender-Affirming Care?

As we mentioned, gender-affirming care directly benefits people with gender dysphoria. About 44 million people worldwide have a diagnosis of gender dysphoria, according to The International Brazilian Journal of Urology paper mentioned above. But estimates like these likely underreport the true figures, according to WPATH.

In previous editions of the DSM, the desire to be of another gender was described as a disease doctors were meant to cure; but today, we embrace a diversity of gender identities as healthy and normal. Still, gender dysphoria can cause distress or impairment, and a person with the condition may want to change their body's primary and/or secondary sex characteristics through hormones, surgery and other procedures.

In the U.S., there are about 1 million TGNC people, a number that is expected to continue rising, according to the January 2017 issue of the American Journal of Public Health. But not everyone who is TGNC wants or needs gender-affirming services.

That's because a diagnosis of gender dysphoria is completely separate from a person's gender identity or sexual orientation. Transgender people, for example, have a gender identity or expression that's different from the sex they were assigned at birth. But that doesn't automatically mean they want to change their sex characteristics, or that this difference causes them the stress or impairment marked by gender dysphoria.

Similarly, people who do not feel strictly like a man or a woman all the time might identify as nonbinary, gender-nonconforming, genderqueer or with another label to describe their gender. Nonbinary people (also called "enby" or "enbies") are a fast-growing demographic, making up about 35 percent of the trans community, according to the June 2019 issue of Translational Andrology and Urology. Like men and women, enbies can be straight, gay, bisexual, asexual or identify with another sexual orientation. And like other trans people, enbies may seek gender-affirming care, or they may not.

For people who do want gender-affirming services, though, this approach to treating gender dysphoria has been overwhelmingly successful, and has been the standard of care for more than 30 years.

Gender-Affirming Care Is Patient-Centered Care

The first U.S. gender clinics only accepted patients who would complete a social, legal and medical transition that resulted in a perfect binary: a heterosexual man or woman who "passed" as such in society, and who retained no reproductive capacities associated with the sex assigned to them at birth.

Retention of reproductive capacity is a human rights issue. In the past, certain areas of the country and some clinics and private practices had policies that required transgender people be sterilized before they were issued corrected documentation of their sex or access to gender-affirming care. These policies are now recognized as a serious breach of human rights.

But obstacles to getting corrected legal documents still exist in some states, and there are medical providers who still insist on sterilization before performing reconstructive genital surgery. Yet patients are pushing back, and finding surgeons who will work with them to achieve outcomes that treat symptoms without sacrificing fertility.

James, who first sought gender-affirming care in 2001, wanted to keep his options open. (Several of the people LIVESTRONG.com interviewed for this story asked to be identified by their first names only for privacy reasons.) Now married, he and his wife are using reciprocal in-vitro fertilization (IVF) to grow their family. In this process, an egg from James is harvested and fertilized using donor sperm; the resulting zygote is implanted in his wife's uterus. James has already gone through one successful round of egg retrieval. If all goes well, his wife will experience a normal, healthy pregnancy, and both parents will have a biological connection with their child.

IVF technology has been available for more than 40 years; the innovation is in putting a high priority on James' desired outcomes from gender-affirming treatment. Under the model of care most doctors used to be trained in, medical experts would assess James, diagnose him and decide how to treat him, all without asking him what he wants.

In the informed consent model, on the other hand which is the backbone of gender-affirming care communication between patient and physician is intended to allow the patient to make educated choices about their care. This approach isn't just for TGNC patients: Informed consent increases patient satisfaction across the board. "Over time, most of the prescribing world has caught up to the informed consent model, and now it's seen as the standard of care," Nesteby says.

"Fifteen years ago when I entered practice, the bar was so low for providers in terms of who was considered good and trans competent," Nesteby says. "Now, expectations have changed. Patients, especially younger people, expect providers to talk to them about their options, including what's outside the typical standards of care."

Joshua Tenpenny's experience with gender-affirming care illustrates this point. Tenpenny is a massage therapist who lives as a man and identifies as nonbinary. When he sought genital surgery years ago, he wanted a nonbinary outcome neither male nor female so he looked for a surgeon who was open to an experimental approach, he tells LIVESTRONG.com.

The initial procedure was not entirely successful, and the surgeon was reluctant to perform a revision, but Tenpenny says he may try again in the future with another provider to achieve the results he envisioned. All procedures come with risks of complications and failure, and despite the outcome, Tenpenny found that not being confined to a small menu of options for bottom surgery has been an empowering experience.

The History of Gender-Affirming Care in the U.S.

The concept of gender-affirming care first reached most Americans in 1952 when Christine Jorgensen's transition from male to female made headlines. The first gender clinic in the U.S. opened in 1966 at Johns Hopkins. Backed by the most influential professionals in transgender care, the Harry Benjamin International Gender Dysphoria Association today the World Professional Association for Transgender Health (WPATH) became the standard-bearer in the early 1980s.

But through the '80s and early '90s, seeking gender-affirming care continued to be an isolating experience, with cruel barriers like the "real-life test," in which people with gender dysphoria were only allowed to access hormones and surgery after six months, a year or longer living successfully in the target gender. For trans people who did not pass, the dangers of the real-life test ranged from harassment, unemployment and homelessness to violence and death.

Today, trans people are rewriting the standards for their own care. The WPATH Standards of Care, which have been broadly adopted worldwide, are in their seventh edition. Authors of the most recent version and the current board of WPATH include trans professionals: people who have a TGNC identity as well as cultural competency and expertise in the medical care of TGNC people. Even more significantly, stakeholders in gender-affirming care TGNC people, their families and their caregivers are changing health care for the better, making it easier to access and using informed consent to customize treatment to a patient's individual needs.

These changes are allowing people like Ian, who identifies as nonbinary, to receive the care they want. "When I first learned that the Standards of Care had been updated to include nonbinary people back in 2013, I made an appointment at Fenway Health in Boston in the hope of starting HRT [hormone replacement therapy]," Ian recalls. "I'd known that I was genderqueer and wanted to go on T since 2001, but I hadn't been willing to lie about my identity by pretending to be binary trans to obtain it."

Still, past versions of the SoC continue to influence the law, health insurance practices and guidelines developed by health care providers. Levi Diamond, a 43-year-old trans man, was recently told by surgeons that they would not perform top surgery on him (to alter the appearance of his chest) until he had lived a year in the male role. The current SoC criteria for mastectomy and creation of a male chest in transmasculine patients make no mention of a real-life test, but some providers crafted their own guidelines years ago, based on older versions of these standards, and have not updated their policies to reflect advances in care.

Similarly, Katy sought gender-affirming care after learning she was born with Klinefelter syndrome, a chromosomal difference of sexual development. Genetically XXY, people with Klinefelter syndrome are assigned male at birth. The signs of having an XXY karyotype versus the more common XY for boys can be subtle and difficult to discern, and those with Klinefelter syndrome are frequently unaware of their genetic difference from XY men and boys.

After a karyotype test confirmed her doctor's diagnosis, Katy was referred to an endocrinologist. Male hormones are often prescribed to treat symptoms of Klinefelter syndrome, but Katy asked for a prescription for estrogen. Disregarding her request and focusing on her intersex diagnosis, Katy's endocrinologist prescribed her testosterone. By doing so, he exemplified the bias many trans people encounter in seeking care, and the limits of the "pathology" model of care.

After nine months on testosterone, Katy was more certain than ever that male hormones were not for her. Years later, she found a more patient-affirming health care provider and began feminizing hormone therapy, a decision she knew was right within days of beginning treatment. Now 50, Katy has had four gender-affirming surgeries.

Innovations in Gender-Affirming Care

Both acknowledgment by the medical profession that gender-affirming care is medically necessary and laws preventing discrimination against TGNC people have led to an increase in gender-affirming services, according to a February 2018 article in The Washington Post. Coverage by health insurance has created greater access to care, which has also driven demand. The growing market has led more professionals to specialize in gender-affirming services, and more procedures have led to improvements, making treatments safer. Surgical results are also more aesthetic and more functional.

The typical order in which gender-affirming care is applied mental health services before HRT, then chest surgery, and finally, lower surgery has not changed, but protocols have evolved, and the sequence is more flexible in patient-affirming care models that use informed consent and harm reduction.

Usually, someone with gender dysphoria begins gender-affirming care with a mental health professional who diagnoses them and helps them decide on priorities and address concerns related to the next phase of treatment. Patients may be referred for hormone therapy in coordination with mental health treatment, or they may be assessed and prescribed by a physician.

It's a common misconception that gender-affirming care must be handled by a specialist. "A lot of people think you need to see an endocrinologist to be on hormones," Nesteby says. "It's not necessary for every person. A lot of cases can be managed in primary care." She compares HRT to diabetes care, which is typically handled by primary care providers.

About 80 percent of TGNC people will seek HRT, according to Jerrica Kirkley, MD, co-founder and chief medical officer of Plume, which provides gender-affirming care using telemedicine in 33 U.S. states. HRT in TGNC patients usually involves administering estrogen, testosterone and/or hormone blockers to achieve blood levels typical among cisgender people.

In the late 1960s, transgender patients were warned their surgical outcomes from what's collectively called "lower surgery" or "bottom surgery" would not resemble the genitals of cisgender women and men. For trans women, a vagina that could be penetrated by a penis was considered the only functional goal of surgery. By contrast, in the November 2013 issue of Sexual and Relationship Therapy, researchers note that patient satisfaction is now a well-accepted tool for measuring whether a health care service has been successful.

By the late 1980s, surgeons offered vulvoplasty creation of the labia and clitoris and were able to preserve sensation in the new structures. In recent years, the surgical results of transfeminine vaginoplasty closely resemble the cultural ideal, and 80 percent of trans women surveyed were orgasmic following lower surgery, The Journal of Sexual Medicine reported in February 2017. In Plastic and Reconstructive Surgery in June 2018, it was reported that 94 percent of one surgeon's patients, treated over a 15-year period, were pleased with the results overall and would repeat the procedure.

Bottom surgery for trans men has also come a long way. There are two general categories: metoidioplasty and phalloplasty. The former takes advantage of the physical changes caused by testosterone therapy, which include the growth of the clitoris (the analogous organ to the penis). This larger clitoris becomes a penis that retains sexual function and sensitivity but may be too short for penetration. The latter creates a penis using a graft taken from the forearm, thigh or abdomen, which looks and functions like that of a cisgender man but doesn't always retain sensation.

In an article in the May 2021 issue of The Journal of Sexual Medicine on patient satisfaction with transmasculine lower surgery, two-thirds were satisfied with the appearance of their genitals after surgery, but only one-third were satisfied with sexual function. However, 82 percent were happy with the effects of the operation on their masculinity.

Chest or "top surgery," sought by up to a quarter of people with gender dysphoria, has been about twice as common as lower surgery among patients seeking gender-affirming care, according to the Translational Andrology and Urology article. Today, there are methods available to retain greater sensation and result in less scarring for chests of all sizes.

Besides "top" and "bottom" surgeries, other procedures for masculinizing or feminizing the appearance to reduce gender dysphoria include facial feminization surgery (FFS), which is a category of aesthetic procedures including hairline correction, rhinoplasty and jaw reduction. Hair removal, nipple tattoos, vocal training, facial masculinization surgery, liposuction and other cosmetic procedures may also help treat gender dysphoria.

Hair removal has emerged as a critical gap in access to care for people using health insurance to pay for lower surgery. It is medically necessary preoperative treatment, delivered by a licensed professional. In a catch-22, though, hair removal has traditionally been offered in clinics that do not accept health insurance, because their services have not been covered in the past. "No one was credentialed to get covered by insurance," Nesteby explains. "Now you have this necessary service, but people are still having to pay out of pocket. That's been an access issue we only realized after insurance started covering surgery."

How to Access Gender-Affirming Care

The people who responded to interview requests for this article reported starting their search for gender-affirming care with a primary care physician, or through a clinic for underserved sexual minorities. Callen Lorde in New York City, Lyon Martin in San Francisco and Tapestry in Greenfield, Massachusetts, all came up in interviews. "I had an excellent experience with the Equality Health Center in Concord, New Hampshire," Ian says. "EHC offers informed consent as an access protocol for HRT. This fit well with my personal goals and preferences."

A major hurdle in accessing gender-affirming care is that, often, finding one educated and trans-competent provider isn't enough, because TGNC people need a lifetime of treatment.

For example, if a patient has surgery at a center hundreds of miles away, then experiences a complication after returning home, local emergency medical service providers must understand the treatment the patient has received and how his body differs from their expectations in order to properly care for him.

Similarly, trans women who have had vaginoplasty need urological and gynecological services that are different from the care appropriate for a cisgender man or woman. Yet both patients and physicians have reported a lack of provider competence, per an August 2021 paper in the Journal of Gynecologic Surgery.

Using a clinic whose mission is to serve the transgender community does not guarantee competent care either. In fact, one interview subject treated by a big-city provider focusing on the TGNC community routinely felt they mismanaged a common side effect of HRT, causing him distress when his dysphoric symptoms returned. Rather, gender-affirming care can come from small towns, family doctors and providers who don't specialize in TGNC care.

But it takes more than good intentions to provide appropriate care: It requires ongoing medical and cultural competency training. Many patients rely on word of mouth, transgender community message boards and online directories to find competent providers. A directory of transgender-aware care providers is available through the WPATH Global Education Institute, which offers a 50-hour training program to its members. (Patients can search for WPATH members who are care professionals here.)

"Gender-affirming services have evolved quite a bit in the last 50 years, but there's still a great lack of access," Dr. Kirkley says. "Primary care is improving, but there is no standardized curriculum of gender-affirming care in medical schools, nursing schools and public health programs. We still have a long way to go."

More recently, in the age of COVID-19, telemedicine is helping to close another gap in access: geography.

"Virtual care has changed the dynamics of all health care dramatically," Dr. Kirkley says. Insurance began to routinely cover telemedicine during the novel coronavirus pandemic, making trans-aware providers available to patients who would not have otherwise been able to access their services. "Before COVID there was a lot of doubt [that telemedicine is effective], but [the shutdown] has really validated the model. As an innovation in health care delivery, it has enabled Plume and other providers to provide gender-affirming care."

Still, the changes that have come with gender-affirming care benefit more than the TGNC community. People in all walks of life can appreciate the greater access telemedicine brings and the revolution in patient-centered care.

"I think that one of the benefits that cisgender, heterosexual people don't see about gender-affirming care or trans visibility is that it helps everybody," Nesteby says. "It's not only trans people who suffer from rigid boxes we put people in. When we don't force people into binaries, everybody wins."

Follow this link:
Gender-Affirming Care: What It Is and How to Find It - Livestrong

Cne Lpez is a trans health reporter for Insider. Canela Lpez/Insider

I started hormone replacement therapy to treat my gender dysphoria in April.

I've found the online trans community more helpful at times than my actual endocrinologist.

Partly because of a lack of research on transition-related care, finding information can be hard.

Editor's note: This article is not medical advice. Consult a healthcare professional regarding questions about diagnoses and treatment.

I started hormone replacement therapy in April, the same day Arkansas passed the first trans medical ban in the United States, barring trans youth from accessing gender-affirming care.

With the heaviness of the wave of anti-trans legislation on my mind, I felt fortunate to have access to an endocrinologist after nearly a year of back-and-forth with insurance and several attempts with less trans-competent doctors.

I wanted to start testosterone-based HRT to treat my lifelong gender dysphoria, or extreme distress related to my body and gender, that has affected me as a transmasculine nonbinary person. I started testosterone therapy to deepen my voice, make myself a little more muscular, and overall become more comfortable in my body.

As someone who has insurance that covers gender-affirming care and lives in a major city, I am incredibly privileged.

I microdose HRT, meaning I take a smaller amount of testosterone for more gradual changes over a longer period of time. When I told my endocrinologist in New York City that I wanted to stay on a microdose long-term, he said he could write me the prescription but had to be transparent about the lack of research available on it. When I asked him what changes I could expect for my body, he told me he didn't know, even after I pressed for more information.

The only place I've been able to turn to for concrete answers on how to achieve the results I wanted - like a deeper voice and larger muscles - was online platforms like Reddit.

Story continues

Hormone replacement therapy as a form of treatment for the gender dysphoria that trans people experience has been around since the 1920s. But treatment protocols have been slow to shift.

Because of a lack of research on the effects of different HRT options, even trans-competent medical providers are left with few concrete studies to cite when patients ask questions, and physicians receive few hours of LGBTQ+-specific training.

One of the first questions I asked my doctor was which kind of injection I should opt for to get the most dramatic effects, which for me included a deeper voice, more muscle definition, and fat redistribution.

While small studies have suggested that subcutaneous injections (injection into the fat) could help retain testosterone in the body for longer between shots, my doctor told me there wasn't enough conclusive data to confirm this. I ended up opting for intramuscular injections and was dissatisfied with how long it took to see physical changes.

In the first month of taking HRT, the skin around my jaw thickened. When I went back to the doctor and asked how long it would take for my jawline to reemerge, he told me there wasn't enough research out there for him to give me a timeline.

Puffy-faced and feeling lost, I turned to the internet for understanding.

My friends who had started HRT before me recommended going on Reddit to find specific answers about where I should inject my T for the most effective results.

There I found several subreddits, like r/FTM and r/genderqueer, where people shared similar concerns and got their questions answered by a community of trans people who had taken testosterone. That's how I found out about the small study suggesting subcutaneous injections could keep testosterone in your system longer than intramuscular injections. So I switched, and I am much happier with the results.

My only sense of understanding about my body during this process came from other trans people willing to share their experiences with HRT.

Even close friends who have been on testosterone have been more helpful in some ways to my transition than my doctor.

One of my friends has a more radical endocrinologist willing to talk about experimental treatments that have anecdotally worked on patients, so I often chat with them about what they've learned so I can take questions back to my own doctor. My other friend lives on the internet and can name trans subreddits at the drop of a hat, so they offer their knowledge.

My friends and I doctor one another in many ways, trading information like playing cards.

Trans Reddit forums became a haven of support for me when so many of my medical concerns went unanswered through official channels. While I can only take the experiences of others with a grain of salt, they have been a huge comfort during a nerve-wracking process.

Read the original article on Insider

Read more here:
I'm a trans person who recently started testosterone, and Reddit was more helpful than my doctor - Yahoo News

Editor's note: This article is not medical advice. Consult a healthcare professional regarding questions about diagnoses and treatment.

I started hormone replacement therapy in April, the same day Arkansas passed the first trans medical ban in the United States, barring trans youth from accessing gender-affirming care.

With the heaviness of the wave of anti-trans legislation on my mind, I felt fortunate to have access to an endocrinologist after nearly a year of back-and-forth with insurance and several attempts with less trans-competent doctors.

I wanted to start testosterone-based HRT to treat my lifelong gender dysphoria, or extreme distress related to my body and gender, that has affected me as a transmasculine nonbinary person. I started testosterone therapy to deepen my voice, make myself a little more muscular, and overall become more comfortable in my body.

As someone who has insurance that covers gender-affirming care and lives in a major city, I am incredibly privileged.

I microdose HRT, meaning I take a smaller amount of testosterone for more gradual changes over a longer period of time. When I told my endocrinologist in New York City that I wanted to stay on a microdose long-term, he said he could write me the prescription but had to be transparent about the lack of research available on it. When I asked him what changes I could expect for my body, he told me he didn't know, even after I pressed for more information.

The only place I've been able to turn to for concrete answers on how to achieve the results I wanted like a deeper voice and larger muscles was online platforms like Reddit.

Hormone replacement therapy as a form of treatment for the gender dysphoria that trans people experience has been around since the 1920s. But treatment protocols have been slow to shift.

Because of a lack of research on the effects of different HRT options, even trans-competent medical providers are left with few concrete studies to cite when patients ask questions, and physicians receive few hours of LGBTQ+-specific training.

One of the first questions I asked my doctor was which kind of injection I should opt for to get the most dramatic effects, which for me included a deeper voice, more muscle definition, and fat redistribution.

While small studies have suggested that subcutaneous injections (injection into the fat) could help retain testosterone in the body for longer between shots, my doctor told me there wasn't enough conclusive data to confirm this. I ended up opting for intramuscular injections and was dissatisfied with how long it took to see physical changes.

In the first month of taking HRT, the skin around my jaw thickened. When I went back to the doctor and asked how long it would take for my jawline to reemerge, he told me there wasn't enough research out there for him to give me a timeline.

Puffy-faced and feeling lost, I turned to the internet for understanding.

My friends who had started HRT before me recommended going on Reddit to find specific answers about where I should inject my T for the most effective results.

There I found several subreddits, like r/FTM and r/genderqueer, where people shared similar concerns and got their questions answered by a community of trans people who had taken testosterone. That's how I found out about the small study suggesting subcutaneous injections could keep testosterone in your system longer than intramuscular injections. So I switched, and I am much happier with the results.

My only sense of understanding about my body during this process came from other trans people willing to share their experiences with HRT.

Even close friends who have been on testosterone have been more helpful in some ways to my transition than my doctor.

One of my friends has a more radical endocrinologist willing to talk about experimental treatments that have anecdotally worked on patients, so I often chat with them about what they've learned so I can take questions back to my own doctor. My other friend lives on the internet and can name trans subreddits at the drop of a hat, so they offer their knowledge.

My friends and I doctor one another in many ways, trading information like playing cards.

Trans Reddit forums became a haven of support for me when so many of my medical concerns went unanswered through official channels. While I can only take the experiences of others with a grain of salt, they have been a huge comfort during a nerve-wracking process.

View post:
I'm trans and take testosterone. Reddit helps more than my doctor. - Insider

Source: |Updated: Nov 05, 2021, 08:40 PM IST

It is a misconception that menopause affects only women. Globally, men are also victims of this hormonal disorder. After a man reaches the age of 30 years, his testosterone levels gradually decrease, falling an average of one per cent each year. But in India, unlike women, men suffering from menopause take it as stigma and shame on their manhood and do not seek medical help to overcome it.

While in advancing age, women fear menopause and consider it as a normal hormonal change that takes away their womanhood. In western countries, some women opt for Hormone Replacement Therapy (HRT). Hence, HRT is seen as one treatment option for men menopause too. However, experts recommend raising awareness on lifestyle modification to overcome men menopause and suggest avoiding rushing to HRT.

Dr Kishore Pandit, IVF & Fertility Specialist says, Like women, men also undergo menopause, called-Andropause. Medically, we describe it as ageing-related hormone changes in men. When a mans testosterone levels decline on average about 1% a year after age 40, it leads to menopause among men. It is considered a stigma and shameful so men avoid treatment. Hence, we have to increase awareness about the same.

Experts do consider HRT as an option for treatment for menopause both in women and men. The fertility of men is affected by menopause. However, the experts do not believe that the natural, age-related drop in testosterone levels is to blame for male menopause symptoms. There isn't enough data to classify male menopause as a diagnosable medical illness. Hot flushes, impatience, fat build-up around the abdomen and chest, loss of muscle mass, dry, thin skin, and excessive sweating are all possible symptoms. The most prevalent symptoms of male menopause, according to a study published in the New England Journal of Medicine (NEJM), are decreased libido, a lower frequency of morning erections, and erectile dysfunction. As a result of the decrease in male hormone levels, depression and weariness may develop.

According to Dr Archana Dhawan Bajaj, Gynaecologist, Obstetrician and IVF Expert, menopause is a progressive event. It may be visible at the age of 50 and affects people individually depending upon their health conditions. Menopause in men does not manifest in the same way that it does in women. On the other hand, it can have an impact on fertility. Hormone replacement therapy can be explored as a treatment option if testosterone levels are dangerously low, adds Dr Bajaj.

Experts say that fertility in men is influenced by several other factors such as low self-esteem, lack of sexual drive, a sense of incompetence or being old. Hence, it is very important to make men aware of it.

Dr Kishore recommends taking good, regular, long walks, training gently but regularly with weights, eating a low-carb, high protein diet, getting a good eight hours of sleep every night, avoiding stress and overcoming addictions- like alcohol and smoking.

Overall, lifestyle modification and dietary changes can make this transition easygoing. The role of Hormone Replacement Therapy in this is still uncertain, he emphasizes.

The experts also emphasize that one should always consult a well experienced and qualified expert before opting for any treatment options including HRT. According to them, menopause poses a health threat to men and it should be taken seriously so that men get the support they need.

Originally posted here:
Male Menopause: Know what it is and how it affects male fertility - DNA India

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Competitive Landscape with Key players:

Abbott Laboratories, Novartis, Pfizer Inc, Mylan Laboratories, Merck and Co, Novo Nordisk, Bayer Healthcare, Eli Lilly, Genentech

Hormone Replacement Therapy Market Taxonomy

Segmentation by Product: Estrogen Hormone Replacement Therapy, Human Growth Hormone Replacement Therapy, Thyroid Hormone Replacement Therapy, Testosterone Hormone Replacement Therapy.

Segmentation by Route of Administration: Oral, Parenteral, Transdermal, Others.

Segmentation by Type of Disease: Menopause, Hypothyroidism, Male Hypogonadism, Growth Hormone Deficiency, Others.

Regional Outlook: The Hormone Replacement Therapy Market

The current study analyzes the Hormone Replacement Therapy Market thoroughly. Research is also conducted for Russia, China, the United States, Taiwan, Germany, the United Kingdom, Italy, Japan, South Korea, Canada, France, Mexico, and Southeast Asia. It is expected that North America, Europe, Asia-Pacific, Latin America, and the rest of the world have the largest prudence in the Hormone Replacement Therapy market world.

Among other things, this report calculates factors that contribute to regional growth, such as the environment, Hormone Replacement Therapy market economic progress, and social factors. In the analysis, regional production records, revenue information, and manufacturer data were studied globally. Revenue and volume projection consider regional differences.

This report offers understanding into the accompanying variables:

Understanding Business Sector Development: This research provides a far-reaching outlook of the items provided by the top influencing players in the global Hormone Replacement Therapy market.

Advancement of new items: Reports anatomize the most latest innovative turns of events, innovative business strategies, and item dispatches.

Evaluating the cutthroat scene: Comprehensive investigation of market systems, geographic introduction, and item fragments of the markets prominent players.

Advancement of new business sectors: An cumulative manual for developing business sectors. Various areas are inspected across topographies in this report.

Market Expansion: The complete overview of progress and interests in the worldwide Hormone Replacement Therapy market, like new items, undiscovered topographies, and current patterns.

Get a Sample Copy Of Hormone Replacement Therapy Market Research Report Here: https://marketresearch.biz/report/hormone-replacement-therapy-market/request-sample

Significant incorporation in the Hormone Replacement Therapy market report:

Impacts of the Covid 19 on progress status, temporarily and long haul.

A portion of the business crucial patterns.

Income, volume, and deals insights are included in this report.

Mentioned development possibilities.

Market and submarket development estimations.

Roundabout and direct deals channels: positives and negatives.

Hormone Replacement Therapy market sellers, dealers, and merchants are on the top of the list.

The labor force size and rebuild spaces of each organization are crucial subtleties.

Items and administrations are provided by the important players on the lookout.

Data from each organization in regard to its calculating model, deals volumes, net income, working interest, and a portion of the complete industry.

Itemized information on showcasing strategies, highlight the market, commercialization rates, just as other business-related information.

Table of Content

Section 1: Global Hormone Replacement Therapy Industry Outlook

Section 2: Global Economic Effect on Hormone Replacement Therapy Industry

Section 3: Global Market Competition by Industry Key Players

Section 4: Global Productions, Revenue (Value), with respect to the Regions

Section 5: Global Supplies (Production), Consumption, Export, Import, globally

Section 6: Global Productions, Revenue (Value), Current Trend, Price, Product Type

Section 7: Global Market Study, on the basis of Application

Section 8: Hormone Replacement Therapy Market Pricing Study

Section 9: Market Chain Analysis, Sourcing Strategy, and Downstream Buyers

Section 10: Business strategies and vital policies by Distributors/Suppliers/Traders

Section 11: Key Marketing Strategy Study, by Key Vendors

Section 12: Market Growth Driver Analysis and Their Impact Study

Section 13: Global Hormone Replacement Therapy Market Forecast

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Hormone Replacement Therapy Market Rise in Sustainability Around The World 2021 2030 - Taiwan News

DBMR has added another report named Global Osteoporosis Drug Market with information Tables for recorded and figure years addressed with Chats and Graphs spread through Pages with straightforward definite examination. The a-list report concentrates on broad assessment of the market development expectations and limitations. The systems range from new item dispatches, extensions, arrangements, joint endeavors, organizations, to acquisitions. This report includes profound information and data on what the markets definition, characterizations, applications, and commitment and furthermore clarifies the drivers and restrictions of the market which is gotten from SWOT investigation. Worldwide market examination report serves a great deal for the business and presents with answer for the hardest business questions. While making Global Osteoporosis Drug Market report, examination and investigation has been completed with one stage or the mix of a few stages relying on the business and customer necessities.

Market definition canvassed in the predominant Global Osteoporosis Drug Market advertising report investigates the market drivers that show factors causing ascend in the market development and market limitations which demonstrate the components causing fall in the market development. It helps clients or other market members to know about the issues they might confront while working in this market throughout a more extended timeframe. This statistical surveying report additionally concentrates on utilization of market, central participants included, deals, value, income and portion of the overall industry with volume and an incentive for every area. The greatness and straightforwardness proceeded in business research report makes acquire the trust and dependence of part organizations and clients.

Download Exclusive Sample Report (350 Pages PDF with All Related Graphs & Charts) @https://www.databridgemarketresearch.com/request-a-sample/?dbmr=global-osteoporosis-drug-market&pm

Global Osteoporosis Drug Market By Type (Primary Osteoporosis and Secondary Osteoporosis), Therapy Type (Hormone replacement therapy and Bisphosphonate therapy), Treatment Type (Medication and Surgery), Mechanism of Action Type (Bisphosphonates, Selective Estrogen Receptor Modulators and Bone Resorption Inhibitors), Route of Administration Type (Oral, Intravenous, Subcutaneous), End- Users (Hospitals, Homecare, Specialty Clinics, Others), Geography (North America, South America, Europe, Asia-Pacific, Middle East and Africa) Industry Trends & Forecast to 2026

Global Osteoporosis Drug Research Methodology

Data Bridge Market Research presents a detailed picture of the market by way of study, synthesis, and summation of data from multiple sources. The data thus presented is comprehensive, reliable, and the result of extensive research, both primary and secondary. The analysts have presented the various facets of the market with a particular focus on identifying the key industry influencers.

Major Drivers and Restraints of the Osteoporosis Drug Industry

Increases prevalence of osteoporosis worldwideVulnerable aging population of menopause womenEmergence of drugs used in the treatment of celiac disease, inflammatory bowel disease, hyperthyroidism, chronic obstructive pulmonary disease (COPD) and bone marrow cancerAccelerates demand of novel therapies and newer development

Strategic collaboration and licensing deal between the companiesRising awareness about treatment and technological advancement is driving the growth of marketEffective treatment is either unavailable or unaffordable.Patent expiry from many companies and introduction of generic drugs of branded version is expected to restrain the growth if the marketInadequate knowledge about osteoporosis in some developing countries

Complete report is available (TOC) @https://www.databridgemarketresearch.com/toc/?dbmr=global-osteoporosis-drug-market

The titled segments and sub-section of the market are illuminated below:

By Type

Primary OsteoporosisPostmenopausal OsteoporosisSenile OsteoporosisIdiopathic OsteoporosisSecondary Osteoporosis

By Therapy Type

Hormone replacement therapy (HRT)Testosterone replacement therapyEstrogen therapyBisphosphonate therapy

By Treatment Type

MedicationCalcium and Vitamin D supplementsAntacidsSurgeryVertebroplastyKyphoplastyOthers

By Mechanism of Action Type

BisphosphonatesAlendronateIbandronateRisedronateZoledronicSelective Estrogen Receptor Modulators (SERMs)RaloxifeneBone Resorption InhibitorsDenosumab

By Route of Administration

OralIntravenousSubcutaneous

By End Users

HospitalsHomecareSpecialty ClinicsOthers

Top Players in the Market are:

Few of the major competitors currently working in the global osteoporosis drug market are Allergan, Amgen Inc, Astellas Pharma Inc, AstraZeneca, Daiichi Sankyo Company, Limited, Eli Lilly and Company, Teijin Pharma Limited, Stelis Biopharma, Radius Health, Inc, Pfizer Inc, Ono Pharmaceutical Co., Ltd, Novartis AG, Mochida Pharmaceutical Co., Ltd, Mereo BioPharma Group plc, Merck & Co., Inc, Gedeon Richter (UK) Ltd, F. Hoffmann-La Roche Ltd, Novo Nordisk A/S, Cipla Inc, UCB SA, Teva Pharmaceutical Industries Ltd and among others.

Any query? Enquire Here For Discount Or Report Customization:@https://www.databridgemarketresearch.com/inquire-before-buying/?dbmr=global-osteoporosis-drug-market&pm

Some of the Major Highlights of TOC covers:

Chapter 1: Methodology & Scope

Definition and forecast parameters

Methodology and forecast parameters

Data Sources

Chapter 2: Executive Summary

Business trends

Regional trends

Product trends

End-use trends

Chapter 3: Osteoporosis Drug Industry Insights

Industry segmentation

Industry landscape

Vendor matrix

Technological and innovation landscape

Chapter 4: Osteoporosis Drug Market, By Region

Chapter 5: Company Profile

Business Overview

Financial Data

Product Landscape

Strategic Outlook

SWOT Analysis

Thanks for reading this article, you can also get individual chapter wise section or region wise report version like North America, Europe or Asia.

Contact:

Data Bridge Market Research

US: +1 888 387 2818

UK: +44 208 089 1725

Hong Kong: +852 8192 7475

Corporatesales@databridgemarketresearch.com

About Data Bridge Market Research:

An absolute way to forecast what future holds is to comprehend the trend today!Data Bridge set forth itself as an unconventional and neoteric Market research and consulting firm with unparalleled level of resilience and integrated approaches. We are determined to unearth the best market opportunities and foster efficient information for your business to thrive in the market. Data Bridge endeavors to provide appropriate solutions to the complex business challenges and initiates an effortless decision-making process.

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Global Osteoporosis Drug Market Size and Analysis, Services With Its Application and Access Type by Future Forecast 2021-2028 EcoChunk - EcoChunk

THE menopause is often dismissed as just a few hot flushes.

But it can cause everything from brain fog and brittle bones to depression, insomnia, loss of libido, thinning hair and heart palpitations.

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As part of our Fabulous Menopause Matters campaign, we lay bare its shocking toll to help women have the healthy menopause they deserve.

Exclusive research carried out for us revealed half of menopausal women suffered depression and mental health issues.

And 61 per cent of the 2,000 women aged 45-64 polled said they were given no medical help.

In our new campaign backed by MPs and celebrities we are calling for free HRT (Hormone Replacement Therapy) on the NHS for all women.

Labour MP Carolyn Harris is proposing a new law to waive prescription charges on HRT. The bill will go before Parliament on October 29.

We are also asking employers to create workplace policies to support menopausal women.

And we want to see action to bust the taboos surrounding the subject and to help women thrive.

TV host Davina McCall, 53, tackled the subject in a Channel 4 documentary earlier this year.

Hailing our fantastic campaign, the mum-of-three tells Fab Daily: Nobody talked about it when I was in my early 40s.

"I thought it was something that happened in your 50s. You got a couple of hot flushes and then you were through it.

Davina, an ambassador for The Menopause Charity adds: I had no idea about the importance of hormones and how much our body needs them.

We want to see action to bust the taboos surrounding the subject and to help women thrive

Every woman at 45 should go and speak to their doctor and talk about it. People dont understand the other symptoms.

In medical terms, a woman is menopausal 12 months after her last period, but symptoms can start many years beforehand a time called the perimenopause.

Along with the mental health issues, our research found 70 per cent of menopausal women experienced hot flushes, 62 per cent battled night sweats and 54 per cent had difficulty sleeping.

Meanwhile, 16 per cent said their brain fog was the most debilitating symptom.

Many of these symptoms can be cured by HRT, but a flawed 2002 study linking it to breast cancer left women scared to take it and doctors reluctant to prescribe it.

When it is offered, women still have to pay 9.35 per prescription and with people often needing more than one a month, many are unable to afford the potentially life-changing treatment.

70 per cent of menopausal women experienced hot flushes, 62 per cent battled night sweats and 54 per cent had difficulty sleeping

The result? Millions are left feeling abandoned and questioning their sanity.

When Kathryn Colas, 70, started experiencing rages and dark depressions two decades ago, she thought she was having a nervous breakdown.

And she found herself screaming at her husband of 25 years about anything from household chores to cooking.

Kathryn, from Uckfield, East Sussex, did not know it at the time, but she was in the grips of the menopause.

Over the next ten years, she would tell husband Antonio she wanted a divorce, walk away from the career she loved and question if she was losing her mind.

She says: I felt completely lost and questioned my own sanity. I was in such a dark place. I wondered if it would be best if I wasnt here at all.

The menopause can take a big toll on relationships and sex lives. Just over half (51 per cent) in our poll said it lowered their libido.

And 14 per cent said their relationship became strained. As Kathryns marriage with Antonio, 74, fell apart, she found herself retreating into her shell.

Like pregnancy, menopause is a time in a womans life when extra support at work is vital

She says: I couldnt find the words to express myself. My brain just couldnt find the words.

When a trip to celebrate their silver wedding anniversary in 2006 turned into one constant row, the couple, who have three grown-up children, decided to separate for a while.

It left Kathryn on the brink of suicide. Again, I questioned my own sanity, she says.

But it is not just relationships that suffer. More than a quarter of women said the menopause placed a strain on their work life and only 11 per cent said their employer was understanding.

Four per cent said the strain was so bad they had to quit their job.

What is the menopause and what age does it usually start?

Menopause is a natural part of ageing, which usually happens when a woman is between the age of 45 and 55.

In the UK, the average age for a woman to go through menopause is 51.

It occurs when oestrogen levels in the body start to decline.

During this time periods become less frequent or they can suddenly stop, and after menopause occurs women will be unable to become pregnant naturally.

Around one in 100 women experience menopause before the age of 40, and this is known as premature ovarian insufficiency or premature menopause.

Many celebrities have spoken out about their own experiences, including Lisa Snowdon, Davina McCall, Michelle Heaton and Zoe Hardman.

What are the symptoms?

Menopausal symptoms can start months or years before your periods stop, and can last until four years or longer after your last period.

Symptoms include:

Like pregnancy, menopause is a time in a womans life when extra support at work is vital.

Without it, talented employees are lost and the gender pay gap widens. Kathryn quit her job as a sales and marketing director for a hotel in Surrey.

I felt I couldnt cope with anything any more, she says.

I was used to balancing so many plates in the air and now they all came crashing down around me.

Having a major role running a hotel was the best job ever. I was good at it and I loved it. But suddenly I felt out of my depth.

Despite a catalogue of crippling symptoms, many women spend years suffering in silence

On one occasion, Kathryn flew into such a rage she swept everything off her desk. It was over nothing, she says. I just saw red. I wanted to smash everything.

"I didnt know what was going on. I began to research my symptoms the arguments at home, my lack of control at work.

I wrongly diagnosed myself with bipolar disorder. This is when I resigned and said I couldnt work.

Despite a catalogue of crippling symptoms, many women spend years suffering in silence.

Just 39 per cent polled have spoken to their GP or another specialist.

Fearing she was having a breakdown, Kathryn went to see her GP, who referred her to a psychiatrist.

But her symptoms were mistaken for depression and she was offered antidepressants instead of the HRT she needed.

It is a familiar story. Our research found 42 per cent of women were offered antidepressants or medication other than HRT. Of those, 25 per cent took the drugs on offer.

Kathryn declined and sought help from Professor John Studd, a retired obstetrics and gynaecology expert she met at a British Menopause Society event.

Through him she learned her mental health issues were related to hormones and it was part of the menopause.

Kathryn says: Like so many women, I had no idea how severe the impact could be.

Some specialists implied my experience was rare, but it isnt. Five years after she first started experiencing symptoms, Kathryn was finally offered HRT.

Our research found eight in ten who take HRT said it helped improve their lives and without any side-effects.

Working with experts, the Fabulous Menopause Matters campaign aims to help all women regardless of their age, income and background

Kathryn now takes progesterone vaginally as well as oestrogen and testosterone gel.

She reveals: The impact has been significant. I found my normal. I felt good on waking up. I felt creative.

As it began to have an impact on my mood, I realised that I loved Antonio, I always had. Thankfully, he forgave me and were still together 15 years on.

Fabulous GP Dr Zoe says that for most women with no previous family history of breast cancer, the benefits of HRT outweigh any risks.

Fabulous Menopause Matters

An estimated one in five of the UKs population are currently experiencing it.

Yet the menopause is still whispered in hush tones like its something to be embarrassed about.

The stigma attached to the transition means women have been suffering in silence for centuries.

The Sun are determined to change that, launching the Fabulous Menopause Matters campaign to give the taboo a long-awaited kick, and get women the support they need.

The campaign has three aims:

The campaign has been backed by a host of influential figures including Baroness Karren Brady CBE, celebrities Lisa Snowdon, Jane Moore, Michelle Heaton, Zoe Hardman, Saira Khan, Trisha Goddard, as well as Dr Louise Newson, Carolyn Harris MP, Jess Phillips MP, Caroline Nokes MP and Rachel Maclean MP.

Exclusive research commissioned by Fabulous, which surveyed 2,000 British women aged 45-65 who are going through or have been through the menopause, found that 49% of women suffered feelings of depression, while 7% felt suicidal while going through the menopause.

50% of respondents said there is not enough support out there for menopausal women, which is simply not good enough. Its time to change that.

And she advises: If your GP is reluctant to offer HRT, speak to another GP, or book an appointment with the practice nurse.

Another big issue women face is how the menopause affects their appearance and self-confidence. Our poll found 56 per cent gained weight, while 28 per cent noticed hair loss and 32 per cent had more facial hair.

Claire Hattrick, 54, a beauty therapist and blogger from Andover, Hants, who also runs blog 'Clipboard Claire', says she was left feeling unattractive.

The single mum to twins Abby and Beth, 23, tells Fab Daily: One of the biggest problems was joint pain.

"My knees were so bad people had to haul me up out of the car.

Our research found eight in ten who take HRT said it helped improve their lives and without any side-effects

I wasnt able to carry on with my normal gym routine and as a result I found myself battling the bulge, having put on a stone.

It was a struggle to leave the house as I hated my appearance. I lost eight years of my life. I felt washed-up . But it doesnt have to be this way. If women got support, there is life post-menopause.

Working with experts, the Fabulous Menopause Matters campaign aims to help all women regardless of their age, income and background.

By giving them the tools and access to medical care they need, the menopause scandal can be a thing of the past.

It is time to stop surviving and start thriving.

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Fabulous menopause survey finds half suffer depression and loss of libido when going through The C... - The Sun

Testosterone is an essential hormone in the male body, it is considered the primary sex hormone in men and is responsible for the growth and development of secondary male sex characteristics. It is produced naturally in the body and starts to become evident during puberty as a boy transforms into a man. Testosterone levels peak between 20 to 30 years old and depending on the body type, genetic make-up, and lifestyle, testosterone levels decrease at about 40 years old. This is when the male body starts losing muscle mass, energy levels drop and moodiness comes in. Thankfully, there are male health clinics like those in TRT Orange County that specialize in testosterone replacement therapy. This therapy is considered a medical treatment for men with low testosterone levels. It has been shown that with TRT, those with low testosterone can regain their health, physique, and energy. This is especially important as it can help boost self-confidence and the general well-being of the individual. To be diagnosed with low testosterone, patients have to undergo blood work to assess their testosterone levels, only then with the result of the blood chemical analysis one can be diagnosed as having low testosterone and qualifies for testosterone replacement therapy. If the blood analysis does not support low testosterone levels, the patient is referred to other specialists and further tests to determine their condition. Having low testosterone levels is but a natural occurrence as the body may not be producing the same amount of testosterone due to age and maturation. But this is not a life-threatening condition, however, it can make life difficult and the symptoms may affect the individuals quality of life and his relationships with family and friends. Moreover, since the body produces testosterone alone, it has taken a long time for scientists to finally discover how to make bio-identical testosterone that the human body can utilize. Now that it is available, it is an important option that men may consider taking if they want to improve or bring back their strength, virility, and well-being.

One can probably remember that lesson in biology where the reproductive system was discussed and how complex and intricate the whole system and processes are, and the importance of hormones to the body. Hormones are organ-specific, which means that one organ produces a unique hormone that is utilized by the body for very specific functions. Too much or too little of any particular hormone is detrimental to the overall functioning of the body. For example, the pancreas produces insulin which is necessary for the metabolism of glucose, inadequate levels of insulin result in diabetes mellitus type 1, wherein the body is dependent on insulin injections to help the body maintain normal blood sugar levels. In the same way, testosterone is the hormone responsible for keeping the male body looking distinctly male such as body hair, deepening of the voice, building muscle mass, strength, and energy levels. A lower-than-normal testosterone level will significantly impact the maleness of the male body. Thus, this condition also led to feelings of dissatisfaction with ones body, unhappiness, frustration, and anger. Male health clinics like those in TRT Orange County enables men to consult with licensed practitioners who focus on male health and illnesses. The said clinics offer men with low testosterone a means of regaining what they have lost in the process of aging. Admittedly, when it comes to sexual health, the primary focus had been on womens health, everything about the different illnesses and conditions that affect women has probably been studied and examined. Testosterone replacement therapy is a new development in the medical field, but it rests on the assumption that when the body no longer produces the needed hormones, hormone replacement therapy is the most viable course of treatment. Much in the same way that women take estrogen and progesterone pills when they are having hormonal imbalance. As the bodys hormone levels return to normal, the symptoms also disappear almost instantly. Not many mens health clinic exists, and TRT Orange County is one of the few, so if you are wondering whether you have low testosterone, then take advantage of the TRT clinic.

The kind of treatment that clinics like those in TRT Orange County provide is considered a medical treatment and as such follows the same protocols that physicians and clinics have in the diagnosis and treatment of the condition. The first step is to go to a clinic and have your blood drawn out for laboratory analysis, which the clinic performs in-house. This will only take about fifteen minutes and once the results are released, you are then referred to their specialist physician and your results will be discussed along with your symptoms and health history. At this point, it is very important, to be honest, and truthfully disclose with the doctor whatever symptoms and health concerns you have. If you are found to be a viable candidate for testosterone replacement therapy, which you can start right after the consultation. If you do not have any pre-existing conditions or illnesses, then you will surely be a good candidate for TRT. Even with diseases like diabetes or hypertension, testosterone replacement therapy is considered very safe, so you do not need to worry about those horror stories that people say about TRT. Those who have taken testosterone replacement therapy reported an improvement in their overall wellness.

Male health clinics like those in TRT Orange County are relatively new and not many people are knowledgeable as to what hormone replacement therapy entails. For one, there are still no testosterone pills, like the one that is currently being used in therapy is through injections. The therapy ranges from a few weeks to a few months depending on the initial low levels that the patient began with. The patient can opt to come to the clinic once a week for the testosterone injections or to have it by yourself in the comfort of your home. Your testosterone levels will be monitored by your physician and as soon as it reaches normal levels, the testosterone injections are weaned out.

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Everything You Need To Know About TRT Orange County - Hurricane Valley Times

MIAMI--(BUSINESS WIRE)--The trained advisors at Elite HRT have published new informational guidance on one of their most-popular services, Testosterone Replacement Therapy (TRT). How To Get TRT: What Is Testosterone Replacement Therapy? is a free online resource intended to educate the general public on what testosterone does within the body, and the benefits that can be seen by introducing some as natural supplies diminish with age.

Testosterone is traditionally known as a masculine hormone, as it helps balance male reproductive functions as well as mood balancing, bone health, muscle mass, body fat composition, and blood. It should be noted that this element is present in female bodies, but at much lower levels. Still, it can impact their mood, sexual desire, and other functions. TRT is the process of supplying the body with additional testosterone to increase libido, energy, and motivation. This therapy can result in a decrease of body fat and increase in both muscle strength and athletic performance, while also boosting mood and mental clarity. However, these benefits can vary from person to person, and anyone wanting to try testosterone replacement therapy should speak with a professional before starting.

This article is provided online for public consumption, as HRT works to spread awareness of these available hormone therapies so more people can pursue the treatment they need in order to lead better lives. The article was reviewed by Medical Advisor and Regulatory Affairs Specialist Camille Freking to verify the accuracy and honesty of its claims.

About Elite HRT: Elite HRT is a telemedicine firm led by a network of physicians specializing in hormone replacement therapies. With unique approaches to HRT, TRT, HGH, and more, Elite HRT works to tailor solutions uniquely created for specific patients, all at affordable rates. Those wanting to learn more and contact Elite HRT can visit https://www.elitehrt.com/ and submit a contact request form with background information today.

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Elite HRT Publishes Informational Packet on Testosterone Replacement Therapy - Business Wire