Some Thoughts on Testosterone Replacement Therapy

As was discussed earlier, ADAM is an under-diagnosed condition for men as Hypothyroid is for women. One main reason for this is an over-reliance on a “numbers only” approach for the diagnosis of what is a multi-faceted condition.

A far more effective approach to a proper diagnosis is to take into account all signs and symptoms including the results of a complete blood work –a holistic approach. In many cases the results of a full evaluation may not be so clear cut.

If blood values are not within the clinically low ranges yet not within an “optimal” functional range and there is a strong presence of signs and symptoms suggesting that the patient can possibly benefit from testosterone replacement therapy, provided no contraindications exist, then a three month round of trial therapy might be warranted. Any improvement noted upon re-evaluation is an indication and justification for a continuation of testosterone replacement therapy. By the same token, an absence of any improvement will rule out ADAM as an underlying cause of the symptoms in which case the trial treatment should be terminated.

In cases where the testosterone level is below the clinically normal range and the absence of all contraindications is confirmed, testosterone replacement therapy can be initiated and accompanied by appropriate re-evaluation via follow up lab tests as well as physical examinations.

Note: If you are interested in testosterone replacement therapy, please be sure to read the “check list” section carefully in the patient intake package.

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