Testosterone Replacement

[frank_sultan]

I see that you offer "testosterone replacement therapy", I am in my mid 4*'s and am planning on starting a family, if I start the hormone replacement therapy (especially the Testosterone and Human Growth Hormone), will this diminish my chances of parenthood? And what effects will this have on my offspring?

Hesitantly waiting,

Frank

[drivar]

The administration of exogenous testosterone(testosterone replacement therapy) as a means of male contraception is under study. In these men, oligospermia(few sperm in the ejaculate) usually results within approximately ten weeks of beginning therapy. Rebound of the sperm count to baseline levels occurs within six to 18 months of cessation, and subsequent fertility has been demonstrated.
Human Growth Hormone would not have a deleterious effect on your chances of conceiving but may improve your overall health and thus improve your chances of becoming a parent.
Your children will not be effected in any way with testosterone replacement therapy or human growth hormone supplementation

[frank_sultan]

Dr. Ivar, thank you for your reply. I do have another questions though. If the doctor decides that I should be on the Testosterone Replacement Therapy, How would it be administered? Is it a cream or a pill? and how often would I have to take it?
Thank you,
Frank Sultan

[drivar]

We administer testosterone replacement therapy with either a weekly intramuscular or subcutaneous injection or daily transdermal testosterone cream. Most of our patients chose the weekly injection of testosterone versus the daily application. The testosterone injection is a more effective mode of transmission and will get your testosterone levels elevated to the optimal range. The transdermal testosterone will raise your levels as well but may not raise it as much based on your skins permeability.
Testosterone pills are not recommended as the hormone must pass through the GI tract and will also cause some reaction by your liver.

[rockbottom]

What is is a typical plan for a young man with low levels? What is the name of the testosterone you use? What levels are typically used? Is there a range? What is it?

I understand HGH is usually recommended in combination? How much is it? What else is often used?

I understand that this is not a "quote" or a "diagnoses."

[drivar]

For a young man we can start with HCG(human chorionic gonadotropin) for the hypogonadism or we can prescribe a trans dermal testosterone cream. We also can prescribe testosterone in an oil base that is injected intramuscularly or subcutaneously. We use a pharmaceutical bio-identical testosterone.
There are many different schedules or protocols we use as far as dosing and method of testosterone replacement but for example if we prescribe the oil based testosterone it would be a ten cc vial at 2*0mg/ml and a typical dose could be one half cc per week. We would monitor your testosterone levels every three months and adjust appropriately.
HGH(human growth hormone, ie. somatotropin) is prescribed for growth hormone deficiency and dose work synergistically with all your hormones. The cost is around nine to ten dollars per dose.
Our physician will do a full work up and physical exam on each patient and determine what hormones if any, the patient is deficient in and then he will advise accordingly. Many patients are low in a variety of hormones such as cortisol, thyroid, DHEA etc. In addition to hormone deficiencies, we will evaluate your cardiovascular risk with the VAP and PLAC panels and we also check the inflammatory markers for disease.
I hope this answers your questions

[alang]

Thank you for participating on the forum.
You can get most of your questions answered at:
http://www.ocagemanagement.com (http://www.ocagemanagement.com)