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Testosterone Replacement

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Testosterone Replacement For Men in Scottsdale, AZ

Men have unique needs when it comes to Hormone Replacement Therapy (HRT). At The Hormone Zone, we understand exactly what those needs are and bring the best possible solutions for optimizing results. Dr. Robinson has been working with men since 2006 and fine tuning the protocols that are used at The Hormone Zone.

And, in true Hormone Zone fashion, we bring together multiple solutions to improve your Testosterone Replacement Therapy experience.

TESTOSTERONE CYPIONATE INJECTIONS

We have taken the classic approach of Testosterone Injections and created a cutting-edge protocol that improves the results for men dramatically. One of the potential issues with Testosterone Replacement Therapy using injections is the large elevation and inevitable drop in testosterone levels from injection to injection. This causes inconsistent results in relieving symptoms. We have developed a unique protocol that keeps the testosterone levels extremely steady and consistent. We have also made the injection process incredibly easy to administer and convenient with at-home injection options.

TESTOSTERONE SUBCUTANEOUS PELLETS

Bioidentical Testosterone Hormone Pellets have been helping men with their low testosterone (Low T) since 1937. Another classic approach that requires an updated clinical protocol, and we have the experience here at The Hormone Zone. It is not an exaggeration to say that there are not many people in the entire country that have been treating patients with subcutaneous hormone pellets for men as long and as often as Dr. Robinson.

When prescribed and given by an experienced medical expert, Testosterone Pellets provide a consistent flow of testosterone for 4 to 6 months, from a simple procedure that takes five minutes in the office. Testosterone Hormone Pellets are placed under the skin and provide consistent testosterone levels on a minute to minute basis, all day long, over time.

HCG THERAPY

HCG is Human Chorionic Gonadotropin, a natural bioidentical hormone that communicates directly with the testicles to encourage additional testosterone and sperm production. Simply, it keeps the testicles functioning optimally.

One of the effects of any type of Testosterone Replacement Therapy is the potential for the testicles to shut down to some degree. For many men, they will notice testicular shrinkage and retraction in the scrotum, over time. This does NOT need to be the case. By simply adding in HCG to your Testosterone Replacement regimen, you will receive the additional benefits:

  • Improved Testicular Function
  • Enhanced Testosterone Production
  • Steady Flow of Testosterone Levels
  • Stabilization of Mood
  • Improved Sense of Well Being
  • Maintenance of Sperm Production & Fertility

Most doctors prescribing Testosterone Therapy do not prescribe HCG at the same time, merely from not understanding or specializing in this approach. We believe this is wrong and not optimal for men who have decided to be on any type of TRT.

 

PDE5 MEDICATIONS (CIALIS OR TADALAFIL)

Phosphodiesterase 5 Medications are excellent options for men to enhance their results. We take Erectile Dysfunction very seriously and have excellent results for men suffering from this condition. In fact, studies have demonstrated that the rate of ED in the US to be about 52%. ED is increasingly prevalent with age with approximately 40% of men are affected at age 40 and nearly 70% of men are affected at age 70. This is a problem we are committed to solving. These types of medications, in concert with a comprehensive Hormone Replacement Therapy approach, can be highly effective.

PREMATURE EJACULATION (PE) SOLUTIONS

Premature ejaculation (PE) is likely the most common sexual dysfunction in men. The condition has a worldwide prevalence of approximately 30%. Additionally, in men younger than 40 years, a prevalence of 30-70% of males in the United States being affected to some degree at one time or another. It has historically been considered a psychological disease with no identified organic cause. This is NOT the whole truth.

The therapy for Premature Ejaculation starts with an honest conversation with your doctor. That process alone begins the process of fixing the problem. We have developed protocols to aid men with their sexual response and performance. There are simple pharmacological approaches that can greatly improve this situation.

Even if there are adequate hormone levels present and additional medications have been given, the root cause of Erectile Dysfunction can be at the tissue level itself. The P Shot can help men restore and regenerate new blood vessel and nerve growth, improving erectile function, sensitivity, responsiveness, and size of the penis.

NUTRITIONAL APPROACHES FOR LIBIDO AND ERECTILE DYSFUNCTION

There are key nutrients and natural substances that aid in Testosterone Enhancement, Erectile Dysfunction, and stimulating Libido, along with improving athletic performance and working directly with your TRT program.

The key with these types of approaches is to have both high quality and optimal dose. Too often, the reason these approaches do not help men is due to inferior quality products (NOT Physician Grade Supplements) and a dose that is too low to be effective. We only use the highest quality ingredients and prescribe effective, evidence-based doses that give you the results you need.

WELLNESS STRATEGIES

We will look at your entire medical picture to provide you with a comprehensive approach to your hormone therapy. Prostate Health (PSA Testing), Cardiovascular Function (Hypertension or High Blood Pressure), Thyroid Function, and Human Growth Hormone (HGH) deficiency, to name a few, will all be considered to improve your results with your personalized program.

Frequently Asked Questions:

WHAT ABOUT Testosterone Replacement FOR MEN?

Men experience hormonal deficiencies just like women do, with the same level of problems. Testosterone deficiency is unfortunately a rampant problem and more and more men are realizing that their levels are low and suboptimal, even as early as their 20’s. Like never before, men are starting to seek out the help that they need and deserve. Testosterone Replacement Therapy can utterly change a man’s life, improving his overall health, and optimizing his focus and attitude. At The Hormone Zone, we will choose the best form of Hormone Replacement Therapy for you.

WHAT ABOUT TESTOSTERONE INJECTIONS FOR MEN?

This is a very common form of Testosterone Replacement Therapy for men, but all too often it is used incorrectly and hormone levels are very inconsistent. And men will frequently report that they do not feel good when on injections. However, at The Hormone Zone, we have figured out a superior way to prescribe testosterone injections and have been able to keep hormone levels extremely stable.

DOES Testosterone Replacement THERAPY CAUSE PROSTATE CANCER?

After more than 14 years practicing medicine and utilizing Testosterone Replacement Therapy (TRT) with men, I am very convinced that it does not cause or increase the risk of prostate cancer in men. In fact, this is not news. Many studies from the late 1990’s and early 2000’s had me relatively convinced of this fact, even when I had just started practicing. Despite the research, at the time, there was still an old dogmatic medical bias about testosterone and prostate cancer that lingered. But over the past decade, more and more research has confirmed that TRT does not increase the risk of prostate cancer. In fact, TRT can potentially lower your risk for prostate cancer. 

There are multiple recent studies that demonstrate the fact that TRT does not cause prostate cancer. We have listed only some of the most relevant ones here: 

From: “Late onset hypogonadism (LOH): Prostate safety. 2020.” 

TRT could be considered for most men with LOH regardless of their history of prostate disease. However, a discussion about the risks and benefits of TRT is always advised, especially in men with PCa. Appropriate monitoring is mandatory. ___ 

From “Testosterone treatment and the risk of aggressive prostate cancer in men with low testosterone levels. 2018.” 

Among men with low testosterone levels and normal PSA, testosterone treatment was not associated with an increased risk of aggressive or any CaP. (Prostate Cancer) ___ 

From: “Testosterone treatment is not associated with increased risk of prostate cancer or worsening of lower urinary tract symptoms: prostate health outcomes in the Registry of Hypogonadism in Men. 2016.” 

Results support prostate safety of TRT in newly diagnosed men with HG. ___ 

From: “Recurrence of prostate cancer in patients receiving testosterone supplementation for hypogonadism. 2015.” 

TRT was administered in a variety of dosages and dosage forms for up to nine years to manage hypogonadal symptoms. There is insufficient evidence to withhold TRT in certain populations of men with a history of prostate cancer. ___ 

From: “A new era of testosterone and prostate cancer: from physiology to clinical implications. 2014.” 

The long-held belief that PCa risk is related to high serum androgen concentrations can no longer be supported. Current evidence indicates that maximal androgen-stimulated PCa growth is achieved at relatively low serum testosterone concentrations. It may therefore be reasonable to consider testosterone therapy in selected men with PCa and symptomatic hypogonadism. ___ 

It is argued that TRT actually helps to LOWER the risk for prostate cancer: 

From: “Challenging beliefs of testosterone therapy and prostate cancer. 2019.” 

The relationship between testosterone therapy and prostate cancer continues to challenge historic and current beliefs. A new cohort analysis revealed a ~33% reduction in prostate cancer incidence in men with increased testosterone use. The mechanisms underlying this protective effect are unclear, but these findings challenge current paradigms and warrant further investigation. 

References

Miranda EP, Otávio Torres L. Late onset hypogonadism (LOH): Prostate safety. Andrology. 2020 Feb 13. doi: 10.1111/andr.12772. [Epub ahead of print] Review. PubMed PMID: 32056383. 

Walsh TJ, Shores MM, Krakauer CA, et al. Testosterone treatment and the risk of aggressive prostate cancer in men with low testosterone levels. PLoS One. 2018;13(6):e0199194. Published 2018 Jun 22. doi:10.1371/ journal.pone.0199194 

Debruyne FM, Behre HM, Roehrborn CG, Maggi M, Wu FC, Schröder FH, Jones TH, Porst H, Hackett G, Wheaton OA, Martin-Morales A, Meuleman E, Cunningham GR, Divan HA, Rosen RC; RHYME Investigators. Testosterone treatment is not associated with increased risk of prostate cancer or worsening of lower urinary tract symptoms: prostate health outcomes in the Registry of Hypogonadism in Men. BJU Int. 2017 Feb;119(2):216-224. doi: 10.1111/bju.13578. Epub 2016 Aug 14. PubMed PMID: 27409523 

Gray H, Seltzer J, Talbert RL. Recurrence of prostate cancer in patients receiving testosterone supplementation for hypogonadism. Am J Health Syst Pharm. 2015 Apr 1;72(7):536-41. doi: 10.2146/ajhp140128. Review. PubMed PMID: 25788507. 

Khera M, Crawford D, Morales A, Salonia A, Morgentaler A. A new era of testosterone and prostate cancer: from physiology to clinical implications. Eur Urol. 2014 Jan;65(1):115-23. doi: 10.1016/j.eururo.2013.08.015. Epub 2013 Aug 16. Review. PubMed PMID: 24011426. 

IF I’VE HAD PROSTATE CANCER AM I A CANDIDATE FOR BIOIDENTICAL HORMONE REPLACEMENT THERAPY?

At The Hormone Zone, each patient is individually assessed including a detailed history. Again, the work of Dr. Morgentaler and others has suggested that Testosterone therapy is safe in men with a history of prostate cancer.

For a more in-depth look at testosterone replacement therapy, don’t forget to visit our page, ‘Everything You Need to Know About Testosterone Replacement Therapy’ here.