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Home » Testosterone » Testosterone treatment reserved for men with symptoms | To Your … – STLtoday.com

Dear Dr. Roach I am a 70-year-old male. I receive testosterone injections (in the butt) from my provider every three weeks, and have been receiving these injections for roughly five years. My provider reviews my bloodwork every six months before he writes a prescription renewal for testosterone, which I then take to his office for safekeeping and the regular injections. My latest bloodwork indicates that my testosterone serum is low at 310, and free testosterone is low at 4.9. After five years of injections, I continue to have low T; it does not seem to be improving. At my most recent visit, the doctor increased the injection dosage from 2 ml to 3 ml. I am concerned because of the heart, prostate and other risk factors I read about. Any advice or cause for concern? M.M.

Answer Testosterone treatment is indicated for men with symptoms of low testosterone levels and confirmed by blood testing. It is not a tonic to be used without due consideration.

There has long been concern about adverse effects of testosterone, especially to the prostate and to the heart. Most prostate cancer is testosterone-sensitive, and removing testosterone was one of the oldest treatments for prostate cancer. However, restoring normal levels of testosterone in a man with low levels is now considered to have low potential for increasing prostate cancer. It has not been definitively proven to be safe, but the many studies that have been done have been reassuring. Authorities recommend more-aggressive prostate cancer screening for men on testosterone treatment.

Athletes using extremely high doses of testosterone (many times greater than the doses you are taking) are at risk for heart attack and stroke. However, these data cannot be used to consider the risk in men who are prescribed testosterone with a low level, where the goal is to get to normal. Testosterone treatment reduces several key risk factors, including cholesterol. Most of the well-done studies show little if any risk from testosterone treatment; some have shown some benefit.

Since the dose you were getting wasnt bringing your blood level up, I think increasing it is appropriate. The usual goal is a blood level of 500-600, but that may not be appropriate for everybody.

Dr. Roach regrets that he is unable to answer individual letters, but will incorporate them in the column whenever possible. Readers may email questions to ToYourGoodHealth@med.cornell.edu or request an order form of available health newsletters at 628 Virginia Drive, Orlando, Fla. 32803. Health newsletters may be ordered from rbmamall.com.

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Testosterone treatment reserved for men with symptoms | To Your ... - STLtoday.com

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Home » Testosterone » Testosterone treatment reserved for men with symptoms | To Your … – STLtoday.com