Dr. Matthew treats many professionals such as physicians, attorneys, engineers, accountants and executives. She appreciates that their time and privacy is as important as their health. As an independent medical practice she is able to respect these concerns. When considering testosterone replacement, there are various routes for replacement. Dr. Matthew is knowledgeable and experienced in all available modalities. She lectures on the topic and teaches other providers on the medical and procedural aspects of testosterone replacement.

 

Andropause

 

As men pass the age of 30, they begin producing less testosterone. This condition of abnormally low testosterone levels (production) is called andropause. This decline in hormone production is gradual, occurring over several decades. In fact, testosterone levels drop by about 10% per decade. When there is a rapid decline, in a person with a pre-existing low testosterone level, symptoms may occur sooner than expected and be a cause for concern.

 

Take The Andropause Test

ADAM questionnaire about symptoms of low testosterone (Androgen Deficiency in the Aging Male)

This basic questionnaire can be a very useful  screening tool for men to describe the kind and severity of their low testosterone symptoms.

1. Do you have a decrease in libido (sex drive)? Yes No

2. Do you have a lack of energy? Yes No

3. Do you have a decrease in strength and/or endurance? Yes No

4. Have you lost height? Yes No

5. Have you noticed a decreased “enjoyment of life” Yes No

6. Are you sad and/or grumpy? Yes No

7. Are your erections less strong? Yes No

8. Have you noticed a recent deterioration in your ability to Yes No play sports?

9. Are you falling asleep after dinner? Yes No

10. Has there been a recent deterioration in your work Yes No performance?

If you Answer Yes to number 1 or 7 or if you answer Yes to more than 3 questions, you may have low Testosterone.

 

 

What consequences may be observed in a man with low testosterone?

  • Low sex drive
  • Erectile dysfunction
  • Emotional, psychological and behavioral change
  • Decreased muscle strength
  • Increased upper and central body fat
  • Osteoporosis
  • Increased cardiovascular risk

 

Because the symptoms of low testosterone are often subtle, and similar to those caused by other medical conditions, low testosterone often goes untreated, with only one in twenty men with low testosterone receiving treatment.

Is Andropause serious?

 

Research is not conclusive on this matter. But clinical research points to an association between low testosterone levels and increased cardiovascular risk in men. Low testosterone levels may increase cholesterol, reduce bone density, and contribute to insulin resistance.