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Aging Well

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Andropause: Why age gracefully?

Just because low testosterone has got you down, it doesn't mean that the down-in-the-dumps feeling and all the physical symptoms that come with it are something you have to put up with. Testosterone replacement therapy, which is available in a number of forms, has been shown to increase energy levels, muscle mass, bone density, and sex drive and to reduce other symptoms in men who suffer from low testosterone for a range of reasons.

Testosterone supplements come in a variety of forms, including capsules, gels, injections and patches.

  • Capsules are usually taken once or twice daily. This form of testosterone replacement therapy must be taken with food and maybe a convenient option for men who follow a regular daily schedule. People taking testosterone in capsule form should have their liver function tested periodically, so it is important to make follow up appointments with the doctor.
  • Injections are generally administered every three to four weeks, usually in the doctor's office or clinic. Injections are likely to be a convenient option for men who require regular contact with their physician or have a very busy lifestyle. This form of testosterone may cause mood swings due to testosterone level "ups and downs"; levels peak just after the injection and drop just before the next injection.
  • Gels may also be convenient to use, and are applied once daily. Men should wait several minutes to allow the gel to dry before dressing and allow five to six hours before bathing or showering. The treated area should be covered with a shirt or other clothing to prevent accidental skin-to-skin transfer of the gel to women or children (which can cause them to develop male features such as lower voices or facial hair over time). If skin contact occurs, they should wash the affected area promptly with soap and water.
  • Patches are a form of testosterone replacement that is also convenient for men to use, including those with active lifestyles. They should be applied once daily to the back, abdomen, upper arms, or thighs and can be worn during activities such as exercising, showering, or swimming. The patch mimics the natural daily rhythm of testosterone production in healthy young men. Patches may cause skin irritation. Using a topical corticosteroid cream (which can be purchased at a pharmacy) before applying the patch can usually prevent this.

Side effects of testosterone replacement therapy can include acne, prostate growth, sleep problems, increased blood cell production, and other effects that are related to the specific dosage form. As well, men with prostrate cancer, breast cancer or allergies to testosterone or any ingredient in the dosage form should avoid testosterone replacement therapies.

Talk with your doctor to learn more about testosterone replacement therapy - and in which form - may be right for you!

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FAQs

Click here to learn more about frequently asked questions regarding aging.