Can Any Doctor Prescribe Testosterone?

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Doctors who Prescribe Testosterone
Doctors who Prescribe Testosterone

Much of the credit is due to the phenomenon of andropause being more commonly understood as an abnormal process that requires treatment. In the past, declining levels of testosterone, known as Low T, that increased fatigue, lowered libido, etc. were taken to be symptoms and effects of the aging process.

Testosterone replacement therapy, though, has been proven to reduce these effects, and enhance the quality of life for aging adults. As more research is being conducted into the effects of testosterone therapy, doctors are being encouraged to dole out testosterone prescriptions on a more frequent basis.

However, testosterone replacement therapy is not without potential side effects. A good medical professional will always ensure that the patient undergoes a rigorous mental and physiological examination before testosterone prescriptions are handed out.

What does testosterone replacement therapy do?

Aging males, typically over the age of 40, can suffer from a condition known as hypogonadism. Andropause is characterized by this condition. Hypogonadism is understood as a condition where the body’s testosterone levels fall below the lower limit for adults. Patients suffering from hypogonadism experience mood swings, high levels of tiredness, reduced sex drives, erectile dysfunction, and lowered strength. Patients can also become more susceptible to disease, due to weakened immune systems.

Testosterone prescriptions have been known to counter many of these effects, when intake is monitored and controlled. Testosterone therapy causes increased calcium retention which translates to higher bone densities. Testosterone also induces the build-up lean muscle mass and the breakdown of adipose (fatty) tissue. Many patients have also remarked at huge improvements in their mental well-being. Patients have exclaimed how, along with their sex drive, their concentration levels and psychological outlook have greatly improved.

Why doctors may not hand out testosterone prescriptions

All these effects suggest that testosterone prescriptions are extremely beneficial to the aging male patient. However, testosterone therapy can have serious side effects on patients who have a history of heart disease, diabetes, and other physiological complications.

  • Studies and research has shown that testosterone therapy has marked effects on lipid levels, blood sugar levels (through increased insulin sensitivity), and other processes. It is said that exogenously induced testosterone is known to improve cholesterol levels; however; some studies indicate that this may not be the case. Testosterone therapy stimulates the process of gluconeogenesis, and resultantly increases blood sugar levels. High blood sugar levels could lead to heart attacks and other cardiovascular complications. Many aging adults suffer from high blood sugar levels. If this is the case, testosterone prescriptions would be unwise.
  • The condition of polycythemia is characterized by an increase in the concentration of red blood cells, increased red blood cell mass, and high hemoglobin levels. The condition leads to high blood pressure levels, increasing the risk of heart disease and strokes. Patients suffering from high blood pressure levels should not undertake testosterone replacement therapy.
  • Prostate disease is another giant problem among the aging populace. Prostate cancer is one of the most common diseases found in older men. Testosterone is a hormone that boosts cell reproduction. It is known to have the same effect on the prostate. This could lead to significant problems in urination, and more importantly, contribute to the build-up of tumors. While there is no conclusive evidence linking testosterone prescriptions to prostate cancer, doctors are discouraged from prescribing the treatment to someone with a prior history of prostate disease.

Testosterone replacement therapy is not meant for everyone. Doctors and medical professionals understand the degree of responsibility placed on their shoulders when they prescribe testosterone replacement therapy. Good medical professionals will conduct thorough examinations of the patient to ensure eligibility for the treatment. That being said, it is the responsibility of the patient to find specialist doctors that are knowledgeable about the treatment and its adverse effects.

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  1. frank
    Posted April 15, 2013 at 7:53 pm | Permalink

    what is the normal T level for a 45yr old male? when should I be conscerned if my t level is to low?

    • Dr. Welch
      Posted April 15, 2013 at 8:34 pm | Permalink

      “Normal” testosterone can run anywhere from 350 to 1100, depending on the specific lab and test done. However, “optimal” testosterone is about 950, with a free testosterone about 20.

    • dj
      Posted May 6, 2013 at 9:01 pm | Permalink

      67 yrs my t level is 148 good or bad what is the range and what should mine be?

      • Dr. Welch
        Posted May 10, 2013 at 1:18 pm | Permalink

        “Normal” testosterone varied depending on age, but usually ranges in the 300-600 range. However, “optimal” testosterone is higher, in the 700-900 range, which boosts energy, vitality, concentration, lean body mass, and libido.

  2. Jayson
    Posted February 2, 2014 at 10:56 pm | Permalink

    I read alot about the positives and negatives of testosterone replacement therapy. If your healthy and work out and eat well are the negatives still same possiblity and what is the percentage of negative side effects that have been found especially in long term usage? Thank you

  3. Rodney Schultz
    Posted October 9, 2015 at 9:07 pm | Permalink

    I’m 59 and have been on test. for 5 yrs. Started with about a 60. Started with shots every 3 weeks and it rose to about 80. So my doctor put me on testim, which I took for about 4 months, and he rechecked it and no change (80) That was 1 tube a day. he then doubled up to 2 tubes and it got to 100. I’ve had all the signs, low libido, sleep, and tired all the time. Any thoughts on the subject? What kills me is I can’t get an erection, and it’s been going on for 5 yrs. My wife has been very understanding but I don’t know for how much longer. My doctor seems unconcerned and told me to go to a mens clinic. I’m at my wits end. I now will do anything to not have sex, it’s crazy

    • Dr. Richard Gaines
      Posted October 15, 2015 at 3:12 pm | Permalink

      Hi Rodney, thanks for your comment. I’m glad you contacted us, we provide a variety of program that I believe can help you. I’ve already asked one of my wellness advisers to reach out to you so he can provide you with more information.

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