Testosterone Deficiency
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Testosterone is a hormone that is pivotal in developing and maintaining male traits, such as facial hair, a deep voice, and muscle mass. It is also present in smaller quantities in females, contributing to their health.
At times, an individual's body may not produce sufficient testosterone, leading to symptoms like fatigue, diminished muscle strength, mood fluctuations, and sexual dysfunction. If these issues persist and testosterone levels are found to be consistently low, testosterone therapy may be considered.
The aim is to enhance your well-being and mitigate the symptoms you're experiencing. This can be achieved through various methods, including medication, lifestyle adjustments, and supplements.
It's important to recognize that testosterone therapy is not a universal remedy. It is customized to meet your individual requirements, and your progress will be meticulously tracked to ensure its efficacy and safety.
Potential side effects and risks are associated with testosterone therapy, and these will be thoroughly discussed with you, maintaining open communication throughout your treatment.
The primary objective of testosterone therapy is to better your quality of life and health if you are diagnosed with a testosterone deficiency. We are committed to ensuring you receive the utmost care.
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You will be eligible based on the following criteria on your bloods workup
Total testosterone below 12 nmol/L
Total testosterone below 14 and you are diabetic nmol/L
Free testosterone below 225 nmol/L
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rimary Causes
Organic : Klinefelter syndrome Cryptorchidism, anorchia Myotonic dystrophy Irradiation, chemotherapy Castration, trauma Orchitis Older age
Functional : Acute or chronic illness, COVID-19 infection
Secondary Causes
Organic : Pituitary/hypothalamic tumour, surgery, trauma or disease Stalk section or disease Hypopituitarism Haemochromatosis Kallman syndrome, idiopathic hypogonadotropic hypogonadism
Functional : Opioids Glucocorticoid excess Hyperprolactinaemia Organ failure Chronic illness, COVID-19 infection, malnutrition, wasting, obesity/type 2 diabetes mellitus, excessive exercise, androgens, progestins, oestrogens, GnRH agonists, finasteride, older age (with comorbidities)
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Total testosterone below 12 nmol/L
Total testosterone below 14 and you are diabetic nmol/L
Free testosterone below 225 nmol/L
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Description text goes here
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Testosterone therapy, especially to achieve normal levels, improves sexual and erectile function, bone mineral density, corrects unexplained anaemia, improves skeletal muscle mass, physical function, renal function, depressed mood, cognitive function, and reduces progression from pre-diabetes to overt type 2 diabetes by 41%.
There is no evidence that testosterone therapy is associated with increased risk of prostate cancer or cardiovascular risk.
Current evidence suggests likely benefit in cardiovascular outcomes, especially in men with chronic kidney disease and atrial fibrillation, and after previous myocardial infarction. Further long term studies are expected to clarify these issues.
Recent studies suggest that testosterone therapy (and additionally metformin) significantly reduces the incidence of prostate and colorectal cancer
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You will be required to return back for a 3-6 monthly follow-up at our clinic for review of your treatment and your blood test parameters
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The main contraindications to testosterone therapy are:
• Prostate cancer (locally advanced or metastatic)
• Male breast cancer
• An active desire to have children, currently or possibly in the future
• Haematocrit >54%
• Severe chronic heart failure – New York Heart Association (NYHA) class IV.
Step 1 = Telehealth Screening Appointment (Virtual)
You will be contacted by one of our clinical team members for your telehealth appointment including a screening questionnaire, health questionnaire and coordination of your biochemical blood testing.
Step 2 : Follow-up Appointment with Clinician (Virtual or Physical)
Upon receipt of your blood tests, we will schedule a virtual or physical appointment with our doctors at our specific clinic sites to review your results and do a physical examination.
Step 3 : Commencement of investigation and / or treatment
Once diagnosis is established, our doctors can prescribe and teach how to administer testosterone therapy according to the treatment options. Informed consent with risk benefit discussion will be made, answering any questions you may have.
