Understanding Andropause

Understanding Andropause

Menopause is a well-documented medical condition that occurs in women when the reproductive hormones drop dramatically with age. Unlike women, the sex hormone change in men happens more gradually, but doctors have noted men are reporting some of the same symptoms that women experience during menopause. This hormonal change in men is often referred to as “male menopause” or andropause.


What Is Andropause?

Andropause affects older men and can cause symptoms linked to declining testosterone levels and aging. Among many other things, testosterone is the hormone responsible for the development of male sexual characteristics. According to the Mayo Clinic, most men’s testosterone levels peak in early adulthood and start to decline between the ages of 30 and 40. By age 70, the testosterone level might only be half of a man’s peak level. Testosterone levels can also be affected by other health conditions, such as obesity or diabetes, as well as certain kinds of medication or environmental factors.

Andropause is different from its female counterpart in several ways. Not all men experience it, and, unlike in women, the reproductive organs continue functioning.


The Symptoms of Andropause

While a gradual testosterone decline is part of the normal aging process, unusually low levels could be due to andropause. Symptoms often include:

  • Decreased sex drive
  • Depression, fatigue, insomnia
  • Erectile dysfunction
  • Hot flashes or sweats
  • Infertility

Other possible symptoms include depression, lack of sleep, decreased energy, muscle tone reduction, and increased body fat.


Causes of Male Menopause

Andropause tends to show up most often in older men who also suffer from heart disease, obesity, high blood pressure, or type 2 diabetes.

Not only do older men naturally have less testosterone, but their levels of a hormone called sex hormone binding globulin (SHBG) also rise. SHBG pulls usable testosterone from the blood; anything that’s left can be used by the body. Men with symptoms of andropause have a lower amount of available testosterone in their blood, leading to physical and even mental changes.


Recommended Treatments

Men who are concerned they may be suffering from andropause should consult their doctor about their symptoms. The doctor will perform a physical exam and will order blood tests to rule out any other medical issues that could be a factor, in addition to measuring testosterone and other hormone levels.

Men who receive an official diagnosis sometimes start testosterone replacement therapy (TRT), which can help relieve some of the symptoms and improve quality of life. TRT can be administered via pellets, injections, gels, or creams. Sometimes it is more prudent to start by rebooting the body’s natural hormone production. The doctor will discuss any of the risks involved with the treatment options.

Lifestyle changes, including exercise, reduced alcohol consumption, not smoking, and improved nutrition may also be recommended.


Hormone Replacement Therapy in LA

Declining testosterone levels are a normal part of the aging process, but men do not have to let it affect their quality of life. Men who are suffering from andropause in the Los Angeles area can find answers by speaking to our hormone specialists at VitalityRx®. We can provide a safe and effective treatment option to bring your testosterone levels back to your optimal range—at your convenience and at the comfort of your home or office.



The Signs and Symptoms of Hormone Imbalance in Men

The Signs and Symptoms of Hormone Imbalance in Men

Men who develop a hormonal imbalance can experience troublesome symptoms. However, there are ways to treat the problem. Hormone replacement therapy (HRT), testosterone replacement therapy (TRT) or even just natural hormone boosting can help men feel like themselves again. Learn about the signs and symptoms of hormone imbalance in men and the treatment options available.


What Is a Hormonal Imbalance in Men?

A hormonal imbalance is when the body has too much or too little of the major hormones. Hormones are chemicals the endocrine system produces to regulate functions throughout the body. In particular, they are responsible for:

  • Growth and development
  • Heart rate
  • Metabolism, including body temperature and appetite
  • Mood and stress levels
  • Reproductive cycles and sexual functioning
  • Sleep cycles

There are three hormones primarily responsible for imbalances in men:

  • Testosterone: Low testosterone levels can cause andropause, which is commonly known as male menopause.
  • Cortisol: Low levels of cortisol can cause adrenal fatigue, especially if a man is exposed to long-term stressors.
  • Thyroid hormones: Low levels, or hypothyroidism, may lead to a decrease in metabolism; conversely, hyperthyroidism, or too-high levels of thyroid hormones, can result in increased metabolism.


Symptoms of a Hormonal Imbalance in Men

Men with a hormonal imbalance may notice many symptoms, depending on which hormone is involved. Although not severe, these issues can interfere with a man’s daily life. The most common symptoms a man might experience include:

  • Dry, itchy skin
  • Erectile dysfunction
  • Gynecomastia, or enlargement of the breast tissue
  • Low sex drive
  • Mood swings, anxiety, or irritability
  • Problems sleeping
  • Recurring headaches
  • Unexplained weight gain
  • Unexplained weight loss or loss of muscle


Causes of Hormonal Imbalance in Men

While it is natural for men to experience a fluctuation in hormonal levels from time to time, prolonged imbalances can be caused by several issues. Stress, poor nutrition, and obesity are all lifestyle factors that can lead to hormonal imbalances. Men may also experience issues if they take steroid medications regularly.

Several medical conditions can also alter the hormonal balance of the body. These include:

  • Addison’s disease
  • Allergic reactions
  • Anorexia
  • Congenital adrenal hyperplasia
  • Cushing syndrome
  • Diabetes (both type 1 and type 2)
  • Hyperglycemia
  • Hypoglycemia
  • Pancreatitis
  • Pituitary tumors


Getting Diagnosed With a Hormonal Imbalance

Getting diagnosed with a hormonal imbalance will require a visit to the doctor. At the appointment, the doctor will perform a blood test to check the levels of all the sex hormones in the body and may also do a sperm count test to see if the levels are below normal. The doctor will also offer a questionnaire and conduct a physical exam to look for clinical signs of an imbalance.


Treatment for Hormonal Imbalances in Men

If hormone levels are too low, the main form of treatment is usually hormone replacement therapy (HRT) or testosterone replacement therapy (TRT). HRT can be helpful for those with low cortisol or thyroid hormone, while TRT is ideal for those with low testosterone. A more natural approach can also be taken to increase the body’s hormone production.


HRT involves taking synthetic versions of the hormone the patient is missing. These can usually be taken through an injection.


TRT also involves taking a testosterone supplement as either an injectable or cream. TRT can help men improve their sexual functioning, boost their libido, and even increase their muscle and bone strength.

Side Effects of Treatment

Hormone and testosterone replacement therapy have a few potential side effects. That said, correcting the hormonal imbalance in the patient’s body typically fixes many more problems than it could potentially cause. That’s why many men choose hormone or testosterone replacement therapy despite the low chance of side effects.


HRT & TRT at Vitality Rx®

VitalityRx® offers several options to address hormonal imbalances, including diet and lifestyle modifications, rebooting the body’s natural hormone production, vitamin programs, and HRT and TRT. Individuals in Los Angeles interested in more information can contact us at (323) 986-6605 or book a complimentary appointment online. VitalityRx® provides HRT and TRT services at the comfort of your home or office and offers concierge-style testing and telemed consultations with hormone specialists. Don’t sacrifice a large part of your day waiting or traveling. We always come to you, and at your convenience.



The Risk of Having Low T and COVID-19

The Risk of Having Low T and COVID-19

The COVID-19 pandemic has impacted certain populations more significantly than others. With respect to gender, COVID-19 has more significantly affected men than women. In fact, researchers have found that men are twice as likely to contract the SARS-CoV-2 virus than females. Additionally, when they contract the virus, men are more likely to have a more severe course of COVID-19 illness and a higher mortality rate.

Recent research on the correlation between low testosterone levels and COVID-19 has shed light on why these gender differences exist and how men can potentially lower their risk of COVID-19.


How Testosterone and COVID-19 Are Related

At the onset of the pandemic, it was unclear to the scientific community why men were more affected by COVID-19 than women. Researchers in the United States and abroad hypothesized that male susceptibility to the SARS-CoV-2 virus might be related to the hormone testosterone, which is seven to eight times more abundant in men than in women. They found that men who had low serum testosterone levels were more likely to experience severe illness when they contracted the SARS-CoV-2 virus. They were also more likely to be admitted to the intensive care unit.


Testosterone and Immunity

An American and Saudi Arabian research team hypothesized that the mechanism that was driving the connection between low testosterone and COVID-19 illness was the upregulation of certain receptors on lung cells. To understand this connection, one must consider how the SARS-CoV-2 virus enters the body. The virus enters through the mucous membranes—the eyes, nose, or mouth—and then binds to the angiotensin-converting enzyme (ACE-2) receptors on the lung’s alveolar epithelial cells. ACE-2 receptors are also expressed by the Leydig cells in the testes.

When a man’s testosterone levels drop, his body receives a signal to upregulate more ACE-2 receptors to compensate. A man who has low testosterone levels, then, will have more ACE-2 receptors not only on the cells of his testes, but also on his lung cells. This means that more entry points on his lung cells are available to the SARS-CoV-2 virus, making the lungs more vulnerable. Once the SARS-CoV-2 virus enters these vulnerable cells, men with low testosterone levels face a greater risk of lung damage and breakdown of their respiratory muscles, both of which can lead to a higher likelihood of needing to be ventilated.


How Improving Low T Levels Can Reduce COVID-19 Risk

Medical researchers suspect that because there is a correlation between testosterone levels and illness severity in men with the SARS-CoV-2 virus, correcting testosterone levels could have a positive effect. It has been demonstrated that when patients who have low testosterone levels are treated with testosterone replacement therapy (TRT), their rates of hospitalization and all-cause mortality decrease. This indicates that correcting low testosterone levels with TRT may play a significant role in helping men who have COVID-19 illness.


How to Learn More

Men considering hormone replacement therapy in Los Angeles should look no further than VitalityRx®. As LA’s leader in TRT, the VitalityRx® staff can give men significant peace of mind when it comes to raising their testosterone levels and potentially lowering their COVID-19 risk. If you are experiencing symptoms of low testosterone or just want to know what your levels are, book an appointment at your convenience.



The Definitive Guide to Low Testosterone Levels in Men

The Definitive Guide to Low Testosterone Levels in Men

As men get older, their testosterone levels begin to decline. Symptoms of low testosterone include weight gain, less energy, and a reduced sex drive. While falling levels are a part of aging, studies show many men are suffering from testosterone levels that are lower than normal. The American Urology Association reports that 2 out of every 100 men have clinically low testosterone (under 300ng/dl). This doesn’t even include symptomatic low testosterone. That number is closer to 1 in 3 men over 40 that experience symptoms related to a hormone deficiency.


What Is Testosterone?

Testosterone is a sex hormone found in men, though women also have small amounts. This hormone is responsible for bone and muscle development, the deepening of the voice, hair growth, and other factors related to appearance, as well as the production of sperm. Testosterone also plays a role in producing red blood cells, mental acuity, bone density, and overall mood. It’s a multifunctional powerhouse in the body and the master regulator of the entire endocrine system.


Men’s testosterone levels peak during adolescence and early adulthood and decline about one percent a year, starting around age 30. This gradual reduction in testosterone is normal and should be expected. However, studies have shown that testosterone levels are decreasing earlier and faster than ever before, and low testosterone is a problem for an increasing number of men, especially those with other chronic health problems related to aging.

One of those health problems is a condition known as hypogonadism, which occurs when the body does not produce normal amounts of testosterone. While it used to be associated with older men, doctors and researchers have noticed that younger men are also affected. The exact reasons aren’t clear, although theories include a lack of sleep, increased levels of stress, the presence of hormones in food, and environmental toxins.

A man’s overall health also impacts his testosterone levels. Obesity, diabetes, thyroid issues, and certain medications can negatively affect testosterone levels.


Signs and Symptoms of Low Testosterone

It’s estimated that about 13 million men in the U.S. are struggling with low testosterone. Many of the signs and symptoms are also associated with aging and men often fail to recognize that their condition may be the result of something else that can be treated.

Symptoms of low testosterone can include:

  • Bad mood
  • Fatigue
  • Impaired cognitive function
  • Loss of muscle mass
  • Low libido
  • Memory loss
  • Weaker bones
  • Weight and fat gain
  • Weaker erections

Anyone who experiences one or more of these symptoms should seek medical attention from a specialist that can properly diagnose and treat them effectively.


Diagnosing Low Testosterone Levels

A blood test is needed to diagnose low testosterone. This can take place at a doctor’s office or hormone therapy clinic or with at-home testing. Additional testing, such as a bone density test, can also help with diagnosis. Diminished bone mass is one other symptom of low testosterone.

If no other obvious medical concerns are present, the doctor might suggest natural ways to boost testosterone, including losing weight and increasing the amount of exercise.


Types of Treatment

TRT can be administered in several ways. While it’s not a cure-all, it can help with some symptoms associated with low testosterone. The delivery methods include:

  • Gels/Creams
  • Injections
  • Pellet Implants
  • Naturally boosting testosterone production

Each option may have its own side effects and challenges, though most are minor. It’s best to evaluate each one to determine which method of TRT is the best fit. Most men feel improvement four to six weeks after starting testosterone replacement therapy, although some changes such as increases in muscle mass may take a bit longer. It’s important to monitor progress and adjust dosages as you go.


Learn More About TRT

For men in the Los Angeles area, VitalityRx® offers concierge-style testing for low testosterone at the convenience of your home or office. A nurse practitioner will conduct a physical exam and blood draw, which is then sent to our labs and physicians. A full men’s health blood panel is returned in a few days, accompanied by a telemed consult with a hormone specialist. If you are experiencing symptoms of low testosterone or just want to know what your levels are, VitalityRx® is here to help. Get back to being your best. Schedule a complimentary consultation at your convenience.



Hypogonadism: Causes, Symptoms, Diagnosis, and Treatment

Hypogonadism: Causes, Symptoms, Diagnosis, and Treatment

What Is Hypogonadism?

Hypogonadism occurs when a person’s organs fail to produce an adequate amount of sex hormones, often resulting in predictable symptoms. In men, the sex hormone in question and master regulator of the endocrine system is testosterone. Testosterone is responsible for the development of male traits but its role goes far beyond that to virtually all cellular function. Men with low testosterone levels may experience unwanted changes in their body composition (the ratio of muscle to fat tissue), mood, immunity, cognitive function, and energy levels.

In this article, we explore the causes, symptoms, and treatments of hypogonadism, and how to manage low testosterone levels.


What Causes Hypogonadism?

Hypogonadism has many potential causes, some of which can start before birth.

There are two types of hypogonadism: primary and secondary. Primary hypogonadism occurs when testosterone levels are affected for a genetic reason or because of a direct insult to a man’s testes. Causes of primary hypogonadism may include the following:

  • Chemotherapy or radiation
  • Hemochromatosis
  • Impaired growth of sex organs during fetal development
  • Infections (such as mumps orchitis)
  • Klinefelter syndrome
  • Testicular injury

Secondary hypogonadism occurs when testosterone levels are affected by a problem in the specific parts of the brain that regulate testosterone production, namely the pituitary gland and hypothalamus. Causes of secondary hypogonadism may include the following:

  • Certain medications
  • Inflammation
  • Kallmann syndrome
  • Normal aging
  • Obesity
  • Pituitary pathology (such as a tumor)
  • Untreated sleep apnea
  • Environmental endocrine disruptors
  • Extreme or prolonged stress
  • Different kinds of medications

Men can experience both types of hypogonadism independently or they may have a mix over the course of a lifetime. It is normal for men to experience a degree of hypogonadism as they get older because testosterone production declines as the body ages. However, the only way to know the cause of hypogonadism for certain is to undergo a comprehensive medical evaluation with lab testing.


What Are the Symptoms of Hypogonadism?

Although the symptoms of hypogonadism can range depending on the underlying causes, adult men may experience the following symptoms:

  • Decreased body hair
  • Decreased energy level
  • Decreased fertility
  • Decreased libido
  • Decreased muscle and bone mass
  • Erectile dysfunction
  • Increased breast tissue (gynecomastia)
  • Mood swings or depression
  • Short-term memory loss
  • Trouble concentrating
  • Weight gain


How Is a Diagnosis of Hypogonadism Made?

To diagnose hypogonadism, a clinician will evaluate a patient with a full medical exam and then order a range of blood work that generally includes a complete blood count, a prostate-specific antigen test, a lipid panel, and a full hormone panel including total and free testosterone levels. It is important that clinicians differentiate between total and free testosterone because this can help determine the exact cause of a patient’s hypogonadism. Obtaining an accurate diagnosis is essential when it comes to proper treatment.


How Is Hypogonadism Treated?

The treatment of hypogonadism, whether primary or secondary, is generally addressed via testosterone replacement or another type of hormone therapy including boosting your body’s natural testosterone production. Low testosterone levels can be improved with testosterone that is given exogenously (from an external source), either in cream or injectable form. The system can also be rebooted and induced to produce more testosterone.


What Are the Benefits of Testosterone Optimization?

When testosterone is returned to a normal range, men may experience increased energy and improved quality of life. One of the secondary benefits of testosterone replacement may be its positive impact on the heart. Low testosterone levels have been linked with atherosclerosis, which is the development of arterial plaque; thus, by optimizing testosterone, men may reduce their risk of developing cardiovascular disease. Testosterone replacement may also positively affect conditions such as obesity, myocardial ischemia, diabetes, and depression.


How to Learn More About Hypogonadism Treatment

At VitalityRx®, concierge clinicians use a comprehensive panel of blood tests and our physicians consider a patient’s full health profile when creating an individualized testosterone optimization plan, which ranges from diet and lifestyle recommendations to custom vitamin programs to hormone replacement therapy. Men who suspect they may have hypogonadism or are looking for an evaluation can start with a complimentary consultation at VitalityRx®. We’re here to help.



Hormone Replacement Therapy—What You Should Know

Hormone Replacement Therapy—What You Should Know

Low testosterone levels can have a profoundly negative impact on men. When testosterone levels drop, men can experience a decrease in energy, strength and motivation, as well as an increase in weight gain and mood disorders. However, this negative cycle can be avoided by restoring serum testosterone levels to a normal range. This process is most easily accomplished with hormone replacement therapy (HRT).


What to Consider When Deciding to Undergo HRT

Men who are contemplating hormone therapy or testosterone supplementation may have questions about the therapy’s safety profile. Testosterone replacement therapy is safe as long as the following parameters are in place:

  • The testosterone is administered at the proper dosage.
  • The testosterone therapy lasts for the correct duration of time.
  • The right form of testosterone is used.


What Is HRT?

HRT is a method of hormone supplementation. With respect to testosterone, the hormone is administered directly via injections, as opposed to oral administration, so that it is not broken down during the digestive process.

Replacing testosterone and re-establishing normal levels can have a positive effect on libido, sexual performance, energy levels, and strength. Most men may also find that testosterone injections make it easier to reduce their body fat and gain muscle mass, particularly when they combine HRT with resistance training or a weight-lifting program.


How Does HRT Work?

The efficacy of testosterone supplementation depends on a few factors, including the method of administration. When the testosterone formulation mimics endogenous testosterone—the kind that is produced by a man’s own body—and is administered in an injectable form, it is highly effective.

In contrast, the efficacy of a pill form of testosterone can be impaired by excipients and binders, as well as by partial or complete metabolism in the gastrointestinal tract. This is a far less effective form of treatment. Injectable testosterone bypasses these concerns so it is fully functional and can be dosed reliably.


What Are the Possible Side Effects of HRT?

Like any medication, testosterone supplementation can have side effects. Minor side effects may include sleeping disturbances or oily skin. However, a more serious side effect occurs when testosterone stimulates the production of excess red blood cells. This side effect can cause cardiovascular strain. Men who are considering HRT should have their medical provider periodically monitor their blood to ensure this side effect does not occur. If it does, the dosage should be adjusted accordingly and donating blood can quickly and effectively combat this risk.


What Are the Types of HRT Treatments?

Testosterone can be effectively administered via injection, cream or through natural boosting. Injectable testosterone is usually the preferred route, but applying creams and naturally inducing the body to produce more testosterone may also be effective.

HRT treatment also varies according to therapy setting type. Men typically receive injections in a traditional family or internal medicine clinic or at a specialized testosterone clinic. However, a third option exists. At VitalityRx®, medical providers meet with patients in their own homes, where the provider can conduct an exam and blood work on-site. Depending on the results of these evaluations, men may be eligible to receive a home treatment kit that has everything needed for self-administration of testosterone or a natural boost. Our patients prefer VitalityRx® not only for the results, but also for its safety, ease, convenience, privacy and discretion.


More About the VitalityRx® Method

When a prospective male patient contacts VitalityRx® seeking an evaluation for HRT, a nurse practitioner travels to his home to perform a physical exam and a blood draw to assess overall health and hormone levels. This typically takes 30 minutes. Following the in-home exam and blood draw, the medical director of VitalityRx®, Dr. Garrett Wdowin, reviews the results and pairs it with the symptoms and exam to determine the patient’s optimal hormone levels. He then formulates a treatment plan designed to restore levels to that target range within a reasonable amount of time.

HRT treatment plans don’t have to last forever; they can and sometimes should have a determined endpoint. Other clinics that advertise HRT may claim that patients need lifelong treatment or, conversely, that they need no treatment at all. VitalityRx® is different. At VitalityRx®, the medical team’s goal is to optimize and reboot a patient’s system without ever creating a dependency on the medication. Patients of VitalityRx® can anticipate having the ability to maintain their desired results even after the typical 6-month treatment program has ended.

Don’t suffer in silence any longer. To get started on testosterone replacement therapy in Los Angeles or Orange County, book an online appointment today. The first step is to get your blood work completed and to speak to our specialist. There’s no obligation beyond that. Our staff will guide you through our process and protocols, and our nurse practitioner will come to you to get the process started—whenever it fits into your schedule.



Everything You Need to Know About TRT

Everything You Need to Know About TRT

As men get older, their testosterone levels naturally begin to decline. This can lead to unpleasant health issues, such as low energy, lack of sex drive, mood changes, and erectile dysfunction. Testosterone replacement therapy is one way to address the root of the problem and return testosterone (and the rest of your hormones) to better-optimized levels.


What Is TRT?

Testosterone replacement therapy (TRT) is a form of hormone replacement therapy focused on restoring healthy testosterone levels. As a man ages, his testosterone levels naturally begin to drop. This gradual decrease may not cause any noticeable symptoms at first, but over time, men may begin to experience:

  • Loss of muscle and bone mass
  • Negative mood
  • Problems focusing on tasks
  • Low libido
  • Loss of energy
  • Weight gain
  • Memory loss


Men who suffer from these symptoms often don’t realize low testosterone could be to blame, assuming instead that it’s just part of the natural aging process. However, these symptoms can all be the result of a hormonal imbalance that can be corrected and optimized.


How TRT Works

TRT gives the body the testosterone it needs to function at its best. Once the right dose has been established, most men notice an improvement in energy, sex drive, and overall quality of life. However, such improvement doesn’t always happen overnight. It can sometimes take a month or two for the body to adjust and beneficial changes to become noticeable.

Before initiating TRT, an individual undergoes a blood test to determine the level of testosterone present in the body. The results should indicate if any symptoms are the result of a natural drop in testosterone or if the body is producing too little of the hormone. Once the need for TRT is determined, the next step is to decide which form of treatment makes the most sense.

TRT can be done with creams, gels, shots, patches and pellets. The most effective of these being shots and creams. There are also more natural ways to induce more testosterone production in the body. Lifestyle and other factors should always be taken into account when determining which type of treatment to use, which should always be tailored to the individual and carefully monitored.


The Benefits of TRT

Most men who undergo testosterone replacement therapy for a hormone deficiency experience a noticeable improvement in their symptoms. Many patients report an improved sex drive and energy levels, a decrease in body fat, an increased ability to gain and retain muscle mass, as well as improved focus.

While TRT offers many benefits, it is not an overnight fix, and not everyone will experience the same results. Some men see dramatic improvements, while others may have only gradual results. It can require some adjustments over time to optimize the right plan and a customized approach is very important. Regardless of how considerable the improvements are, TRT remains the best way to help men struggling with low testosterone.


Types of Treatments

There are a variety of TRT treatment options. Some need to be administered daily, while others can be administered infrequently. Below are the common TRT options available.

Topical Creams and Gels

Patients can rub a testosterone cream or gel directly onto the skin for absorption into the body. Several kinds are available with different ways of applying them. Some creams are rubbed into the skin on the upper arm or shoulder, while others are applied to the front and inner thigh.

Patients are asked to avoid showering or bathing for several hours after application to ensure full absorption. Potential side effects include skin irritation and transferring the medication to another person. Patients should avoid skin-to-skin contact until the treatment is dry or cover the application area. This is usually a very manageable process and preferred by those who don’t like shots.


Testosterone pellet implants are a longer-term option. These implants are surgically inserted every three to six months. The pellets dissolve slowly to administer testosterone to the body over an extended period of time. The slow release mechanism is less accurate than other methods and can lead to big swings in the amount of testosterone being regulated.

Intramuscular Injections

Most patients opt for testosterone injections. They allow for direct administration of an accurate dose, as well as maximum absorption by the body. Depending on the level of comfort, injections can be given at home or by a medical professional either once or twice a week.

Transdermal Patches

A patch containing testosterone can be applied each night to the thighs or torso. One possible side effect is severe skin irritation. These are generally less effective in raising testosterone levels consistently to the desired level and are rarely used.


Potential Side Effects

As with any medical treatment, there are potential side effects to testosterone replacement therapy.

These include:

  • Acne
  • Breast swelling or soreness
  • Enlarged prostate
  • Foot or ankle swelling
  • High red blood cell count
  • Infertility
  • Smaller testicles


All of these symptoms can be avoided with proper dosing and testing to make sure you are on the proper plan. Patients on TRT should have regular blood tests to monitor testosterone levels, the prostate, and red blood cell count.

While some believe that the long-term effects of TRT remain uncertain, new studies and literature paint a much clearer picture of the risks. Dated studies have publicized the cardiovascular risk of TRT and risk of accelerating prostate cancer, but according to The American Heart Association, having optimal levels of testosterone does not increase cardiovascular risk while having low levels of testosterone does. Multiple peer reviewed studies, such as the one published in PLOS ONE medical journal, have shown definitive proof that among men with low testosterone levels and normal PSA, testosterone treatment was not associated with an increased risk of prostate cancer.


Learn More About TRT

Don’t let low testosterone levels affect your quality of life. For testosterone replacement therapy in Los Angeles, Orange County, or San Diego, contact VitalityRx®. Our concierge service works with your schedule to create and deliver a personalized treatment directly to you. You’ll never have to leave the comfort and privacy of your home or office.