Can Low Testosterone Cause Premature Ejaculation?

Premature ejaculation (PE) and low testosterone are two prevalent issues that men often face, impacting their sexual health and overall well-being. While discussing sexual health can be challenging, understanding the connection between low testosterone levels and premature ejaculation is crucial. This piece aims to demystify these conditions, offering insights into their causes, effects, and the interplay between them to foster a more informed and open dialogue.

What is Low Testosterone?

Testosterone, the primary male sex hormone, plays a vital role in developing male physical characteristics and maintaining muscle mass, bone density, and sexual function. Low testosterone, or hypogonadism, occurs when the body doesn’t produce enough of this hormone. Causes range from natural aging to obesity, certain medical conditions, and lifestyle factors​​​​​​. 

What is Premature Ejaculation?

Premature ejaculation (PE) is a condition where ejaculation occurs sooner than a man or his partner would like during sex. This can lead to feelings of dissatisfaction and frustration. PE might be classified as either lifelong, where the condition has always been present, or acquired, where it develops after a period of normal ejaculatory control. The causes of PE are believed to be a mix of biological and psychological factors, including stress, anxiety, hormonal imbalances, and possibly genetic predispositions. Despite being a common issue, many men find effective relief through treatments that may include behavioral techniques, medications, and lifestyle changes aimed at improving ejaculatory control and reducing anxiety.

Can Low Testosterone Lead to Premature Ejaculation?

There’s a complex relationship between low testosterone levels and sexual function, including premature ejaculation. While testosterone’s primary role is not directly linked to ejaculatory control, its influence on libido, erectile function, and overall sexual satisfaction can indirectly affect ejaculation timing. Men with low testosterone might experience a decreased sensitivity of the nerves in the penis and muscle tone, contributing to PE​​​​​​. However, premature ejaculation could be due to many reasons such as:

  • Sexual performance anxiety
  • Genetics
  • General stress or depression resulting in low serotonin levels
  • Early or new sexual experiences

Addressing the Issue

Identifying Symptoms of Low Testosterone

Symptoms of low testosterone encompass a wide range, from physical changes like muscle atrophy and increased body fat to emotional and cognitive impacts such as mood swings, depression, and diminished cognitive abilities. These changes can deeply affect sexual health, leading to a lowered libido, erectile dysfunction, and changes in ejaculation, potentially contributing to premature ejaculation​​. The most common symptoms of low testosterone are usually: 

  • Alcohol Abuse
  • Obesity
  • Medication complications and drug abuse
  • Diabetes
  • Excessive estrogen
  • Diminished sex drive 
  • Loss of hair or hair growth

The Connection Between Serotonin and Premature Ejaculation

Serotonin, a neurotransmitter in the brain, plays a crucial role in the timing of ejaculation. It’s known for its effects on mood and happiness, but its influence extends into sexual function as well. Higher levels of serotonin are associated with increased ejaculatory control, helping delay ejaculation. Conversely, lower levels can lead to quicker ejaculatory responses, contributing to premature ejaculation (PE).

This connection highlights the importance of mental health in managing PE. Psychological factors like stress, anxiety, and depression can impact serotonin levels, thereby affecting ejaculatory control. Addressing these mental health issues can, in turn, help manage PE symptoms. Treatments may include behavioral therapy, medications that alter serotonin levels, and strategies to improve overall mental well-being. This multifaceted approach underlines the interconnectedness of mental health and sexual function, offering a pathway to improved control over ejaculation for those affected by PE.

Treatment Options and Solutions

Addressing low testosterone and its impact on premature ejaculation involves a combination of lifestyle modifications, dietary changes, and medical interventions:

  • Lifestyle Changes: Engaging in regular exercise, particularly resistance training, can naturally boost testosterone levels. Additionally, ensuring adequate sleep, managing stress, and avoiding smoking and excessive alcohol consumption can positively affect hormone levels​​.
  • Dietary Recommendations: A balanced diet rich in protein, healthy fats, and zinc can support testosterone production. Foods like oysters, beef, and pumpkin seeds are particularly beneficial​​.
  • Testosterone Replacement Therapy (TRT): For men diagnosed with low testosterone, TRT can help restore levels to normal, potentially improving ejaculatory control and sexual satisfaction. However, TRT should be carefully considered with a healthcare provider due to potential side effects​​​​.

Suffering from low testosterone?

Recognizing the signs of low testosterone and understanding its potential impact on premature ejaculation is the first step towards improving sexual health. For men experiencing these symptoms, seeking professional advice is crucial for receiving personalized treatment plans. Lifestyle changes, dietary adjustments, and, where appropriate, medical interventions like TRT can significantly improve quality of life and sexual satisfaction.

For further guidance and support, consulting with healthcare professionals who specialize in male sexual health such as Empower Men’s Health Clinic, can provide tailored solutions and the necessary care to navigate these challenges effectively.

Testosterone Enanthate vs Cypionate: Which is the right choice?

Testosterone replacement therapy (TRT) is a cornerstone treatment for men with low testosterone levels, aiming to improve quality of life, libido, muscle mass, and bone density. The choice between Testosterone Enanthate and Cypionate is crucial, as each has its unique properties and implications for treatment.

What are Testosterone Enanthate and Cypionate?

Testosterone Enanthate and Cypionate are both long-acting forms of testosterone used in TRT. They are esterified versions of testosterone, meaning they are chemically bonded to an ester. An ester is a chemical compound that alters the solubility and release rate of testosterone into the bloodstream, thereby prolonging its duration of action. This process ensures a more sustained release of testosterone, reducing the frequency of injections needed. Enanthate is known for its wide availability outside the U.S., while Cypionate is predominantly used in the U.S. Both forms aim to treat low testosterone levels, with their choice depending on factors such as geographical availability and individual response to therapy.

Popularity and Availability

Testosterone Cypionate is more commonly prescribed in the United States due to its availability and familiarity among healthcare providers. On the other hand, Testosterone Enanthate is more popular in Europe and other parts of the world. The choice between them often comes down to geographical availability and personal preference.

Comparing Testosterone Enanthate and Cypionate

Dosage and Administration

The dosages of Testosterone Enanthate and Cypionate typically range from 100 to 200 mg, administered every 7 to 14 days. Dosage schedules are tailored to individual needs, aiming to maintain stable testosterone levels and minimize side effects.

Chemical Structure

The main difference between Enanthate and Cypionate lies in their ester chain length; Cypionate has one more carbon atom in its ester chain than Enanthate. This slight difference affects their solubility and release rate. Enanthate has a half-life of approximately 7-10 days, while Cypionate’s half-life extends to about 8-12 days, making Cypionate slightly longer-lasting.

Effectiveness and Performance

Both Testosterone Enanthate and Cypionate are effective at increasing testosterone levels, improving muscle mass, strength, and sexual function. Users report stable energy levels and mood improvements. The choice between them often comes down to personal response and side effect profiles, rather than significant differences in effectiveness.

Side Effects and Safety

Both Testosterone Enanthate and Cypionate are effective in treating low testosterone levels but can cause side effects. Monitoring and medical supervision are crucial to mitigate risks and manage any adverse effects. Below is a list of side effects for both Testosterone Enanthate and Cypionate, highlighting their safety profiles.

Common Side Effects for Both Testosterone Enanthate and Cypionate:

  • Acne and oily skin
  • Hair loss
  • Increased body hair growth
  • Mood swings, including aggression and irritability
  • Changes in libido, both increased and decreased
  • Injection site pain

Specific Side Effects of Testosterone Enanthate:

  • Headaches
  • Depression and anxiety
  • Nausea
  • Changes in liver enzymes (rare)
  • Potential for increased or decreased libido

Specific Side Effects of Testosterone Cypionate:

  • Nausea and vomiting
  • Skin color changes
  • Swelling at the injection site
  • Potential for more pronounced cardiovascular side effects

Cost Considerations

The cost of Testosterone Enanthate and Cypionate treatments can vary, with generic versions typically offering a more cost-effective solution. For Testosterone Enanthate, prices might range from $30 to $100 for a 1ml vial of 200mg/ml, while Testosterone Cypionate could cost between $40 to $120 for a similar dosage. These estimates depend on factors like geographic location, insurance coverage, and the pharmacy. Patients should consider discussing with their healthcare providers and insurance to obtain accurate pricing based on their specific treatment plan. Additionally, exploring patient assistance programs and comparing prices across pharmacies can help in finding more affordable options, making the management of therapy expenses more feasible for many.

The Effects of Low Testosterone

Low testosterone, or hypogonadism, can have a wide-ranging impact on men’s health and well-being. This condition is not just a matter of sexual health; it can affect physical, emotional, and mental aspects of life. Common symptoms and effects of low testosterone include:

  • Reduced Libido: A decreased interest in sexual activity is one of the most recognized signs of low testosterone.
  • Fatigue and Energy Loss: Men may experience a significant drop in energy levels, feeling tired despite adequate rest.
  • Muscle Mass and Strength Decline: Testosterone plays a crucial role in building and maintaining muscle mass; lower levels can lead to a reduction in both.
  • Increased Body Fat: Low testosterone can also alter body composition, potentially leading to increased body fat, particularly around the abdomen.
  • Mood Changes: Emotional effects can include feelings of sadness or depression, irritability, and a decreased sense of well-being.
  • Cognitive Effects: Some men report difficulty concentrating or a lack of focus, which can be attributed to lower testosterone levels.
  • Bone Density Decrease: Testosterone helps in maintaining bone density; lower levels can lead to weaker bones and increased risk of osteoporosis.

It’s important to note that these symptoms can also be caused by other health conditions. Therefore, if you’re experiencing any of these effects, it’s crucial to consult with a healthcare provider for a proper diagnosis and to discuss potential treatment options, including hormone replacement therapy or alternative treatments like testosterone creams for those averse to injections.

Making the Choice: Enanthate vs Cypionate

Choosing between Testosterone Enanthate and Cypionate is a personal decision that involves evaluating factors such as injection frequency, cost, availability, and one’s own experience with side effects. It’s essential to have a discussion with a healthcare provider, such as those at Empower Men’s Health Clinic, to weigh these factors against individual health needs and lifestyle preferences. For those who may have a needle phobia or prefer not to use injectable forms of testosterone, testosterone creams present an alternative. These topical treatments can offer a needle-free option with the convenience of daily application, providing a steady hormone level without the peaks and troughs sometimes associated with injections. However, the effectiveness, cost, and side effect profile of creams versus injectables can vary, making it crucial to consider all options under professional guidance. Ultimately, the choice should align with one’s health goals, lifestyle, and comfort with the administration method, ensuring the therapy fits seamlessly into one’s daily routine for optimal health outcomes.

Do Push-Ups Increase Testosterone?

Testosterone plays a pivotal role in muscle growth, strength, mood regulation, and overall health. Predominantly known as the male sex hormone, it is crucial for both men and women, influencing everything from physical performance to metabolic function. Exercise, particularly resistance training, is widely recognized for its ability to naturally boost testosterone levels. This hormone’s fluctuation is a normal part of daily life, with levels peaking typically in the morning and dipping in the evening. However, as individuals age, a gradual decline in testosterone levels is observed, emphasizing the importance of a proactive approach to maintain hormonal balance through lifestyle choices, including regular physical activity​​​​.

The Science Behind Push-Ups and Testosterone

Push-ups, a quintessential bodyweight exercise, are not only pivotal for building upper body strength but also play a significant role in enhancing testosterone levels. This increase in testosterone is crucial for muscle growth, fat loss, and overall well-being. Here’s how push-ups and exercise contribute to hormonal health and the diverse benefits they bring to the body, inspired by a comprehensive approach similar to that found in detailed resources like Horizon Clinics.

Hormonal Response to Exercise

Physical activity, particularly resistance training like push-ups, triggers the body’s natural hormone production mechanisms. This response includes an uptick in testosterone, a key hormone responsible for muscle repair, growth, and strength. The mechanism behind this involves the pituitary gland, which sends signals to produce more testosterone when the body is subjected to the stress of exercise.

Benefits of Push-Ups on the Body

Muscle Building and Strength

Push-ups engage multiple muscle groups, including the chest, shoulders, triceps, and core. This compound movement challenges the body in a holistic manner, promoting muscle growth and strength. As muscles work to lift and lower the body against gravity, they undergo microscopic tears. The repair process for these tears, fueled by an increase in testosterone, leads to muscle strengthening and growth.

Cardiovascular Health

Although primarily seen as a strength exercise, push-ups also have cardiovascular benefits. The act of engaging multiple muscle groups simultaneously demands increased heart activity to supply oxygenated blood, thus enhancing cardiovascular efficiency.

Metabolic Boost

Regular engagement in push-ups and other resistance exercises can elevate the metabolism. This boost not only helps in burning calories more efficiently during the workout but also increases the resting metabolic rate. An increased metabolic rate means the body burns more calories at rest, aiding in fat loss and energy regulation.

Bone Density

The stress push-ups place on the bones helps in improving bone density over time. This is particularly beneficial as it can reduce the risk of osteoporosis and bone fractures. Testosterone plays a vital role in bone health, further linking push-ups to improved skeletal strength.

Mental Health and Well-being

Exercise, including push-ups, has been shown to release endorphins, known as “feel-good” hormones. These contribute to an improved mood and stress reduction. Moreover, the discipline and accomplishment of a regular exercise regimen can boost confidence and mental toughness.

Variations and Intensity: Maximizing the Benefits

Incorporating these variations can enhance muscle engagement and, potentially, testosterone response due to the increased physical challenge and variety, which prevents adaptation and promotes continuous growth.

Beyond Push-Ups: Factors Affecting Testosterone Levels

While push-ups can be an effective component of a testosterone-boosting regimen, it’s crucial to consider other factors such as nutrition, sleep, and stress management. Balanced diets rich in zinc and vitamin D, adequate rest, and effective stress reduction techniques can all contribute to optimal testosterone levels.Beyond regular exercise and push-ups, several strategies can help increase testosterone levels:

  • Dietary Adjustments: Including more zinc and vitamin D-rich foods can support testosterone production. Think oysters, lean meats, and fortified dairy products.
  • Quality Sleep: Aiming for 7-9 hours per night can significantly affect hormone regulation.
  • Stress Reduction: Practices like meditation, yoga, or even leisurely walks can lower cortisol levels, potentially improving testosterone levels.
  • Weight Management: Excess body fat, especially around the waist, can negatively impact testosterone levels. Combining cardiovascular exercises with strength training can be effective.

Suffering from low testosterone levels?

In conclusion, while push-ups and a healthy lifestyle can significantly contribute to maintaining optimal testosterone levels, it’s essential to remember that individual needs and responses vary greatly. If you’re concerned about low testosterone levels or are seeking to optimize your hormonal health, professional guidance can make all the difference.
At Empower Men’s Health Clinic, we’re dedicated to supporting men in achieving their health and wellness goals, including addressing concerns related to testosterone. Our team of experts offers personalized consultations to understand your unique situation, providing tailored advice and treatment options designed to enhance your hormonal health and overall well-being.

My Husband Takes Testosterone Injections, Can I Still Get Pregnant?

Yes! Even though your husband is taking testosterone, he can still impregnate you. However, testosterone injections can lead to a decrease in sperm count because the external testosterone can signal the body to reduce its own production of testosterone and, consequently, sperm.

Because of this, if you are actively trying to get pregnant, it is best if your husband gets off of testosterone, as this will increase your odds of conception. 

Keep reading to learn more about how testosterone injections can affect sperm and pregnancy. 

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How Likely Is It To Get Pregnant While On Testosterone?

Based on the studies, the likelihood of getting pregnant while a male partner is on testosterone therapy is significantly reduced. Testosterone replacement therapy can lead to a considerable decrease in sperm production, and in some cases, it can cause azoospermia, which is the absence of sperm in semen. For example, research shows that testosterone therapy resulted in azoospermia within 4 months in 65% of men with previously normal sperm counts​​. Furthermore, a high percentage of men using testosterone supplements without medical need were found to be azoospermic, indicating a severe impact on sperm count and fertility​​.

Therefore, while it’s not completely impossible to conceive while a male partner is on testosterone therapy, the chances are notably lower. If conception is a goal, it’s crucial to discuss fertility and potential alternatives to testosterone therapy with a healthcare provider.

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How Long Does It Take For Sperm Count To Increase After Testosterone?

The time it takes for sperm count to increase after stopping testosterone therapy can vary depending on the individual, but it generally takes several months for sperm production to return to normal levels. Testosterone replacement therapy can suppress the body’s natural hormone production, including the hormones necessary for sperm production. When testosterone therapy is stopped, it can take time for the body’s hormonal axis to recover and for sperm production to increase.

Studies have shown that sperm production can start to improve within 3 to 6 months after stopping testosterone therapy, but it may take 12 to 18 months for sperm count to fully recover to pre-treatment levels. In some cases, it may take longer, and some men may not fully recover their sperm production, especially if they have been on long-term testosterone therapy.

Can A Man Taking Testosterone Cause Birth Defects?

The relationship between testosterone use in men and the risk of birth defects in offspring is complex and not definitively established. Some studies, like the one conducted by the National Birth Defects Prevention Study, suggest a potential link between paternal testosterone use and certain birth defects, such as heart defects and cleft palate. However, these findings are based on observational studies that show association rather than causation, and factors like genetics, environment, and overall parental health also play significant roles​​.

Other research indicates no significant increase in the risk of birth defects in children born to fathers who used testosterone before conception. For example, a study in the Journal of Clinical Endocrinology and Metabolism found no significant difference in birth defect rates between children of men who received testosterone replacement therapy and those who did not​​.

Given these findings, while there is some evidence suggesting a potential association between paternal testosterone use and birth defects, conclusive evidence establishing a direct causal link is lacking. Men considering testosterone therapy are advised to discuss potential risks and benefits with their healthcare provider, especially if planning to father children.

How Do You Improve Natural Function After Taking Testosterone?

Improving natural testosterone production after using testosterone therapy often involves the use of post-cycle therapy (PCT) to help restart the body’s natural hormone production. PCT can be crucial for mitigating the effects of long-term testosterone supplementation, which can suppress the body’s natural hormone production. Here are some common PCT methods:

Clomid (Clomiphene Citrate): Clomid is a selective estrogen receptor modulator (SERM) that stimulates the pituitary gland to release more follicle-stimulating hormone (FSH) and luteinizing hormone (LH), which in turn can boost natural testosterone production. Clomid is often used in PCT to help restore the natural balance of sex hormones after the cessation of exogenous testosterone.

Enclomiphene: Similar to Clomid, enclomiphene is an isomer of clomiphene citrate and acts as a SERM. It specifically helps to increase LH and FSH levels, leading to an increase in natural testosterone production. Enclomiphene can be particularly effective because it has fewer estrogenic effects compared to clomiphene, making it a preferred choice for some individuals.

Human Chorionic Gonadotropin (hCG): hCG is often used during or after testosterone therapy to mimic LH and stimulate the testes to produce testosterone and sperm. This can help prevent testicular atrophy and maintain sperm production. hCG is sometimes used in combination with SERMs like Clomid or enclomiphene in PCT to enhance the recovery of the hypothalamic-pituitary-gonadal axis.

These therapies are typically employed in a structured PCT regimen over several weeks to gradually encourage the body’s natural hormone production. The specific protocol, including the choice of drugs and their dosages, can vary based on individual circumstances, the duration and dosage of testosterone used, and the individual’s response to testosterone therapy.

Conclusion

It is still possible to get pregnant even if your partner is on testosterone. This means you should always take precautions if you are not attempting to conceive. On the other hand, it is more difficult as TRT can cause azoospermia. If you are attempting to get pregnant, it is for the best to have your partner stop testosterone injections and start fertility treatments. 

How To Get A TRT Prescription In Florida

In order to get a prescription for Testosterone Replacement Therapy (TRT) in Florida, you must meet with a certified medical professional who can determine your qualifications, need, and dose for TRT.  

Ideally, you should seek out a doctor who is familiar with hormone replacement therapy, as obtaining a prescription from your regular primary care physician may be more difficult and lead to improper application.

Keep reading to learn more about the specifics of obtaining a prescription for TRT in Florida.

doctor consulting a patient

Who Qualifies For TRT in Florida?

Anyone who suffers from hypogonadism is eligible for a TRT prescription. Hypogonadism is when your testicles fail to produce enough testosterone to support regular bodily functions, this is also commonly referred to as “Low Testosterone” or “Low T”.

In order to determine if you have Low T, your doctor will order a blood test. Here they will be able to see a number of bio-markers that inform them of your health. The one that matters in this case is your testosterone levels.  

If you have testosterone levels lower than 300 ng/dl you will be diagnosed with low testosterone and most likely, prescribed TRT. 

telehealth

How Can I Get a Testosterone Prescription Online?

You can obtain a TRT prescription online by setting up a meeting with Empower Men’s Clinic; here’s how the process looks:

Consultation

The first step is to set up a telehealth meeting with Empower Men’s Clinic. This is an online consultation that you can attend from the comfort of your home. During this meeting, you’ll discuss your symptoms, medical history, and any concerns you might have. It’s an opportunity for the healthcare provider to understand your health needs and determine if further testing is required.

Blood Work

If the healthcare provider deems it necessary, the next step is to have your blood work done. This typically involves testing your hormone levels, among other things, to assess your suitability for TRT. The clinic might direct you to a nearby laboratory where you can have your blood drawn, or in some cases, they might offer at-home testing options.

Final Meeting

Once your blood work results are available, you’ll have another telehealth meeting with the clinic. During this session, the healthcare provider will review your test results and discuss the findings with you. If the results indicate that TRT is appropriate for you, the provider will discuss the treatment plan, including the benefits, risks, and what to expect.

Prescription Delivered to Your Home

If TRT is deemed suitable for you and you decide to proceed, the clinic will arrange for your prescription to be delivered directly to your home. This adds an extra layer of convenience, as it eliminates the need to visit a pharmacy.

This telehealth process with Empower Men’s Clinic is designed to make the assessment and initiation of TRT as convenient and accessible as possible, without the need to leave your home.

How Much Does TRT Cost In Florida?

In Florida, the cost of Testosterone Replacement Therapy (TRT) typically ranges from $300 to $500. This price range can depend on various factors, including the specific clinic or medical provider, the type of treatment, and the extent of monitoring and follow-up care required.

However, at Empower Men’s Clinic, the cost for TRT is set at a more affordable rate of $200. This lower cost can make TRT more accessible for those who might find the typical price range in Florida to be prohibitive.

Is TRT Legal In Florida?

Testosterone Replacement Therapy (TRT) is legal in Florida, as it is in the rest of the United States, when prescribed by a licensed healthcare provider. TRT is an established medical treatment used to address conditions related to low testosterone levels, such as hypogonadism. The legal framework surrounding TRT in Florida involves several key aspects:

Prescription Requirements: 

TRT can only be legally prescribed by a healthcare professional who is licensed in Florida. This typically includes physicians who specialize in endocrinology, urology, or general medicine. The prescription is based on a thorough medical evaluation, which often includes blood tests to confirm low testosterone levels.

Medical Necessity: 

For TRT to be legally prescribed, there must be a clear medical necessity. This means that the patient must have symptoms consistent with low testosterone levels and laboratory tests confirming this condition. TRT is not legally prescribed for non-medical use, such as enhancing athletic performance or solely for anti-aging purposes.

Regulated Pharmacies: 

The testosterone used in TRT must be dispensed by a licensed pharmacy. In Florida, pharmacies are regulated to ensure that they meet safety and quality standards.

Monitoring and Compliance: 

Patients receiving TRT are typically monitored regularly by their healthcare provider. This monitoring is important to ensure the effectiveness of the therapy, to adjust dosages as needed, and to check for any potential side effects.

Controlled Substance Regulations:

Testosterone is classified as a controlled substance under federal law due to its potential for abuse. As such, its prescription and use are subject to strict regulations to prevent misuse and illegal distribution.

Takeaway

Navigating the journey to Testosterone Replacement Therapy (TRT) in Florida is made remarkably straightforward with Empower Men’s Clinic. Just a simple step of scheduling a meeting can set you on the path to a comprehensive evaluation and personalized treatment. 

At Empower Men’s Clinic, they understand the importance of convenience and accessibility in healthcare. By offering an easy-to-navigate process, we ensure that taking the first step towards better health is just a phone call or a few clicks away. Remember, your journey to wellness doesn’t have to be complicated — Empower Men’s Clinic is here to guide you every step of the way.

How To Lower Your Blood Pressure While On Testosterone

If you’re on TRT (Testosterone Replacement Therapy) you will usually experience an elevated resting blood pressure. Over time this can cause damage to your hear, leading to significant health issues. Fortunately, this can be mitigated easily first with diet and exercise and then with ancillary drugs if necessary. 

Follow along as we break down the ins and outs of keeping your blood pressure at a normal level while on TRT.

Blood pressure monitor
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Monitor Your Blood Pressure

The first step in lowering blood pressure is to monitor it. This is crucial because it provides a baseline understanding of your current blood pressure levels and helps in assessing how serious the condition might be. 

Regular monitoring can detect any patterns or changes over time, allowing for early intervention and management. It’s important to use an accurate blood pressure monitor and to take readings at the same times each day, ideally under similar conditions, to ensure consistency.

When monitoring your blood pressure at home, follow these basic instructions to ensure accuracy and consistency:

Prepare for the Measurement:

  • Avoid caffeine, exercise, and smoking for at least 30 minutes before taking a measurement.
  • Use the restroom if needed, as a full bladder can affect your reading.
  • Rest quietly for 5 minutes before measuring, sitting in a comfortable position with your legs and ankles uncrossed and your back supported.

Position Yourself Correctly:

  • Sit in a chair with your feet flat on the floor.
  • Rest your arm on a flat surface, such as a table, with your upper arm at heart level.
  • Make sure the cuff is fitted correctly on your bare arm, following the instructions that came with your blood pressure monitor. The cuff should be snug but not too tight.

Taking the Measurement:

  • Remain still and quiet as the cuff inflates and deflates. Talking or moving can affect your reading.
  • Follow the instructions on your specific blood pressure monitor to start the reading.
  • It’s often recommended to take two or three readings, each a minute apart, and then use the average to get the most accurate measurement.

Record Your Readings:

  • Write down your blood pressure numbers, the date, time, and which arm was used for the reading.
  • Note any special circumstances like stress or recent activity.
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Do Your Cardio 

Cardiovascular exercise (cardio) is particularly important for individuals taking testosterone replacement therapy (TRT) when it comes to managing blood pressure for several reasons:

Improves Heart Health:

Cardio exercise strengthens the heart muscle, improving its ability to pump blood efficiently. This can help lower the resting heart rate and reduce the force required to pump blood, effectively lowering blood pressure.

Reduces Blood Pressure:

Regular cardio activity can help dilate blood vessels and improve blood flow, reducing the overall pressure in the cardiovascular system. This is crucial for individuals on TRT, as testosterone can sometimes increase red blood cell count and blood volume, potentially raising blood pressure.

Aids Weight Management:

Engaging in regular cardio helps burn calories and fat, aiding in weight loss or maintenance. Since overweight and obesity are risk factors for hypertension, maintaining a healthy weight is important for keeping blood pressure in check, especially for those on TRT.

Improves Endothelial Function:

Cardio exercise can increase the production of nitric oxide in the body, which helps in the dilation of blood vessels, improving blood flow and reducing pressure on arterial walls.

Balances Hormonal Impact:

While TRT is aimed at correcting low testosterone levels, it’s crucial to monitor and manage its effects on the body, including its impact on blood pressure. Cardio exercise can help mitigate some of the cardiovascular risks associated with hormone therapy by improving overall cardiovascular health.

Stress Reduction:

Regular physical activity, including cardio, is known for its ability to reduce stress levels, which in turn can lower blood pressure. Stress can cause temporary spikes in blood pressure and long-term stress can contribute to hypertension.

Healthy Foods
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Eat Smart

For individuals managing high blood pressure while on testosterone replacement therapy (TRT), adopting a heart-healthy diet is essential. 

The DASH diet is widely recommended; it focuses on increasing intake of fruits, vegetables, whole grains, and lean proteins, while reducing sodium, red meat, and added sugars to mitigate hypertension. Lowering sodium intake is crucial, as it helps to reduce water retention and blood volume, thus lowering blood pressure. 

Incorporating potassium-rich foods can counteract the effects of sodium and aid in relaxing blood vessel walls. It’s also important to include healthy fats, particularly omega-3 fatty acids found in fish and flaxseeds, which benefit heart health and may help control blood pressure

Limiting alcohol consumption is advised, as excessive drinking can elevate blood pressure and interfere with medications.

Blood pressure medication
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As A Last Resort, Blood Pressure Medications 

If you are dealing with high blood pressure while on TRT it is important to address the easy lifestyle changes listed above before immediately hopping on blood pressure medication. 

If the underlying issues that are causing high blood pressure are not addressed in an appropriate manner, other issues may begin to emerge. 

For those of you who do need blood pressure medication, your doctor may prescribe one of these:

ACE Inhibitors (Angiotensin-Converting Enzyme Inhibitors):

These drugs, such as lisinopril and enalapril, help relax blood vessels by blocking the formation of a natural chemical that narrows blood vessels.

Angiotensin II Receptor Blockers (ARBs):

Similar to ACE inhibitors, ARBs like losartan and valsartan block the action of angiotensin II, a chemical that narrows blood vessels, allowing blood vessels to stay wider.

Calcium Channel Blockers:

Drugs like amlodipine and diltiazem reduce blood pressure by preventing calcium from entering the cells of the heart and arteries, which relaxes the blood vessels.

Beta-Blockers:

Medications such as metoprolol and atenolol reduce blood pressure by slowing the heartbeat and decreasing the heart’s workload.

Alpha-Blockers:

These drugs reduce nerve impulses to blood vessels, allowing blood to pass more easily, examples include doxazosin and prazosin.

Alpha-Beta Blockers:

Combining the effects of alpha and beta blockers, these drugs can decrease nerve impulses and slow the heartbeat to reduce blood pressure.

Central Agonists:

These medications, such as clonidine, prevent the brain from sending signals to the nervous system to increase heart rate and narrow blood vessels.

Vasodilators:

Directly relax the muscles in the blood vessel walls, causing them to dilate. Examples include hydralazine and minoxidil.

Each person is different and their body requires different things. Talk to your doctor about which blood pressure medications are right for you. 

Takeaway

High blood pressure is a common concern for individuals on testosterone replacement therapy (TRT), but it’s important to remember that managing this condition is entirely feasible with the right approach. By adopting a heart-healthy diet, such as the DASH diet, and engaging in regular cardiovascular exercise, many individuals can significantly improve their blood pressure. These lifestyle changes not only contribute to better blood pressure management but also enhance overall health and well-being. It’s encouraging to know that many have successfully controlled their blood pressure through these natural means.

However, if lifestyle adjustments are not enough to bring your blood pressure to a safe range, a variety of blood pressure medications are available. These should be considered a supportive measure, often introduced as a last resort or as an adjunct to lifestyle modifications. If you find yourself needing medication, rest assured that there are many effective options, and with the guidance of your healthcare provider, you can find the right one for your specific situation. 

Enclomiphene vs TRT: Everything You Need To Know

If you have done any research about increasing your testosterone levels, you will have probably come across a compound called “Enclomiphene.” 

Enclomiphene is a nonsteroid estrogen receptor modulator that can raise total testosterone levels while maintaining a normal sperm count. 

In other words, instead of replacing your testosterone, enclomiphene acts as a messenger to your body, signaling to your body to produce more testosterone naturally.

Enclomiphene has shown promise as being a possible alternative to testosterone replacement therapy. In this article, we will go over the ins and outs of enclomiphene and compare it to testosterone replacement therapy, helping you decide which is right for you!

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How Does Enclomiphene Work?

Enclomiphene is a medication that primarily modulates the estrogen receptor.

When enclomiphene takes up these spots, estrogen is blocked from attaching there. This changes the body’s hormone balance, making it behave as if there’s less estrogen around.

In more detail, enclomiphene interferes with the usual communication between the brain (specifically a part called the pituitary gland) and the gonads (ovaries in women, testes in men), which are all part of a system that controls hormone levels. 

When enclomiphene interferes, the pituitary gland sends out more of a hormone named gonadotropin. This hormone then tells the gonads to produce more of another hormone called testosterone. 

So, through a chain of signals, enclomiphene leads to an increase in testosterone production, which can be useful in treating some medical issues like infertility.

Testosterone

How Does Testosterone Replacement Therapy Work?

Testosterone Replacement Therapy (TRT) is a medical treatment used to replenish low levels of testosterone in the body. Initially, a doctor determines through blood tests if an individual’s testosterone levels are indeed low. If so, they may prescribe testosterone replacement therapy to help bring these hormone levels back to a more normal range. The prescription can come in various forms including injections, patches, gels, or pellets. When administered, these treatments release testosterone into the body, which can be absorbed into the bloodstream. Whether it’s through direct injections into the muscle, patches or gels applied to the skin, or pellets implanted under the skin, the objective is to restore testosterone levels to alleviate symptoms like fatigue, low sex drive, and muscle weakness associated with low testosterone.

Testosterone Vs Enclomiphene

Which Is More Effective At Treating Low Testosterone?

Enclomiphene and Testosterone Replacement Therapy (TRT) both serve as effective treatments for men with low testosterone levels, although they operate differently. 

Enclomiphene stimulates the body to produce natural testosterone and has been shown to be as effective as TRT in increasing testosterone levels in men with secondary hypogonadism.

Notably, enclomiphene has an advantage in preserving sperm counts, making it a favorable option for men looking to maintain fertility. Additionally, enclomiphene is administered orally, which might be preferred by individuals who wish to avoid injections or topical treatments.

On the other hand, TRT provides the body with external testosterone and is a common treatment for low testosterone, known for reversing symptoms associated with low testosterone levels. 

Additionally, the studies done on enclomiphene showed only modest increases in testosterone with participants maintaining levels of 400ng/dl (this is the middle reference point for natural testosterone levels). For those looking to optimize testosterone and push their levels towards the upper end of the reference range, TRT may be a more appropriate solution.

Both treatments come with their own set of side effects and potential drug interactions, with enclomiphene noted for having moderate interactions with at least 71 medications. The choice between the two treatments would largely depend on individual circumstances such as the underlying cause of low testosterone, desire to maintain fertility, and preference for the method of administration.

It should be noted that at this time, enclomiphene is not approved by the FDA for use in treating low testosterone in men and is only approved for the treatment of infertility in women. However, it is still available through “off-label” prescriptions, a common practice utilized by many doctors. 

What Are The Side Effects Of Enclomiphene?

Enclomiphene is generally well-tolerated with few adverse effects, although not all side effects have been directly studied. Here are some reported side effects from various sources:

Common Side Effects:

  • Increased libido
  • Acne
  • A temper if levels get too high​​.
  • Hot flushes
  • Mood swings
  • Breast tenderness
  • Nausea
  • Abdominal pain​​
  • Elevated estradiol levels
  • Headache
  • Abdominal discomfort​

What Are The Side Effects Of TRT?

The side effects of Testosterone Replacement Therapy (TRT) can include:

  • Sleep apnea.
  • Acne, oily skin, or other skin reactions.
  • Stimulation of prostate tissue, potentially leading to an increased risk of prostate issues.
  • Enlargement of breasts (gynecomastia).
  • Testicular atrophy and infertility (due to suppression of sperm production).
  • Increased red blood cell count (polycythemia), which could increase the risk of clotting.
  • Aggression, mood swings, or other mood changes.

Takeaway

Both enclomiphene and TRT are valid treatments for low testosterone. Deciding which one is right for you comes down to a personal question of what your goals are.

If you are someone who is looking to bring your testosterone levels up to baseline and do not want to deal with the long-term commitment related to taking testosterone. Enclomiphene might be the right option for you.

On the other hand, if you are someone who is looking to increase muscle mass, lose weight and really take advantage of having higher-than-normal testosterone levels, TRT could be the right option for you. 

However, you should never make a decision about your health based on something you saw on the internet. If you are serious about making a change and want to find out what the best option is for you, talk to one of the medical professionals and Empower Men’s Clinic. 

We have the experience and knowledge to help guide you on your health journey. Reach out to us today at (443) 334-5367 or submit a contact form here.

Testosterone Cream Vs Injections: What You Need To Know

For those interested in starting a regimen of TRT, the application of testosterone is an important step of the process to consider. 

Testosterone can be administered in various forms, including creams and injections. Each method has its own advantages and considerations, and the choice between testosterone cream and injections depends on individual preferences, needs, and medical recommendations.

In this article, we will compare the two application types and help you decide which is right for you.

how do testosterone creams work?

How Do Testosterone Creams Work?

For individuals who have a strong aversion to needles, testosterone creams can indeed offer a more convenient alternative. Instead of the discomfort and anxiety associated with regular injections, these individuals can opt for a simpler application method by spreading the cream onto their inner thighs or upper arms

This approach can be particularly appealing as it doesn’t involve the need for needles, making it a more manageable choice for some patients, especially those who may experience anxiety or discomfort when faced with injections.

However, it’s important to consider that testosterone creams come with their own set of considerations. Firstly, they tend to be more expensive compared to injectable forms of testosterone, which can be a significant factor for those with budget constraints or limited insurance coverage. 

Moreover, their effectiveness can vary from person to person, as the rate of absorption through the skin can be influenced by factors such as skin thickness, application technique, and individual metabolism. Some individuals may find that they do not achieve the desired testosterone levels with creams, which can be a drawback.

Another aspect to be aware of is the potential for side effects associated with testosterone cream use. Hair growth and acne at the application points are common side effects due to the local increase in testosterone levels in the skin. These effects can be bothersome for some users. 

Additionally, there’s a concern that if loved ones come into contact with the applied area, they may inadvertently absorb some of the testosterone, potentially leading to unintended hormonal effects. This is why it’s essential for users to be cautious, ensuring that the application area is covered and that any potential contact with others is minimized.

How Do Testosterone Injections Work?

Testosterone injections offer a straightforward and effective method for administering testosterone replacement therapy. 

By directly injecting testosterone into the muscle, the body can absorb it more efficiently, ensuring that the desired hormone levels are reached and maintained. This method eliminates the need for daily applications, providing a more convenient and consistent approach to hormone replacement. 

Moreover, there’s no concern about accidental exposure to testosterone for loved ones, as the hormone remains confined to the individual receiving the injection. In addition to their simplicity and effectiveness, testosterone injections are often more cost-effective when compared to alternative methods, making them a practical choice for many patients seeking hormone therapy.

Is Injecting Testosterone Better Than Gels and Creams?

Testosterone injections are often considered superior to gels and creams in terms of effectiveness primarily because of their higher absorption rate. When testosterone is injected directly into the muscle, it enters the bloodstream more rapidly and efficiently compared to topical applications like gels and creams. This rapid absorption ensures that the body can achieve and maintain optimal testosterone levels more reliably.

In contrast, testosterone gels and creams need to pass through the skin barrier before entering the bloodstream, which can result in slower and less predictable absorption rates. Factors such as skin thickness, application technique, and individual metabolism can influence how much testosterone is absorbed, leading to variability in hormone levels from person to person.

Because of the consistent and precise delivery of testosterone with injections, healthcare providers can better control and tailor the treatment to each patient’s specific needs. This makes injections a preferred choice for those who require more precise control over their hormone levels, such as individuals with severe testosterone deficiencies or specific medical conditions.

Takeaway

Testosterone creams, while needle-free, have limitations. They result in less consistent absorption, are more expensive, and require daily application. This makes them less cost-effective and convenient compared to other methods like injections.

If you are interested in learning more about TRT, please reach out to us today at (443) 334-5367 or by submitting a contact form!

Does Testosterone Make You Hungrier?

Yes, testosterone is known for increasing your appetite. 

Higher levels of testosterone have been associated with an increase in lean body mass and a decrease in fat mass. 

The hormone can also have effects on the central nervous system, including the areas of the brain that regulate appetite and satiety.

Some studies have suggested that testosterone therapy in men with low testosterone levels can lead to an increase in appetite and food intake.

hungry man

Why Does Testosterone Increase Appetite?

The simplest explanation for why testosterone makes you more hungry is that the hormone increases your basal metabolic rate. Your basal metabolic rate is the number of calories that you burn when your body is at rest. 

Because this “burn rate” is now higher, your body will signal increased levels of hunger. Additionally, as you stay on testosterone, your body will begin to accumulate higher levels of muscle mass.

This muscle mass needs calories in order to maintain itself, meaning that the more muscle you have, the more calories you need at rest. 

Lastly, studies have shown that testosterone is responsible for increasing levels of ghrelin. Ghrelin is known as the “hunger hormone” and is responsible for the actual feeling of hunger. 

Combining all of these factors together leads to a significant increase in hunger levels. 

healthy foods

What Foods Should I Eat On TRT?

Maintaining a healthy diet while on TRT is extremely important. Many individuals believe that since they are on testosterone, they no longer need to watch their diet. While it is true that increased levels of testosterone can help with fat metabolism and help you stay leaner, eating junk will still have negative effects on your health. 

To stay in the best health while on TRT it is a good idea to follow a balanced diet comprised of whole foods that encompass all three of the main macronutrients; carbs, proteins, and fats. 

Here is a list of some foods you should incorporate into your diet:

  • Fish
  • Chicken 
  • Lean Beef
  • Eggs
  • Yogurt
  • Minimally Processed Cheese
  • Fruits 
  • Vegetables
  • Rice 
  • Minimally Processed Breads 

Here is a list of some foods you should avoid

  • Fast Food
  • Junk Food 
  • Overly processed foods (white bread, American cheese)
  • Sugary Drinks 
  • Overly Salty Foods 

Remember, just because you are taking testosterone, it does not mean that you don’t have to pay attention to your diet. If anything, you should be taking extra care of your health to optimize everything!

Will I Gain Weight On Testosterone?

hen individuals start testosterone therapy, particularly those who have been diagnosed with low testosterone levels, they might observe an increase in their body weight. Here’s a more detailed explanation:

Water Retention

Initially, some of the weight gain might be due to an increase in water retention, particularly in the muscles. Testosterone can lead to an increase in muscle mass, and muscles tend to hold onto water. This can result in a slight increase in body weight, but it is not necessarily a cause for concern as it is a normal physiological response.

Increase in Muscle Mass

 Over time, with consistent resistance training and adequate nutrition, testosterone therapy can contribute to an increase in muscle mass. Muscles are denser than fat, so as muscle mass increases, it is possible to see an increase in body weight even if body fat is decreasing. This change in body composition is generally considered positive, as it leads to a leaner, stronger physique.

Bone Density

Testosterone plays a crucial role in maintaining bone density. An increase in testosterone levels can lead to stronger, denser bones. While this might contribute to an increase in body weight, it is beneficial for overall health, particularly in preventing conditions like osteoporosis.

It is important to note that while an increase in body weight due to muscle gain and increased bone density is generally positive, it is crucial to monitor overall health and body composition rather than just focusing on the number on the scale.

Takeaway

It is perfectly normal to experience increased hunger levels when you begin to take testosterone. The hormone is directly related to metabolism and will cause your body to burn more calories as well as signal to eat more. 

For these reasons, it is important to eat a healthy balanced diet that gives your body the fuel it needs to run properly. 

Testosterone Pellets Vs Injections – Which Is Right For You?

Testosterone pellets are another option for TRT other than Injections. The pellets are roughly the size of a grain of rice and made of crystalized testosterone. They are surgically implanted into the skin and provide a steady supply of testosterone to the body over a period of 3-6 months. 

They are often preferred over injections by patients who are weary of needles or are unable to stick to a consistent dosign regimen. 

In this article, we will compare Pellets vs Injections and help you decide which is right for you.

How Do Testosterone Pellets Work?

​​Testosterone pellets are a form of hormone replacement therapy used to address low testosterone levels, providing a steady and sustained release of testosterone over several months. The pellets, small cylinders composed of compressed testosterone, are implanted beneath the skin during a minor surgical procedure.

Once in place, they gradually dissolve, releasing testosterone directly into the bloodstream. This method ensures a consistent supply of the hormone, helping to stabilize levels in the body and alleviate symptoms associated with low testosterone, such as fatigue, mood swings, and decreased libido.

One of the main advantages of testosterone pellets is their convenience; once implanted, they work continuously for 3-6 months, eliminating the need for daily pills or weekly injections. However, because the pellets provide a fixed amount of testosterone over their lifespan, it’s crucial to get the dosage right from the start, as adjustments can only be made during the next implantation session. 

Injections vs Pellets

Advantages of Testosterone Pellets Compared to Injections

The primary advantage of testosterone pellets over injections lies in the difference in administration frequency. Testosterone pellets offer a unique benefit in terms of convenience due to their prolonged release formulation, allowing for a steady supply of the hormone over an extended period, typically 3-6 months.

This results in the need for about 2-4 minor surgical implantations per year, providing a low-maintenance option for individuals undergoing testosterone replacement therapy.

In contrast, testosterone injections necessitate a more regular and ongoing commitment, as they are typically administered every 1-2 weeks to maintain optimal hormone levels. This constant dosing schedule requires frequent visits to a healthcare provider, which can be less convenient and more time-consuming for patients. 

While injections offer quicker adjustments to dosages if needed and are beneficial for some due to their shorter duration of action, the ease of having a semi-annual treatment with pellets is a significant advantage for many individuals seeking a hassle-free and consistent testosterone replacement option.

The Disadvantage of Pellets Compared to Injections

One of the primary drawbacks is the lack of flexibility in dosage adjustments once the pellets are implanted. Unlike testosterone injections, where the dose can be easily altered from one injection to the next based on a patient’s response and hormone levels, pellets remain in the body for 3-6 months, and any necessary adjustments can only be made during the next implantation session. This can be particularly challenging if a patient experiences side effects or if the initial dosage does not adequately alleviate symptoms of low testosterone.

Additionally, the implantation of testosterone pellets requires a minor surgical procedure, which carries inherent risks such as infection, bleeding, and potential scarring at the implantation site. Some patients may also experience pain or discomfort both during and after the procedure, and there is a possibility of pellet extrusion, where the body expels the pellets through the skin.

Moreover, because the therapy involves a surgical procedure, it can be more costly upfront compared to other forms of testosterone replacement therapy. The cost factor, coupled with the potential need for additional treatments if the pellets are not effective, can make this option less economically viable for some patients.

Which Is Right For Me?

For the majority of patients undergoing testosterone replacement therapy, injections often present a more straightforward and flexible option. The regular administration of testosterone via injections allows for easier adjustments in dosage, providing the ability to promptly respond to a patient’s changing needs or reactions to the treatment. If side effects occur or if the dosage needs alteration for better efficacy, these changes can be made swiftly, ensuring a more tailored and responsive approach to hormone replacement.

Additionally, injections offer the advantage of being easily discontinued if the patient decides to stop the therapy or if it becomes medically advisable to do so. There is no need to wait for the testosterone to gradually dissipate from the system, as would be the case with pellets. While the necessity for frequent medical appointments for injections can be seen as a drawback, this is often outweighed by the level of control and adaptability it provides.

In terms of cost and procedure-related discomfort, injections also tend to be more favorable. Unlike the pellets, which require a minor surgical procedure for implantation, injections are less invasive and typically less expensive. There is no need for an incision, reducing the risk of infection, bleeding, and potential scarring. Additionally, the absence of upfront surgical costs makes injections a more economical option for many patients.

However, in order to know for sure, you need to talk to a medical professional. That’s where we come in. Empower Men’s Clinic is here to help guide you through the TRT process. Reach out to us today by phone at (443) 334-5367 or submit a contact form!