Treatments for Male Hypogonadism

Описание: Treatments for Male Hypogonadism
Male hypogonadism occurs when the body does not produce enough testosterone or sperm due to issues with the testes (primary hypogonadism) or the pituitary/hypothalamus (secondary hypogonadism). Treatment focuses on restoring normal hormone levels to improve energy, muscle mass, libido, and overall health.

1. Testosterone Replacement Therapy (TRT)
For men with low testosterone, options include:
✅ Topical Gels/Creams (e.g., AndroGel, Testim) – Applied daily to the skin
✅ Injections (e.g., Testosterone Cypionate, Enanthate) – Given weekly or biweekly
✅ Patches (e.g., Androderm) – Applied daily to maintain steady hormone levels
✅ Implantable Pellets (Testopel) – Long-lasting testosterone delivery
✅ Oral/Buccal Tablets (e.g., Jatenzo) – Absorbed through the cheeks

2. Clomiphene Citrate (Clomid) & hCG Therapy
For men who wish to preserve fertility while boosting testosterone:
✔ Clomid stimulates the pituitary to increase natural testosterone production
✔ hCG (human chorionic gonadotropin) mimics LH, encouraging the testes to produce testosterone

3. Lifestyle & Natural Approaches
🔹 Weight Loss & Exercise – Reduces obesity-related testosterone suppression
🔹 Zinc & Vitamin D – Support healthy hormone production
🔹 Adequate Sleep & Stress Reduction – Optimizes testosterone levels

4. Treating Underlying Causes
✔ Pituitary Tumors or Disorders – May require surgery or medication
✔ Chronic Illnesses (e.g., Diabetes, Thyroid Disorders) – Managing these can improve hormone balance
✔ Medications Affecting Testosterone – Reviewing and adjusting prescriptions

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0:00 Introduction
0:45 Outline
2:21 Order of Pituitary Hormone Deficiencies
2:45 Hypothalamic-Pituitary-Gonadal Axis
3:43 Symptoms of Hypogonadism
4:16 Causes of Primary
5:04 Causes of Secondary
7:29 Prevalence
8:01 Traditional Causes of Functional Hypogonadism
8:53 Other Possible Causes of Functional Hypogonadism
11:08 Circadian Rhythm of Testosterone
11:53 Sex-Hormone Binding Globulin
14:56 Testing for Male Hypogonadism
15:59 Approach to Hypogonadism
17:18 Androgen Replacements
18:13 Testosterone Cypionate vs Enanthate
19:48 Testosterone Subcut
22:19 Subcutaneous Testosterone
25:45 Testosterone Implants
26:02 Testosterone Replacement
27:46 Arimidex (Anastrozole)
29:20 Human Chorionic Gonadotropin (HCG) for Testicular Shrinkage
30:18 HCG for Fertility
31:10 Lifestyle Changes and Supplements for Function Hypogonadism
42:33 Clomiphene Citrate
48:55 GOODHORMONEHEALTH