Treatment Of Andropause And Bioidentical Hormone Pellet Therapy

  1. What are the symptoms of Andropause?
  2. What is a normal testosterone blood level for men?
  3. Can testosterone converts to estrogen or other hormones?
  4. Why would men use testosterone pellets instead of the many testosterone products available to them?
  5. Do Testosterone Pellets cause Prostate Cancer in Men?
  6. How do I take testosterone pellets and not convert them to dihydrotestosterone and estrone?
  7. What if I have prostate enlargement already?
  8. Why are pellets better than testosterone patches, shots and pills?
  9. Where do the pellets go after six months?
  10. How soon will I feel the effects of the pellets?
  11. How long will it take for my pellets to work?
  12. How long will it take for my body to get back to lean normal?
  13. How long will my pellets last?
  14. If I have used alcohol to excess or drugs like marijuana, will my effect be the same as other men?
  15. If I have diabetes will testosterone help me with my sexual response?
  16. Do present and former athletes need testosterone at an earlier age than other men?
  17. Does testosterone improve depression and anxiety?
  18. How do cholesterol-lowering drugs affect testosterone?
  19. Why are testosterone pellets better than Viagra?


1. What are the symptoms of Andropause?

As men age, they start to loss their natural production of testosterone similar to menopausal estrogen decline in women. The signs and symptoms of andopause include the following:

  • Fatigue and lack of energy
  • Decline in cognition, short term memory, executive function thinking and recall
  • Decrease in muscle energy and endurance
  • Long recovery times after work outs
  • Decreased sexual desire and fantasies
  • Diminished sexual performance or ED
  • Loss of morning erections
  • New onset of anxiety and/or depression
  • Loss of self-esteem and confidence
  • Insomnia
  • New diagnoses of hypertension, hypercholesterolemia and insulin resistance and diabetes

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2. What is a normal testosterone blood level for men?

Until recently, the “normal range” of testosterone levels in men was determined to be between 250-1100ng/dl. This wide range depicts the ideal testosterone levels for men at any age, yet many men at the lower levels do not feel well at all. The goal is to determine the optimal levels for each unique individual. Most males in order to feel their best, mimicking the experience of the levels during their late 20’s and early 30’s, require levels between 700-1200ng/dl. Each man is different…what a good level is for one man is not for another. Treatment should be tailored for each patient.

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3. Can testosterone converts to estrogen or other hormones?

Yes, in some men, low levels of testosterone, may be caused by the conversion of testosterone into estrogen, an aromatase reaction. One reason we test estrogen levels in men. If this happens, we can block the conversion with supplements or medications.

Uncontrolled, the high estrogen levels can cause prostate cancer, gynecomastia, muscle loss and more.

Other men may convert their testosterone too much to the more potent dihydrotesterone (DHT) by the enzyme 5 alpha reductase. In these men, their low testosterone levels may be a result of too much DHT. Men may start to experience hair loss and male menopause symptoms when this occurs.

At DeRosa Medical, we screen men for theses underlying conversion at baseline and then again after treatment to identify this and treat it if required.

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4. Why would men use testosterone pellets, Bioidentical Hormone Pellet Therapy, instead of the many testosterone products available to them?

Many men do very well on patches and testosterone gels, however many men begin by feeling better on the commercial pharmaceuticals until they start converting it into estrone, an estrogen that gives them a beer belly, and the need for a man-bra. They also lose the effects of testosterone at the same time.

These guys come to me and are more miserable than when they started testosterone. They think the testosterone is the problem, but it isn’t; it is the way it was given! I dose them for 6 months with pellets that dissolve slowly and rarely convert to any other hormones that are detrimental to their health and performance.

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5. Do Testosterone Pellets cause Prostate Cancer in Men?

No. Prostate Cancer is caused by a metabolite of Testosterone that goes up as men age, DHT or Di-hydrotestosterone. When we supplement testosterone with we monitor the DHT levels and generally they go down, but if they increase we use blocking agents to stop the conversion.

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6. How do I take testosterone pellets and not convert them to dihydrotestosterone and estrone?

We take the blood levels of your estrone and DHT, after treatment, and make sure that they are not elevated. If they are, we trouble shoot with medications and/or herbal supplements, such as saw palmetto, Arimidex and Avodart, Propecia or Proscar.

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7. What if I have prostate enlargement already?

The pure testosterone will make it better if you do not convert it to DHT. We will treat it that if it happens.

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8. Why are pellets better than testosterone patches, shots and pills?

They are the pure hormone that is not metabolized into byproducts that will harm you by going through the liver or stomach. This system allows your body to take as much testosterone as your body needs because the blood flow surrounding the pellets takes from the pellets what your body requires.

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9. Where do the pellets go after six months?

They are completely dissolved (absorbed by the body).

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10. Will my testicles shrink while I take the testosterone pellets?

Yes, they will because they are suppressed and do not make much testosterone while the pellets are working. The pellets wear off and it takes a few months for the testicles to recover.

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11. How long will it take for my pellets to work?

It takes about 3-5 weeks to get the full effect and they must be re-inserted every six months before symptoms recur.

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12. How long will it take for my body to get back to lean normal?

That depends on how much you exercise and work out with weights.

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13. How long will my pellets last?

Four to Six months is typical. If you don’t sleep much, exercise many hours a day, do stressful work, or are an athlete, you will use them up more quickly and we may need to dose you with more pellets on the next insertion.

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14. If I have used alcohol to excess or drugs like marijuana, will my effect be the same as other men?

No. You will use up the testosterone more quickly because your liver is activated to metabolize hormones like it would alcohol or drugs. Marijuana increases prolactin, the hormone that increases for breast feeding. That not only decreases your testosterone level but decreases your sex drive, ejaculatory function and sexual stamina. It is expected that if you take testosterone, you will stop using marijuana altogether and decrease or stop alcohol consumption.

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15. If I have diabetes will testosterone help me with my sexual response?

Yes. It also increases insulin sensitivity which will decrease triglycerides and stabilize blood glucose. It will improve the status of your diabetes.

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16. Do present and former athletes need testosterone at an earlier age than other men?

Yes, because the stress on their bodies has depleted their store of testosterone. Pellets tend to improve the joint function and cartilage thickness and muscle tone necessary to relieve the pain from damage to the joints from years of sports.

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17. Does testosterone improve depression and anxiety?

Yes. It often replaces antidepressants which decrease the libido.

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18. How do cholesterol-lowering drugs affect testosterone?

Testosterone is made of cholesterol. When you take cholesterol-lowering drugs, you decrease the substrate that testosterone is made of.

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19. Why are testosterone pellets better than Viagra?

Let me count the ways. Testosterone fixes the real problem; lack of testosterone that decreases libido and sexual response. It does not fix the sexual desire issues. Viagra is only treating a symptom, has many side effects, and works only when you take it.

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Treatment Of Andropause And Bioidentical Hormone Pellet Therapy at DeRosa Medical

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