Why Are Doctors Ignoring Testosterone Replacement Therapy?

There have been quite a number of studies recently showing that, not only is testosterone replacement therapy (TRT) very safe, but it also brings with it many additional benefits beyond boosting libido and reducing erectile dysfunction. These add-on benefits, as it were, are only now beginning to emerge from the medical literature and they are very interesting. They would include:

As a doctor I make no apologies for the behaviour of my colleagues. To be perfectly honest with you, I believe that doctors ignoring TRT is an indictment against the profession. I would offer the following observations to explain why doctors are not using TRT.

No matter how you do your sums, these are fairly spectacular benefits to accrue from one simple and now known to be a safe line of therapy. And yet very surprisingly the majority of doctors continue to ignore TRT for older men.

The results of the Women’s Health Initiative study into the safety of HRT for postmenopausal women were published in 2002. It showed an increased risk of breast cancer and heart disease among those women on combined hormonal replacement therapy philadelphia as distinct from those not on any such treatment.

In general, doctors do not like been told what to do by their patients. In any case, if you have to browbeat a doctor and persuade into doing something the chances are that, if given at all, it will be given in bad faith and is unlikely to benefit you in the way it should do.

If you are planning on visiting your doctor with a view to asking to be placed on testosterone replacement therapy then you had better be forearmed. Bring with you a resent paper showing that the incidence of prostate cancer is not changed in any way by taking TRT– this research has only recently been published.

Fallacy: You simply can not extrapolate anything from this important study and apply it to testosterone replacement therapy for men. All hormonal replacement therapy is now being tarred with the same brush, if only at some illogical subconscious level.

– Reduction of serum lipids and a decrease in the incidence coronary artery disease.
– A reduction of Type 2 Diabetes. Reduced insulin requirement.
– A reduction of mortality arising from the Metabolic Syndrome.

And yet very surprisingly the majority of doctors continue to ignore TRT for older men. To be perfectly honest with you, I believe that doctors ignoring TRT is an indictment against the profession. I would offer the following observations to explain why doctors are not using TRT. If you are planning on visiting your doctor with a view to asking to be placed on testosterone replacement therapy then you had better be forearmed. In any case, if you have to browbeat a doctor and persuade into doing something the chances are that, if given at all, it will be given in bad faith and is unlikely to benefit you in the way it should do.

Fallacy: There are far more benefits for the older man on TRT than mere libido boosting or improved sexual function. Recent studies have clearly indicated that this safe treatment carries many additional advantages. Not least of these is a reduction in early mortality arising from the Metabolic Syndrome.

Another misconception warmly embraced by many doctors is that ageing is natural and the negative consequences of ageing, such as the loss of libido and erectile dysfunction, are best not interfered with. These very same doctors would never shrink from aggressively treating hypertension or osteoarthritis in men, no matter what age they are.