How do I know if I need hormone replacement?
Only a trained provider can diagnose hormone deficiency. The most common symptoms include hot flashes, moodiness, fatigue, depression, trouble sleeping, and low sex drive. If you are experiencing any of these symptoms, schedule a hormone consult to talk with one of our BetterYou providers to learn more about your options.
Describe a first visit / consult.
During your initial visit, you will meet with a healthcare provider with advanced training in management of low hormone levels. The symptoms of hormonal imbalance, importance of treatment, risks associated with treatment versus non-treatment will be discussed. You will receive your individualized recommendation, based on your specific symptoms, a thorough health history, and specialized blood testing.
What forms of Hormone replacement does BetterYou offer?
BetterYou offers different options for hormone replacement including pills, patches, compounded creams and injections. Our main and most successful HRT method is bio-identical hormone pellets in both estrogen and testosterone forms. These pellets are inserted just beneath the skin and absorb gradually mimicking your body’s own natural hormone production. Because the pellets are time released, they offer the longest lasting and most convenient option for hormone replacement. During your consult, we will discuss your options and decide what therapy is best for you.
Testosterone replacement using pellet implants has been used with great success in the U.S., Europe, and Australia since 1938. In fact, pellet implants were a very popular mode of hormone administration in the U.S. until the 1970s, when many oral and topical commercial products were developed. While the demand for pellets diminished in the U.S., pellet implants continued to be a very popular mode of hormone administration throughout Europe and Australia. In the last 10 years, due to advances made in processes and a better understanding of the benefits of fused pellet implants for hormone replacement, this mode of hormone administration has grown in popularity in the U.S. Pellets are inserted under the skin 2-3 times per year and deliver the most consistent, physiologic levels of hormones.
What is testosterone and what role does it play in a man's life?
Testosterone is the primary male hormone. It is important in maintaining a man’s muscle strength and mass, bone strength and joint stability, energy level, assertiveness, normal body fat distribution, red blood cell production, sex drive and mood stability.
What happens to testosterone levels with age?
Testosterone peaks during adolescence and early adulthood, beginning to decline by about 1% every year after the age of 30. One study estimates that approximately 39% of men aged 45 or older have low T, and this condition can and does occur in men of much younger ages.
The Hypogonadism in Males (HIM) study estimated the overall prevalence of hypogonadism at approximately 39% in men aged 45 years or older. It has been estimated that only 5–35% of hypogonadal males actually receive treatment for their condition. Older men are more likely to have low testosterone levels. For example, in a recent HIM study, the prevalence of low testosterone in the 45–54 age group was 34%, whereas it was 50% in men over 85 years. Likewise, in the Baltimore study the percentage of men with low testosterone increased from 12% in men in their 50s, to 49% in men over 80 years of age.
Signs of low T include: Extreme fatigue, decrease in sexual function, difficulty sleeping, increased body fat, reduced muscle bulk and strength, and decreased bone density. You may experience hair loss and hot flashes. Low testosterone may contribute to a decrease in motivation or self-confidence and you may feel sad or depressed, or have trouble concentrating or remembering .
A blood test is the only way to diagnose a low testosterone level.
Can having low testosterone be life threatening for men?
It is not life threatening. However, low testosterone levels increase fat mass and decreases lean muscle, resulting in increased adipose tissue. The health risks associated with obesity are well known, increasing the risk for type 2 diabetes, hypertension, atherosclerotic diseases and coronary heart disease. In addition, low T increases the risk for fractures and resulting loss of independence and function.
(Obesity is strongly associated with type 2 diabetes: approximately 83% of diabetic patients are overweight or obese. Obesity is also associated with low total testosterone. further research into the role of hypogonadism in obesity, metabolic syndrome and diabetes is required to gain a better understanding of the pathogenic mechanisms involved and that, at present, it is not known whether hypogonadism is the cause or the consequence of these conditions.)
(Up to 2 million men have osteoporosis. Men have almost 30% of all hip fractures and men are twice as likely to die in hospital than women after a hip fracture.