Some Questions You Might Ask Your Health Care Provider about Low Testosterone
by Admin
Posted on 10-04-2023 09:51 AM
Summary
northwestern medicine “secret shopper”
study
is the first to identify guideline-discordant practices among online men’s health providers
joshua halpern, md
chicago — demand for testosterone therapy has soared in the united states with more men seeking to increase hormone levels in hopes of enhancing virility, strength and energy. Testosterone therapy has become a burgeoning business with direct-to-consumer men’s health platforms proliferating online in recent years.
While testosterone therapy benefits some men, it can be harmful for others, making it critical that patients understand the benefits and risks before starting the therapy. A new northwestern medicine study published in jama internal medicine found that many of these platforms are not providing care in concordance with the american urological association (aua) and endocrine society (es) guidelines for the safe and effective management of men on testosterone therapy.
When to seek help
Demand for testosterone therapy has soared in the united states with more men seeking to increase hormone levels in hopes of enhancing virility, strength and energy. Testosterone therapy has become a burgeoning business with direct-to-consumer men’s health platforms proliferating online in recent years. While testosterone therapy benefits some men, it can be harmful for others, making it critical that patients understand the benefits and risks before starting the therapy.
“testing and treatment for low testosterone is more accessible than ever before thanks to these online platforms. Men can be evaluated and even start testosterone therapy without leaving home,” said joshua halpern, md, ms , assistant professor of urology , the senior author on the paper and a urologist at northwestern medicine.
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The main purpose of testosterone therapy is to return patients to normal physiological testosterone levels and provide relief of symptoms or signs. In trials, patients with low testosterone have demonstrated statistically significant improvements in erectile function, anemia, bmd, lean body mass, and depressive symptoms. Erectile function. Ed is one of the primary reasons that men seek testosterone treatment. Two well-powered studies, brock-maggi (n=715)197, 198 and snyder (n= 790)229 showed statistically significant mean improvements in the erectile function domain score of the international index of erectile function (iief) of 2. 64 and 2. 80, respectively. In the pooled results of 6 trials,197, 198, 229, 290-295 which included brock-maggi and snyder, a mean 1. http://vigrx-official-store.company.com
There are two main types of hypogonadism, or low testosterone. Primary hypogonadism is known as primary testicular failure, which originates in the testicles. The other type of hypogonadism is considered secondary. This means that there is a problem with the pituitary gland or hypothalamus, which are both parts of the brain that signal the testicles to produce the testosterone. These two types may be inherited or something that is acquired later in life. In some cases, both types of low testosterone can occur together. Primary hypogonadism is typically caused by klinefelter syndrome, mumps orchitis, undescended testicles, cancer treatment, injury to the testicles, or hemochromatosis. https://www.etoro.com/people/testosil
The hpga is of paramount importance in the processes related to the development, maturation, and sustainability of male hormonal balance. The pulsatile secretion of gonadotropin-releasing hormone (gnrh) by the hypothalamus stimulates lh and follicle-stimulating hormone (fsh) production and secretion by the anterior pituitary gland. Lh stimulates testosterone production from the interstitial leydig cells of the testes. This is required for male internal and external reproductive organ development and later differentiation of secondary human sexual characteristics. Fsh, in turn, sustains testicular function via sertoli cells through spermatogenesis ( 12 ). Many of the causes of hypoandrogenism in the adolescents may be transient, with resolution of the low androgen level once the underlying condition is resolved or improved.