Saturday, February 5, 2011

Testosterone Replacement Therapy and Erectile Dysfunction

Testosterone Replacement Therapy and Erectile Dysfunction.

Testosterone replacement therapy has changed quite significantly in the last ten years. Ten years ago, before a man was considered suitable for TRT, he was required to undergo a battery of hormonal assays. These included exotic named tests like free and bonded testosterone, sex hormone binding globulin, serum prolactin and luteinizing hormone.
All that has now changed. These tests were not only very expensive they were also unhelpful. Blood levels of testosterone, free or bonded, are notoriously unreliable and difficult to interpret. Recently I have abandoned their use altogether and replaced them with a more pragmatic approach of measuring benefit, if any, before and after testosterone treatment begins. The easiest way to do this is by using a self-assessment questionnaire called the ADAM test.
The ADAM test is a very simple one page questionnaire that anyone can use to score their own symptoms (if any) of Testosterone Deficiency Syndrome. No needles, no blood, no expensive laboratories, no uncertainty and no delays. It is simplicity itself. Score symptoms before treatment commences and one month later. If there is no improvement then perhaps TRT is not for you.
Another recently introduced improvement in the management of androgen deficiency was the introduction of a sustained release intramuscular injection called Nebido. Administered by a doctor every ten weeks this preparation is a big improvement on previous gels, implants, patches and erratic injections. I usually recommend gel for the first month to see if the ADAM score improves and then move on to Nebido if the client is impressed.
Finally, here is a useful tip for you. If you suffer from erectile dysfunction that does not respond adequately to Viagra 100 mg then ask your doctor to consider placing you on a trial of TRT. Often the addition of this hormone allows Viagra, Cialis or Levitra to click in and allow you to enjoy intercourse as you have always done before.
Doctor Rynne

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