The
Andropause, or Male Menopause, is a very treatable
condition, and Testosterone Replacement Therapy (TRT) has
been shown to be dramatically effective in safely relieving
symptoms and restoring drive, health, potency, and a sense of
renewed vitality and virility when given to the right patients
in the right doses at the right time.
When used in conjunction with Viagra Cialis or Levitra, can also
bring the success rate with erection problems to over 95%.
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Testosterone
Replacement Therapy
To ensure its safety and effectiveness however it is essential
that a full assessment of each patient is carried out before
testosterone replacement is started, and that the results of
treatment are carefully monitored. For this purpose careful
history-taking and a detailed clinical examination need to be
carried out, initially, and at 3 - 6 monthly intervals while treatment
continues. Both to establish the diagnosis and to monitor the
treatment carefully, biochemical measurements of the sex hormones
and the complex range of factors regulating their action, together
with tests of blood fats, liver, kidney, and prostate function,
and changes in red and white blood cells, all need to be checked
before treatment and at each follow-up visit TRT treatment
is usually given by testosterone gel, cream or long-acting injections.
TRT treatment has been in use for over half a century, and has
a remarkably good safety record over that time, as confirmed by
the detailed studies at this centre. However, every effort is
made to exclude pre-existing prostatic cancer, by clinical examination,
and a sensitive blood test the Prostate Specific Antigen (PSA),
followed by ultrasound examination if needed.
Safety
TRT has had a bad press due largely to concerns about abuse and
over-dosage in athletes, and alleged dangerous effects on the
prostate gland, heart and liver. The answer to these concerns
in brief is that though different forms of testosterone treatment
have been widely used for over 60 years, all the most up to
date research is confirming the basic safety and effectiveness
of testosterone treatment when correctly applied in the medical
setting. The essential full work-up before any man
starts on testosterone treatment is designed specifically to
exclude prostate problems. This on-going screening means
that the patient on testosterone knows that he does not have prostate
cancer. The latest evidence shows not only no increase in
his chances of getting it with testosterone treatment, but that
death rates from the condition are reduced by regular screening
with the PSA and other tests. Male HRT with testosterone
is actually being shown to protect the heart and circulation,
and reduce the risk factors for arterial degeneration. Also, there
is a wealth of recent research showing that up-to-date preparations
such as Restandol and Testogel, are safe for both heart and liver.
Promoting Potency Potency Problems (Erectile Dysfunction), together with
loss of sex-drive
(libido), are common and distressing features of Andropause,
which, if prolonged, can cause the break-up of relationships.
Research at the
Men's Health Centre has shown that in around two thirds
of cases, by treating the underlying andropause condition, testosterone
can restore both libido and potency. In the remaining third,
our studies on over 500 patients have shown that combining testosterone
with Viagra (Sildenafil) brings the success rate with erection
problems to over 95%.
The newer oral
treatments such as Cialis (Tadalafil) and Levitra
(Vardenafil) have also been introduced and appear to have less
side effects than Viagra. Cialis appears to be particularly
effective, and often has an effect which can improve erectile
function for 2 - 3 days, and fully restore natural sexual activity.
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