Preventine Medicine Services
Age Management Nutrition
Food drink to help improve your overall wellness, strength and skin health for both men and women.
Age-Related Hypogonadism in Men
Hypogonadism is likely a fundamental component of the metabolic syndrome. Testosterone treatment may not only treat hypogonadism, but may also have tremendous potential to slow or halt the progression from metabolic syndrome to overt diabetes or cardiovascular disease.
Age Management Programme for patients with:
- Age-related hypogonadism.
- Partial androgen deficiency of the aging male (PADAM).
- Or Late Onset Hypogonadism (LOH).
Age-related hypogonadism in men seen in:
- Age- associated decrease in androgen production.
- Between the age of 40 and 70, total and free serum testosterone decrease by approximately 1.2% per year.
- 12% of men over 50 years of age and almost 50% of men above the age of 80 have low serum total testosterone levels.
- 9.4% of men aged 60 to 70 years are diagnosed with clinical hypogonadism.
Why do you need to treat testosterone deficiency?
- Restoring metabolic parameters to the eugonadal state.
- Increasing muscle mass, strength and function.
- Maintaining BMD and reducing fracture risk.
- Improving neurophysiological function (cognition and mood).
- Improving psychosexual function.
- Enhancing quality of life.
Clinical symptoms of male hypogonadism.
- Diminished sexual desire, erectile quality and frequency, particularly nocturnal erections.
- Changes in mood with concomitant decreases in intellectual activity, cognitive functions, spatial orientation ability, fatigue, depressed mood and irritability.
- Sleep disturbances.
- Decrease in lean body mass with associated diminution in muscle volume and strength.
- Increase in visceral fat.
- Decrease in body hair, onset of skin alteration.
- Decrease in bone mineral density.
Tests for diagnosis:
- Testosterone reveals endocrine activity of testis (do test early in the morning).
- PSA ( a raised PSA is contradictory to testosterone replacement).
Advised to do FSH and LH.
- Increased gonadotropins indicate primary hypogonadism.
- Decreased gonadatropins with decreased testosterone suggest secondary hypogonadism.
- To refer to endocrinologist for primary and secondary hypogonadism.
Treatment effects/Benefits of testosterone replacement.
- Increase in libido, improvement of sexual satisfaction.
- Increase in muscle mass and muscle strength.
- Increase in bone mass.
- Decrease in adipose tissue (particularly in abdominal; fat).
- Positive effect on the metabolic syndrome ( decrease in visceral fats).
- Improvement in wellbeing, mood, performance and cognitive functions.
- Alleviations of vegetative symptoms such as hot flashes.
- Maintenance of male pattern body hair and pubic hair, stimulation of beard growth.
- Improvement in appearance of skin.
- Improvement in erythropoiesis.
Treatment for testosterone deficiency/Androgen Therapy
The doctor will discuss with you the Age Management Programme and testosterone replacement. Testosterone replacement with Oral tablet testosterone or with injectable testosterone– Convenient, 4 to 5 times a year.