Testosterone replacement for men – my viewsTestosterone deficiency, or low-T as it is popularly known in America, has long polarised medical opinion. Testosterone evangelists promote it as the panacea to middle-aged woes like poor sex drive, grumpiness and lack of energy, while at the other extreme olw regard supplementation as the unacceptable medicalisation of natural ageing. But who is right? Neither of them in my opinion, which etst why I welcome new guidance from the British Society for Sexual Medicine which treads a path between these two extremes, steroids for muscle growth and fat loss that testosterone deficiency is both real and common, but that not every man with low levels needs hormones to boost them. Testosterone deficiency can occur at any age and for a number of different reasons, but low testosterone test nhs bulk of the new guidance is aimed at the age-related decline seen in men over It is estimated that around 1in 10 men of this low testosterone test nhs has a low or borderline low testosterone test nhs level, but that only 1 in 50 needs testosterone supplements.
Testosterone Testing on the NHS | Your Right or A Right Carry On?
Testosterone levels decline naturally as a man gets older. Symptoms of low testosterone may appear earlier in some men. This is called hypogonadism and the symptoms include:. Low testosterone can be confirmed with blood tests which a GP can arrange for the sex hormones testosterone , luteinising hormone LH and follicle stimulating hormone FSH.
Treatment may not be recommended if low testosterone is diagnosed but troublesome symptoms are not being experienced. This should remove symptoms of hypogonadism and related sexual problems. Testosterone replacement therapy can be given in different forms. A doctor will discuss the different options before deciding which one is most appropriate.
Testosterone levels may need to be checked after treatment begins so the right dose can be given. Regular injections are given deep into a muscle, called intramuscular injections. Depending on the type of injection recommended, these can be every two to three weeks to every three months. These may be injected by a doctor or practice nurse, self-injected or done by a partner.
Cylindrical pellets are inserted in the abdomen , buttock or thigh by a doctor under local anaesthetic once every three to six months. These are swallowed on a daily basis but give a lower dose of hormones than other methods. These work similar to nicotine patches for people trying to quit smoking and deliver testosterone gradually through the skin using a new patch each day. Gum or buccal testosterone: Testosterone gum is put in the mouth above the front teeth. Gel is applied to the skin, usually on the shoulder , arm or abdomen.
This need to be used after showering to stop it washing off too soon. Like any medication , testosterone replacement therapy can cause some side effects. These will depend on the type of therapy used. For example, injections can cause bruising and patches may cause itching or irritation. Men using testosterone replacement therapy are usually monitored for prostate cancer as the therapy could promote growth of an existing cancer. BootsWebMD does not provide medical advice, diagnosis or treatment.
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