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Category : Low T

Erectile Dysfunction/Low T Men’s Health Georgia

Peyronies disease is an acquired inflammatory condition of the penis where a plaque (scar) develops under the skin of the penis leading to curvature, painful erections, and erectile dysfunction. The plaque consists of scar tissue that forms within the wall of the tissue called the tunica albuginea that surrounds the corpus cavernosum, which is the structure that fills with blood to create erections. When the plaque is large enough, it causes curvature of the penis that may be painful and may prevent intercourse. Also, the plaque may cause erections to be less rigid or difficult to maintain. Peyronies disease is common and may run in families, with an estimated 1% of all men having some degree of Peyronies disease.

The exact cause of Peyronies disease is unknown, but it is likely that a genetic predisposition to abnormal scar tissue formation is an underlying cause. In some men, Peyronies disease is caused by trauma to the penis, for example, sudden and painful bending during intercourse.. Peyronies disease can be associated with abnormal scar tissue formation in the plantar fascia of the foot (Ledderhoses disease), the eardrum (tympanosclerosis), or the palm of the hand (Dupuytrens contracture). Low testosterone, or hypogonadism, is also commonly seen in men with Peyronies disease, which may predispose to poor wound healing and inflammation.

Peyronies disease often begins with the sudden onset of curvature to the erect penis, which may be initially painful. Peyronies disease may present with the new onset of erectile dysfunction. You or your doctor may notice an abnormal hardening or calcification of the tissue below the skin along the shaft of your penis. The plaque commonly occurs on the upper side of the penis near the base, but can also form on the bottom or side of the penis. In some men, the plaque occurs around the entire penis. The condition is usually asymptomatic in the flaccid state.

During erection, there may be:

Ultrasound can be used to evaluate the size of the plaque, the degree of penile curvature and severity of associated erectile dysfunction. To perform this ultrasound study, medicine is injected into the penis to produce an erection (see attached). A painless ultrasound probe is used to determine the plaque volume, degree of curvature, arterial blood flow into the penis, and the ability of the veins to keep this blood from exiting the penis. This information is used to develop an individualized treatment plan.

A combination of oral medications and/or penile injections may improve the symptoms Peyronies Disease. A vacuum erection device (VED) may be beneficial to improve penile length or aid with erections if venous leak erectile dysfunction is detected on ultrasound. For a small percentage of men, the curvature can improve over time with or without treatment.

Oral Medications:

The following medications may alleviate some symptoms or slow the progression of Peyronies disease:

Penile Injections:

Injections of medication directly into the penile plaque are an option that may benefit some men. Traditional intralesional injection therapies include verapamil and interferon. Xiaflex, an intralesional injection therapy made from collagenase clostridium histolyticum, offers certain men a potential decrease in curvature and symptoms with a simple office procedure. Xiaflex is an option for men with stable Peyronies disease, intact erectile function, and a curvature between 30 and 90 degrees. Xiaflex consists of a series of one to four 2-day injection cycles in combination with modeling therapy (bending) by the clinician.

Surgical Repair:

Surgical treatment is typically reserved for men with a severe penile curvature or erectile dysfunction that prevents intercourse. The main goal of surgery is to straighten the penis enough to restore satisfactory sexual function.

Surgical procedures for men with severe curvature but preserved erection function may include:

Penile Prosthesis:

For men with Peyronies disease and erectile dysfunction not responsive to conservative treatment options, implantation of a penile prosthesis is the best option. A penile prosthesis completely cures the disorder by restoring sexual function, a straight penis, and ones confidence. Performed through a small hidden penoscrotal incision, a penile implant is invisible in your body while producing a completely natural erection and sexual experience. Sensation, orgasm, ejaculation, and urination are unaffected. The prosthesis has the highest success rate of all the treatments for Peyronies disease and erectile dysfunction, and over 90% of men and their partners have reported satisfaction after the procedure. There are two main types of penile prosthesis: inflatable and malleable. An inflatable penile prosthesis consists of 3 components that allows for a normal flaccid state, and then inflation through a scrotal pump produces a rigid state. A malleable penile prosthesis exists in a permanent semirigid state that bends downwards for dressing and bends upwards for sexual activity.

Videos:

Peyronies Disease Management Dot Plication Surgical Management

https://www.youtube.com/watch?v=d-4jhj2nojE

Circumferential Peyronies Plaque Excision with Semirigid Penile Implant

https://www.youtube.com/watch?v=cyWbhPJ7PH8

Peyronies Disease

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Erectile Dysfunction/Low T Men’s Health Georgia

Recommendation and review posted by Alexandra Lee Anderson

Low T – Testosterone Replacement Therapy – Ehormones

Low T is short for low testosterone a condition that affects most men as they age. Testosterone levels typically decline after the age of 30 and become more prevalent and symptomatic in men 40 and over. Low T causes older men to lose muscle, energy and motivation. It can affect a persons mood, making them irritable and more prone to depression often call grumpy old man syndrome. Low T is also a leading cause of sexual dysfunction in aging men, including a drop in libido and ability to get and maintain erections. Men also lose HGH, Human Growth Hormone, as they age and this to can be treated if necessary with Testosterone Replacement Therapy (or TRT).

Testosterone Replacement Therapy for men is becoming more and more common as men are increasingly aware of the potential benefits. Testosterone Replacement Therapy can help men improve their mental clarity and focus. Additional benefits include increased muscle mass, libido, and motivation, while decreasing central body fat. Symptoms of low testosterone and/or low HGH levels are common among men over the age of 30. EHormonesMD will develop an individualized and comprehensive treatment protocol to help you achieve the maximum benefits of Testosterone Replacement Therapy.

For men with decreased libido or those who have problems with erectile dysfunction, also known as impotence, Testosterone Replacement Therapy can be significantly beneficial. While many men as young as 30 require Testosterone Replacement Therapy to restore Testosterone levels, HRT is particularly beneficial for men over the age of 40, when testosterone levels may have reached a significant decline. YourEHormonesMDdoctor will be able to determine whether Testosterone Replacement Therapy can help you fight the issues of waning libido and/or erectile dysfunction, and remove the need for ED medications.

Low levels of testosterone can lead to decrease in muscle mass, an increase in body fat and result in a decrease of bone mass over time. Several men experience the inability to achieve results from their work outs, which is usually a direct result of having low testosterone levels. Testosterone Replacement can help to counteract these physical changes and, in fact, clinical studies have shown that Men can see a 10% to 15% increase in muscle mass and protein synthesis in as little as 2 to 3 months. While many physical changes are normal for men as they age, testosterone treatment can offer significant benefits for men when combined with a healthy diet and regular exercise routine.

While it might not sound obvious at first, Testosterone Replacement Therapy for men can actually help with some emotional problems that men experience as they age. Low Testosterone levels have shown to reduce self-confidence and motivation, which can have a negative impact on personal relationships and work results.. Feelings of sadness and depression, as well as the inability to concentrate on important tasks or remember important pieces of information are also common with decreased testosterone levels.

Be sure to contact one of our manyEHormonesMD locationsthroughout the US to take that first step at regaining your youth. Simply call or email us to schedule an appointment.

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Low T – Testosterone Replacement Therapy – Ehormones

Recommendation and review posted by Alexandra Lee Anderson

Buckeye PMR Low T – Do You Have Low Testosterone?!

Nationwide Leaders in Testosterone TherapyLow-cost testosterone replacement options

So what is Testosterone Replacement Therapy? If youre an aging man, chances are youve lost quite a bit of energy, experienced a drop in sexual potency or erectile dysfunction, put on a few extra pounds, and now you have to work even harder in the gym to maintain your natural weight. Theres a reason forthat and for most men it starts with a T. Were talking about the male hormone Testosterone.

By the time you hit 30, yourbody is already significantly behind in testosterone production. You see, by your mid-twenties, your testosterone levels begin to decline by about 1-2% a year. And, by 40, youve lost nearly half of your necessary growth hormones resulting in a common but often misunderstood condition called Andropause, Low T or Hypogonadism; precisely what we treat with various Testosterone Replacement Therapy options.

Men often mistake symptoms of andropause for a midlife crisis. Youve put on weight; your sexual desire has decreased and even worse, your sexual performance is suffering. To make yourself feel better, you may want to buy a flashy sports car, but in reality, the most likely solution to your problem is Testosterone Replacement Therapy.

Your testosterone levels have dropped resulting in increased body fat, depression, muscle loss, hair loss, and fatigue. These are not just symptoms of getting older. In fact, men as young as their twenties to thirties can experience low testosterone (Low T) symptoms. Before you seek medical treatment for depression and spend years on prescription medications, consider having your testosterone levels checked at Buckeye PMR.

Low testosterone is a serious condition that should not be ignored. In addition to the unpleasant symptoms we mentioned above, lower than normal testosterone levels have been clinically associated with an increased risk of heart disease, diabetes, and death.

Testosterone replacement therapy aids in circulation and improves blood vessel function, so its important to have enough of it to ensure healthy blood flow. There are a number of testosterone receptors in the heart, so a healthy testosterone level helps it function properly.

The additional testosterone that results from hormone replacement therapy also reduces the amount of certain unhealthy chemicals in the blood, including cholesterol, and improves a patients lipid profile, a beneficial cardiovascular effect.

Finally, the weight loss and improved physique that many men experience with hormone replacement therapy help to reduce the risk of heart disease and restore heart health.

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Buckeye PMR Low T – Do You Have Low Testosterone?!

Recommendation and review posted by Alexandra Lee Anderson

Low T Medical Clinic and Low Testosterone Therapy

Low Sex Drive? Hair Loss? Fatigue or Muscle Mass Loss?

You may suspect youre suffering from low testosterone.. Have you been researching treatment options? Do you want to connect with fellow low T patients?Low T Medical Clinic is exactly what you have been looking for!We have created an all-inclusive website that will help you with everything from diagnosing your condition to replenishing your hormone levels to connecting with other guys who have been through the same situation.

One of our main goals is to provide accurate, research-based information to men who are suffering from low testosterone. We educate men about the various symptoms of low testosterone. Well help you determine if these major life changes youre experience are based on fluctuating hormone levels.

We also hope to make you aware of the severity of your condition by highlighting the various health risks assoc. with low testosterone. Well also encourage you to find the best treatment option for your condition.

Another one of our priorities is to connect low T patients from across the globe with our online community and forum. No man should suffer in silence. Connect with other men who have low testosterone. Share your thoughts, experiences, fears, and concerns. Seek advice and suggestions from other low T patients and experienced medical professionals.

Not only does Low T Medical Clinic act as a top-notch resource center and online community, we also want to help you find the treatment option best suited to your condition. Well help you find local low T doctors who can provide a diagnosis and treatment plan.

If you have been suffering from low testosterone, it is time to take advantage of all Low T Medical Clinic has to offer.

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Low T Medical Clinic and Low Testosterone Therapy

Recommendation and review posted by Alexandra Lee Anderson

Low Testosterone Treatment in St. Louis | Low T Revolution

Join TheLow T RevolutionToday10,000+ Satisfied Low T Patients in St. Louis

Hormone replacement therapy (HRT) for low testosterone (low t) may be a smart choice for you if you areexperiencing any of these symptoms:

These are often symptoms of low testosterone, also known as low t, and can be effectively treated naturally through hormone replacement.Typically, testosteronelevels are brought back to levels that are average for a 25-year-oldmale. When this happens, men feel more energetic, have a higher sex drive and bettersexual functioning, and, over time, develop a more youthful physique with less body fatand more muscle. These changes can be further enhanced by nutrition and exercise.

Low testosterone treatmentfor men has been studied extensively and has been found tobe a safe and effective way of improving quality of life in men with low testosteronelevels. The protocol followed by Low T Revolution is not guess work. You will be seen by a qualified physician and your visit will be very informative and efficient. We are a private conciergemedical practice with 20+ years of experience in this industry your care is our top priority.

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Low Testosterone Treatment in St. Louis | Low T Revolution

Recommendation and review posted by Alexandra Lee Anderson

Center for Men | Tulsa Men’s Clinic | Tulsa Low T

Center for Men | Tulsa Men’s Clinic | Tulsa Low T

The symptoms of low testosterone may include fatigue, weight gain, reduced sex drive, decreased motivation and more.

Learn about the symptoms

Dealing with the symptoms of low testosterone can be frustrating. Have you ever wondered what causes it?

Learn about the causes

Studies show that if not managed properly, low testosterone may increase risk for diabetes and cardiovascular disease.

Learn about the risks

The CFM mission is to provide an improved quality of life for men suffering from symptoms of low testosterone.

Understand the statistics. Reduce the risk.

25 Percent Twenty five percent of men suffer from symptoms of low testosterone?

30 Minutes Thirty minutes is all it takes to find out what your testosterone levels are.

40 Percent Forty percent of men with high blood pressure also have low-t levels.

Get tested today. Its quick, easy, and painless!

Start Here

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Center for Men | Tulsa Men’s Clinic | Tulsa Low T

Recommendation and review posted by Alexandra Lee Anderson

Older men with ‘low T’ can improve their sex lives with testosterone therapy, study says – Men’s Fitness

We hate to say it, but low testosterone levels can have a slew of negative effects for older guys.

But even now there’s a scientific tug-of-war over testosterone-replacement therapy. Sure, it sounds greatwhat guy doesn’t want more of the “masculine hormone”?but risks of testosterone therapy can include the growth of pre-existing cancerous cells, testicular shrinkage, infertility, even heart attack or stroke, as one of our writers discovered.

The positives are just as extreme. Aside from increased strength and motivation, men can enjoy greater urinary health, better sexual function, and a higher quality of life, according to new research from Boston University Medical Center.

In the study, published in the Journal of Urology, researchersenrolled roughly 650 men in their 50s and 60s. Some of the men had unexplained testosterone deficiencies, while others suffered from genetic hypogonadism (when gonads fail to produce testosterone). About 360 men received testosterone therapy for eight years (the remaining didn’t).

What’s more, the men who underwent testosterone therapy enjoyed a significant bump in their urinary and sexual function (lower instance of erectile dysfunction, higher sex drive), as well as better quality of life (sunnier mood, higher confidence).

Another interesting detail: Two men in the treatment group died from causes unrelated to cardiovascular failure, while 21 in the non-treatment group died (19 deaths were cardiovascular-related). Those mortality rates suggested that testosterone therapy isn’t necessarily linked to a greater instance of heart attack or stroke, the researchers suggested.

“It is thought that testosterone treatment in men may increase prostate size and worsen lower urinary tract symptoms,” study author Abdulmaged Traish, Ph.D., said in a press release. Researchers discovered somemenhad larger prostates post-testosterone therapy, but they experienced fewer instances of frequent urination, incomplete bladder emptying, and waking at night to urinate.

“[Testosterone therapy] is well-tolerated with progressive and sustained improvement in urinary and sexual function, and overall improvement in quality of life,” Traish added.

Something to think about if your testosterone takes a hit one day and you want to fight manopause head-on.

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Older men with ‘low T’ can improve their sex lives with testosterone therapy, study says – Men’s Fitness

Recommendation and review posted by Alexandra Lee Anderson

Doctors Address Low Testosterone Ads – CBS St. Louis

ST. LOUIS (KMOX) Theres a lot of ads out there about low testosterone, prompting local experts to share some advice.

Barnes-Jewish West County Urologist Dr. Christopher Arett at Washington University School of Medicine says theres no real definition of what constitutes low testosterone.

Testosterone typically, for the average population, is around 300 or higher, so 300 to 500 is often given as a normal range, he says. However, if youre below that level, it doesnt mean that you are going to have symptoms, and if youre above that normal, you may still have symptoms of low testosterone [if] at some point in life you had higher testosterone.

What are the symptoms of Low T?

What people may notice is decrease in energy level, decrease in sex drive, over the long-term low testosterone can decrease muscle mass, bone density, and increase truncal obesity, or beer belly, says Washington University urologist Dr. Dane Johnson.

Arett says men have to be tested for Low T no later than 10 a.m., because testosterone production is at its highest when men are asleep. Testosterone levels peak in the early morning, and as the day progresses, testosterone in every person decreases.

When your testosterone is taken during the day completely changes what their value will be, he says.

Arett says it is critical to have a good doctor-patient relationship when talking about whether or not you have low testosterone, because the symptoms are not specific and could be caused by other underlying health conditions.

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Doctors Address Low Testosterone Ads – CBS St. Louis

Recommendation and review posted by Alexandra Lee Anderson

Column: Testosterone treatment reserved for men with symptoms – The Daily Courier

By Dr. Keith Roach, Syndicated Columnist

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.

DEAR DR. ROACH: I am perplexed about use of estrogen ointment. My doctor has prescribed Premarin ointment to be used vaginally for relief of painful intercourse. It is effective, but I am very concerned about side effects. She has assured me that the amount that is used (twice a week) is minimal and does not put users at risk for the side effects of oral estrogen tablets. I do have family history of blood clots and uterine cancer, and I suffer from aura migraines. I am 65 years old and in good general health. I never considered the use of hormones for menopausal symptoms, and although I am using the ointment at present, I still am very hesitant. A.M.H.

ANSWER: Because estrogen is poorly absorbed when used topically, the concerns about side effects are greatly reduced. Estrogen blood levels are very nearly the same in women on vaginal estrogen compared with women who do not use estrogen at all. While I would never prescribe vaginal estrogen to a woman with a history of breast cancer without discussing it with her oncologist, I think that the systemic risks of estrogen are very small with the vaginal preparations.

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Column: Testosterone treatment reserved for men with symptoms – The Daily Courier

Recommendation and review posted by Alexandra Lee Anderson

Testosterone treatment reserved for men with symptoms – Sarasota Herald-Tribune

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.

Dear M.M.: 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 wasn’t 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.

Dear Dr. Roach: I am perplexed about use of estrogen ointment. My doctor has prescribed Premarin ointment to be used vaginally for relief of painful intercourse. It is effective, but I am very concerned about side effects. She has assured me that the amount that is used (twice a week) is minimal and does not put users at risk for the side effects of oral estrogen tablets. I do have family history of blood clots and uterine cancer, and I suffer from aura migraines. I am 65 years old and in good general health. I never considered the use of hormones for menopausal symptoms, and although I am using the ointment at present, I still am very hesitant. A.M.H.

Dear A.M.H: Because estrogen is poorly absorbed when used topically, the concerns about side effects are greatly reduced. Estrogen blood levels are very nearly the same in women on vaginal estrogen compared with women who do not use estrogen at all. While I would never prescribe vaginal estrogen to a woman with a history of breast cancer without discussing it with her oncologist, I think that the systemic risks of estrogen are very small with the vaginal preparations.

Readers may email questions to ToYourGoodHealth@med.cornell.edu.

Read more:
Testosterone treatment reserved for men with symptoms – Sarasota Herald-Tribune

Recommendation and review posted by Alexandra Lee Anderson