Treatments for Male Hypogonadism

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 Get Expert Guidance from an Endocrinologist If you're experiencing fatigue, low libido, muscle loss, or weight gain, consult with Dr. Theodore Friedman, a hormonal disorder specialist in Los Angeles. 📞 Schedule an appointment today: GoodHormoneHealth.com 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