Hormone Replacement Therapy for Men

The Paradigm Wellness Medical Group strives to provide a comprehensive and preventative approach to aging. Bio-identical Hormone Replacement Therapy helps patients to combat the effects of aging in the least invasive way possible. As aging occurs, hormones decline, and this decrease in active hormones is the primary cause for age related health problems.

When hormones fall out of balance, men may begin to experience the unpleasant effects of aging. He may notice that workouts are not as easy as they used to be, and this is due to the fact that men, on average, lose 12-15 pounds of muscle mass with hormone decline. Testosterone helps to build muscle, and because of its role in forming red blood cells, it helps to speed up regeneration and reduce recovery time. A man may also notice an extra layer of fat has begun to accumulate around the midsection of his abdominal region, and this is because the decreased muscle mass will have slowed down metabolism and caused fat to accumulate in replacement of lean muscle.

Most of these issues are due to a loss of testosterone, which is the primary male sex hormone. Testosterone is produced in the testis, and normally, around 4 to 10mg of testosterone are produced each day. By age 40, a man is only producing around 65% of the amount he was producing in his 20’s, and at age 50, his testis are only producing half of the healthy amounts produced in his 20’s. Of the many men suffering from the effects of hormone decline, most of them go untreated and have to suffer from the effects of hormone decline.

Testosterone is not the only male hormone that keeps the body functioning properly and in balance. It is accompanied by estrogen and progesterone, and together, these hormones comprise the primary group of sex hormones. Other hormones such as DHEA and Pregnenolone, help to produce testosterone, progesterone, and estrogen, and when they fall out of balance, the three primary sex hormones may become deficient and manifest unpleasant symptoms.

The symptoms of hormone imbalances (especially low testosterone) in men include:

  • Feeling tired
  • Low energy
  • Enjoying life less
  • Low libido
  • Sexual dysfunction
  • Loss of muscle definition
  • Stubborn weight gain and belly fat
  • Pre-diabetes or diabetes

Primary Sex Hormones

Testosterone decline can begin as early as a man’s 30’s; however, when a man hits his 40’s or 50’s, it drastically decreases even more. A substantial amount of symptoms may occur as a result of testosterone decline, and due to the fact testosterone governs sex and reproduction, the ability to reproduce or function sexually, may begin to decrease. Symptoms of testosterone decline may cause the following issues.

Insomnia may occur due to testosterone’s inability to regulate the hypothalamus, which regulates sleeping cycles.

Mood Swings can erupt due to testosterone’s interference in maintaining healthy brain chemistry.

Hair Loss happens when a lack of testosterone fails to maintain healthy and active hair follicles.

Muscle Atrophy may occur when a lack of testosterone creates failure to reproduce muscle cells.

Low Libido can happen when testosterone is deficient and decreases sex drive.

Erectile Dysfunction occurs when testosterone fails to supply the sexual organs with adequate hormones for function.   

Progesterone maintains several functions in the male body, and it is made by the testicles and primarily by the adrenal glands. When it is deficient, a man can suffer from a series of different problems. Some of these problems are:

An Enlarged Prostate may occur when progesterone fails to balance estrogen, and an imbalance of estrogen may promote tissue growth.

Bone Loss can happen when a lack of progesterone causes calcium not to be absorbed properly, and a lack of calcium can cause bones to lose mass and become brittle.   

A Higher Risk For Prostate Cancer may also result from a progesterone deficiency failing to maintain proper immune function. The immune system has specialized cells that fight cancer, and when this function is inhibited, cancer may result.

Estrogen is one of the predominant female hormones, but it also governs many functions in a man. It helps the blood flow smoothly to reduce heart disease and blood pressure, and it affects the brain. Symptoms of estrogen deficiency in a man can include:

Memory Loss can be a result of estrogen deficiency. This is because estrogen protects the brain from deterioration.

Depression or Anxiety may occur from toxins building up in the brain and affecting brain chemistry, due to a lack of estrogen.

High Blood Pressure can be due to an estrogen deficiency causing blood to thicken and not flow as smoothly through the arteries and veins.

Heart Disease may result from decreased estrogen failing to maintain healthy levels of cholesterol.

Sex Hormone Precursor’s

DHEA is a precursor of estrogen and testosterone, and inadequate amounts of DHEA can lead to estrogen and testosterone deficiencies. DHEA is made mostly in the adrenal glands and begins to decline as early as a man’s third decade. A DHEA deficiency can lead to muscle atrophy, weight gain, slow healing of infections, increased cholesterol, higher triglycerides, and lowered immunity.

Pregnenolone is another hormone that is involved in the production of testosterone, progesterone, and estrogen, and numerous factors can debilitate the production of this hormone. While aging is the main reason for pregnenolone decline, diets high in trans fats, illness, and stress can also affect the production of pregnenolone. Deficiencies of pregnenolone can cause a poor memory, increased inflammation, decreased nerve transmission, increased nerve damage, and an inability to deal with stress.