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Male Hormone Replacement

Watch Dr. Alexandre Miranda's interview on testosterone deficiency in aging men, shown on the program Ligado em Saúde - Canal Saúde, Fiocruz.
Hormone replacement will be necessary in patients with hypogonadism. This is characterized by a clinical condition in which low testosterone levels are found in association with specific signs and symptoms. When hypogonadism occurs in older men, the condition is generally called andropause or late onset hypogonadism, also referred to as LOH (Late Onset Hypogonadism). It is estimated that hypogonadism affects 6% of the male population by the age of 40 and 12.3% by the age of 69.
In the United States alone, approximately 2.4 million people are affected.
The diagnosis is made when there are low levels of testosterone in the blood with associated signs and symptoms:
Fatigue/weakness
Reduced libido
Reducing "energy"
Erectile dysfunction (erection problems)
Reduced muscle mass
Osteoporosis
Increased abdominal fat
Cognitive impairment (forgetfulness, slow thinking)
Insomnia
Hormone replacement improves and reverses all the associated symptoms. However, it must be accompanied by regular visits to your urologist.
Some changes can arise with the continued use of testosterone and need to be continuously monitored.