Testosterone levels decreases with age. However, sudden hormonal changes can have a serious impact. Symptoms include:
⦁ Weight gain or loss of muscle mass
⦁ A lowered sex drive or erectile dysfunction
⦁ Fertility issues*
⦁ Mood swings or other symptoms of depression
⦁ Reduced energy
⦁ Changes in memory
⦁ Poor spatial orientation (posture, coordination, and movement)
*Patients trying for a pregnancy will be offered testosterone-stimulating drugs only. Testosterone administration can lower your sperm production.
Our Treatment Options
Testosterone is available in several forms. These include:
⦁ Injectable Testosterone: Dr. Khan can treat your condition by injecting either testosterone enanthate or testosterone cypionate into your thigh or buttocks muscles. These injections must be repeated every one to two weeks to maintain your results.
⦁ Patches: Patches are applied to your skin once a day. The most common side effect is skin irritation.
⦁ Topical Gel: Dr. Khan can prescribe a variety of gels to treat low testosterone.
⦁ Subcutaneous Pellets: Dr. Khan can insert TESTOPEL, small testosterone pellets, beneath the skin of your buttocks. These pellets will steadily release testosterone over a period of three to four months. At the end of this period, you will need to replace the pellets or pursue alternative treatment.
⦁ Clomiphene Citrate, Anastrazole, or HCG: These may be recommended if you are going to be trying for a pregnancy in the near future. Taking testosterone itself in any form can lower your sperm count.
You will followup with him in 2 months. This will allow him to modify your therapy as needed. You will need to come in for regular follow-up appointments throughout the year. Once your condition is stabilized, he may ask you to attend semi-annual check-ups.
Who Is a Candidate for Testosterone Therapy?
If you are experiencing symptoms of low testosterone, Dr. Khan will conduct a physical exam, assessing the reproductive organs and will also conduct a rectal exam. Dr. Khan may order a blood test to measure your testosterone levels and confirm your diagnosis.
What to expect after treatment?
Testosterone Replacement has been shown to improve a man’s energy, libido (sex drive), muscle mass, sleep, erections, energy level, and depressed mood.
What is the risk for prostate cancer?
Current evidence does not provide any definitive answers regarding the risks of testosterone therapy on prostate cancer and cardiovascular disease, and patients should be so informed. Although the association is weak, the FDA requires manufacturers of approved testosterone products to add labeling information about possible increased risk of heart attack and stroke. For more information on the adverse effects of testosterone therapy, please read the American Urological Association statement on testosterone therapy.