Andrew John Rynne, MD  
Male, 72
Dublin, Ireland

Specialties: sexual dysfunctions, reverse vasectomy

Interests: sexual medicine, Testosterone Therapy
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Testosterone Deficiency Syndrome  --  What you need to know.

May 18, 2014 - 4 comments

Testosterone Deficiency Syndr


low testosterone


testosterone replacement thera


Testosterone Therapy

The news emerging about Testosterone Replacement Therapy (TRT) keeps getting better all the time. Recent published clinical trials show benefit for this treatment far beyond boosting libido or reducing erectile dysfunction. It is now becoming apparent that TRT has the potential to not only prolong life but to also improve the quality of that prolonged life. In addition to this exciting news, criteria for deciding who might benefit from this treatment have been greatly simplified. And yet, for reasons that I will try and explain later, most doctors remain opposed to this potentially life saving treatment.

Symptoms of Testosterone Deficiency:

• Lassitude or mild depression. Lack of drive.
• Loss of libido and erectile difficulties.
• Increased visceral fat and reduction of muscle mass.

Benefits from Testosterone Replacement Therapy:

• Reduce insulin requirements in people suffering from type 2 diabetes.
• Reduce blood lipid levels and thus the need to take medications for this purpose.
• Improve coronary artery disease and its symptoms of angina pectoris.
• TRT also reduces visceral fat or “pot belly” so common in older men.
• Cognitive function or brain power is improved by keeping testosterone levels up.
• Improved libido and sexual function.

Blood Tests for Testosterone Deficiency Syndrome.

Up to a few years ago, it was common practise for those seeking testosterone replacement therapy that they be required to undergo a range of expensive and not altogether reliable hormonal assays. Recently it has emerged that not only were these tests not necessary but also that they added nothing to the decision making process as to whether one might benefit from TRT or not. Today, most enlightened doctors, rely on presenting symptoms and complaints, not on blood tests, when making this decision.

What forms of Testosterone Replacement Therapy are available?

Testosterone can not be taken by mouth. If taken orally, testosterone quickly gets broken down by the liver and is thus is of no benefit. Testosterone patches have likewise lost favour. They cause skin rash and are unreliable in terms of raising testosterone blood levels. Today TRT is administered in one of two ways:
• As a trans-dermal gel. Examples of these are: Testogel, Testim and Tostran.
• As a deep intramuscular injection given every ten weeks. Example of this would be Nebido which gives a steady blood testosterone over a ten week period. It is usually administered in a doctor’s office.

If you are worried that you may be suffering as a result of testosterone deficiency or if you would like further information on this subject the please visit my website whereI would be delighted to answer any questions that you may have.


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by mocandream10, May 22, 2014
Couldn't this also be called by xxy male or kleinfelter syndrome?

by Andrew John Rynne, MDBlank, May 22, 2014
No, I don't think so. Kleinfelters is a genetic disorder. What we are talking about here are the effects that some genetically normal men experience with age related testosterone level decline and what they can do about it. The treatment of Kleinfelters is not an area in which I can claim any expertise. However, I do not think that testosterone therapy would ever be appropriate.  

by Warpfactor22, Nov 12, 2014
I am quite sure I suffer from low T.  I am going for blood work to get it checked.  My question is, I take a vegan base "test booster" i got from apt her earth store. Should I stop before I get my blood work? Will the readings not be as accurate?

by Warpfactor22, Nov 12, 2014
Also of I have to stop how long should I wait to get tested?  

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