Metamorphosis Hormone Replacement
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 MEN'S Health Services





You may consider hormone replacement therapy (HRT) to be a women's-only concern, but it's not. Men's testosterone levels peak in their late teens, and begin a gradual but steady decline of about 1 percent a year around age 30 (Mayo Clinic, 2012).

Because testosterone is required for proper male sexual development and reproductive function—as well as muscle bulk, red blood cell level, and bone density—many men worry about the natural decline of this hormone produced by the testicles. Yet medical experts disagree about the significance of this decline, and whether the health benefits of HRT outweigh the risks.

I am a guy...Do I need hormone therapy?  Simply,  yes if you have these symptoms. Who can I talk with and Can I be helped?

Dr. V is an expert in her field and can help you obtain maximum health and vigor!  


Does a naturally declining testosterone level cause the signs and symptoms of aging?

Not necessarily. Men can experience many signs and symptoms as they age. Some may occur as a result of lower testosterone levels and can include:

• Changes in sexual function. This may include reduced sexual desire, fewer spontaneous erections — such as during sleep — and infertility.


• Changes in sleep patterns. Sometimes low testosterone causes insomnia or other sleep disturbances.

• Physical changes. Various physical changes are possible, including increased body fat, reduced muscle bulk and strength, and decreased bone density. Swollen or tender breasts (gynecomastia) and body hair loss are possible. You may have less energy than you used to.

• Emotional changes. Low testosterone may contribute to a decrease in motivation or self-confidence. You may feel sad or depressed, or have trouble concentrating or remembering things.

If testosterone levels decline naturally with age, do men need HRT? This has been a difficult question for researchers to answer. Not many studies have observed the effects of testosterone therapy in men with healthy levels of the hormone—and studies that have were smaller and yielded unclear results.

HRT can help symptoms of low testosterone in men who suffer from a disease called hypogonadism (Mayo Clinic, 2012). This is a dysfunction of the testicles that results in the body being unable to produce the right amount of testosterone. But what's less certain is whether testosterone therapy can benefit healthy men whose testosterone decline is simply due to aging.

What Type of HRT Are Available and What happens to testosterone levels with age?

Testosterone levels generally peak during adolescence and early adulthood. As you get older, your testosterone level gradually declines — typically about 1 percent a year after age 30 or 40. It is important to determine in older men if a low testosterone level is simply due to the decline of normal aging or if it is due to a disease (hypogonadism).

Hypogonadism is a disease in which the body is unable to produce normal amounts of testosterone due to a problem with the testicles or with the pituitary gland that controls the testicles. Testosterone replacement therapy can improve the signs and symptoms of low testosterone in these men. Dr. Vierregger prescribe testosterone as injections, pellets, patches or gels.If Dr. Vierregger suggests that you need testosterone therapy due to hypogonadism, or other factors,  there are a number of options available including,  but are not limited to, injections, pills and pellets.