Testosterone Replacement for Men

The 1993 film, Grumpy Old Men, poked fun at a medical condition that afflicts many older men -- andropause, the male equivalent of female menopause. Many of the petulant child-like behaviors exhibited by the characters played by Jack Lemmon and Walter Matthau are caused by decline of testosterone, which results in andropause. For those men afflicted by the condition, it's not a laughing matter. It's not a so-called mid-life crisis. It is not a psychological event - it's a treatable medical condition. Testosterone Deficiency Syndrome (TDS) can affect men in their 30's, but symptoms normally don't show up until around age 40 or 50. TDS manifests in a predictable list of symptoms and indicators that men (and physicians) often don't associate with a decline in testosterone: 1. Loss of sex drive 2. Lack of energy or fatigue 3. Decrease in strength or endurance 4. Loss of height, indicating possible osteoporosis 5. Often sad, grumpy, angry 6. Erections less strong 7. Falling asleep after dinner 8. Decline in work performance 9. Night sweats resulting from excess estrogen 10. Depression What most men don't realize is that testosterone deficiency can be prevented or reversed with testosterone replacement therapy (TRT), and the earlier in life the better. By the time a man is 40, a consultation with a physician who thoroughly understands hormone replacement therapy should be considered. A blood test can reveal what level of replacement is indicated. Blood tests provide a snapshot of what's going on in the body and are an invaluable tool to help a physician assess patient needs. For example, older men often have too much estrogen, which shows up in a blood test and can be reversed with medication. It should be noted that although men with erectile dysfunction may have low testosterone, in many cases TRT does not improve symptoms. But most men will not only feel better and perform better with TRT, but also look better, because TRT promotes lean body mass and muscle. Until recently it was thought that TRT might be linked to prostate cancer but it is now acknowledged there is no link unless the disease is already present. There is also evidence TRT reduces the risk of heart disease and osteoporosis. When a physician places a man on TRT therapy careful monitoring avoids possible undesired effects. Once TRT needs are established, testosterone is most commonly administered in the form of injection, patches, or a topical cream or gel. It's an easy regimen to follow and under a physician's guidance, the "grumpy old man" syndrome can be prevented, improved, or eliminated. Young men who follow an anti-aging lifestyle, meaning attention to diet, exercise and supplements appear not to age as quickly as women. On book tours I have met many men in their 40's, 50's, and 60's, who look and function at least 20 years younger. They credit their youthful appearance and vitality to being aware of what it takes to stay young and vital. They work with anti-aging physicians who guide their progress and prescribe what's needed, including TRT, to keep their patients from running out of steam. Men often don't know how to find a physician who specializes in anti-aging medicine and nutrition. Increasing numbers of traditionally trained physicians are developing expertise in anti-aging medicine. Independent pharmacists often know names of such physicians in their area. The American College for Advancement in Medicine Web site, ACAM.org, offers names of qualified anti-aging physicians in many areas of the country. Youthful older men make informed decisions. They do not just let life happen. They refuse to become "grumpy old men." They study, connect with qualified health professionals, and stay in charge of how they are aging. Women do it - men can and should do it, too.