Tag: Testosterone replacement therapy (TRT)

TESTOSTERONE REPLACEMENT THERAPY – TYPES, SYMPTOMS AND AYURVEDIC TREATMENT

ABSTRACT

Testosterone deficiency is the most common deficiency observed in the male world. Testosterone plays a vital role in the body and its deficiency shows immediate signs. With increased stress and an unhealthy lifestyle, infections, and trauma this problem is increasing and increasing only. Men, mostly tend to avoid going to doctors due to embarrassment or unknowingness which leads to the worsening of the case with increasing age. In Modern Pathy, they consider testosterone replacement therapy as a go-to and easy solution for this but not knowing that it can have both good and bad sides. In this article, we will go through information about testosterone, introduction to testosterone replacement therapy, its needs, types, the procedure of getting it, pros and cons, and ayurvedic solutions at planet ayurveda replacing this therapy.

INTRODUCTION TO TESTOSTERONE REPLACEMENT THERAPY

Whenever we discuss manliness or masculinity, testosterone levels are the major parameter considered, and so is the increasing trend of testosterone replacement therapy for treating the deficiency. Testosterone replacement therapy or also known as androgen replacement therapy is considered for males having symptoms of hypogonadism and having decreased testosterone levels. It can also be defined as the dysfunction of gonads. Testosterone can be taken in multiple forms under the guidance of a physician but when abused for non-medical usage like bodybuilding, increasing stamina, or enhancing sexual performance, it can lead to a plethora of side effects.

WHAT IS TESTOSTERONE

Testosterone is a major androgen found in males and in minute amounts in females. In males, testosterone plays a large number of important roles: –

  • Development of genital organs (Penis and testes),
  • Voice deepening during teenage years,
  • Maintaining the density of bones,
  • Maintaining libido,
  • Sperm production,
  • Growth of facials and body hair,
  • Muscle mass and strength,
  • RBCs production,
  • Stamina,
  • Distribution of fat,
  • Regulation of fertility

Normal levels: – The normal levels for a male aged between 19 – 49 years are considered 249 – 836 ng/dL; for males over 50 years, it is between 192 – 740 ng/dL. Testosterone production falls by 30% in the 70s and 80s and when they drop below 300 the person is diagnosed with testosterone deficiency.

CAUSES OF  TESTOSTERONE DEFICIENCY

There can be multiple causes leading to testosterone deficiency and these can include: –

  • Steroid abuse,
  • Delayed puberty,
  • Excessive estrogen,
  • Klinefelter’s syndrome,
  • Injury to testes or orchitis,
  • Pituitary gland dysfunctioning,
  • Alcohol abuse,
  • Renal diseases,
  • HIV/AIDS,
  • Kalmaan’s Syndrome,
  • Trauma to the head,
  • Metabolic disorders like Hemachormatosis,
  • Chemotherapy

SIGNS AND SYMPTOMS

  • Male pattern baldness,
  • Mood swings,
  • Extreme fatigue,
  • Weak bones,
  • Erection difficulty,
  • Anemia,
  • Low libido,
  • Less semen volume,
  • Smaller testicles,
  • Muscle mass loss,
  • Weight gain (mostly body fat).

To combat all these signs and symptoms testosterone replacement therapy is usually considered widely.

TYPES OF TESTOSTERONE REPLACEMENT THERAPY

To administer testosterone to a patient there are multiple ways from which individual can choose: –

  • Oral testosterone: – These tablets are consumed twice daily within dosages ranging from 225 – 396 mg but long-term consumption can cause liver damage, stroke, and hypertension.
  • Intranasal form: – Testosterone gel is applied inside the nose thrice daily keeping intervals of 6-8 hours.
  • Implants/Pellets: – Testosterone pellets are implanted by the doctor under the skin of the buttock or hip that gradually dissolves and releases testosterone slowly and can work for upto 3-6 months with varying doses.
  • Transdermal/Topical: – Testroene gels or cream can be applied on the skin which can help achieve more stable testosterone levels. The patient shall avoid making any skin contact with another person around.
  • Injectables: – One or two shots can be given intramuscularly to the patient every week or every two weeks.
  • Buccal or cheeks patches: – These patches are applied twice daily with a gap of 12 hours and they release testosterone slowly in a 12 hours time period.

The cost of this therapy varies from patient to patient and can vary a lot depending upon the following factors: –

  • Medication types,
  • Dosage,
  • Mode of administration.

WHO REQUIRES TESTOSTERONE REPLACEMENT THERAPY

TRT is required by individuals who upon testing show low testosterone levels and have symptoms like: –

  1. Male pattern baldness,
  2. Extreme exhaustion,
  3. Mood swings,
  4. Small testicles,
  5. Less semen production,
  6. Reduced libido,
  7. A fall in muscle mass and increase in fat,
  8. Weaker bones and reduced bone mineral density,
  9. Trouble in getting and maintaining erections.

PROS AND CONS OF TESTOSTERONE REPLACEMENT THERAPY

Every treatment or therapy is having its good or bad sides and just like that testosterone replacement therapy can have pros and cons both of which are mentioned below: –

Pros

TRT can have the following benefits: –

  1. Mood improvement,
  2. Anti-aging effects,
  3. Increased libido,
  4. Improved sexual performance
  5. Improved sexual functions,
  6. Increased energy,
  7. Increased muscle strength,
  8. Increased bone mineral density,
  9. Increase in lean muscle mass,
  10. Increased fat burning,
  11. Improved cognition,
  12. Improved erythropoiesis,
  13. Stable blood sugar levels.

Cons

TRT can lead to multiple complications if not taken with proper guidance. These can be:

  1. Skin issues like acne, rashes, and itch,
  2. Mental symptoms like anxiety, anger, and aggressiveness,
  3. Priapism,
  4. Hair loss (male pattern baldness),
  5. Deep vein thrombosis,
  6. Bladder irritability,
  7. High Blood pressure,
  8. Prostatomegaly,
  9. Gynecomastia,
  10. Decreased sperm production,
  11. Testis shrinkage,
  12. Liver issues,
  13. Blood cell increase leads to an increased risk of clot formation.

Patients with obstructive sleep apnea, urinary symptoms, blood issues, prostate cancer and raised Prostate-specific antigen, and Heart diseases shall avoid opting for Testosterone replacement therapy as it can lead to a worsening of the case.

AYURVEDIC CONCEPT OF LOW TESTOSTERONE

According to Ayurveda, testosterone levels can not fall if the person is having normal BMI and proper sleep schedule, takes a proper diet excluding drugs and alcohol, and exercises enough but with age this hormone can fall as this process is natural and connect be stopped. As per the Ayurvedic concept, the fall in testosterone can be observed due to the vitiation of vata dosha which in turn can vitiate other doshas and put the system out of work leading to hormone imbalance. Vajikarana therapy is considered for the management of low testosterone conditions in Ayurveda after performing purification of the whole body by Basti or medicated enema. This therapy involves sexual stimulation and increases libido improving fertility, sexual health, and quantity along with the quality of reproductive elements. The process of Vajikarana therapy involves: –

  • Apyayana or the nourishment process involves the nourishment of shukra dhatu and helps to improve the overall quality and quantity,
  • Prasadana is a clearing and soothing effect that helps to pacify the vitiated dosha,
  • Upachaya (increasing) is a process of increasing the shukra dhatu,
  • Shukrajanana or genesis promotes the formation of shukra dhatu.

There are many herbal formulations also available in the market that helps to boost testosterone quality and quantity. Planet Ayurveda also manufactures pur herbal formulations based on time-tested formulas and methods that are mentioned in ancient texts written by Ayurveda experts. All the medications are prepared under the strict guidance of MD Ayurveda experts and follow the classical methods only.

For low testosterone levels, a special pack has been formulated by Planet Ayurveda experts named TRT CARE PACK. This pack includes:-

Herbal Remedies for Somatoform disorders

1. Tribulus Power

These are capsules formulated from the purest extracts of Gokshura or Tribulus Terrestris which is a known aphrodisiac and helps to improve athletic performance by increasing energy, the sexual functions, and helps in infertility cases, and improving libido as well. It also boosts the testosterone levels in the body, strengthens the tissues of the penis, and supports stronger erections. Gokshura is also believed to have positive effects on prostate disorders and urinary retention issues.

Dosage: – 1 capsule twice daily with plain water, after meals.

2. Atirasadi Churna

This product has been formed after a great amount of research and study of ancient texts and is a perfect remedy for low testosterone cases. The word when split into two means Ati e. full of and rasa i.e. juice or full of power. This churna is a blend of Safed and Kali Musli, Ashwagandha, Gokshura, Shatavari, Kesar, and many more herbal ingredients useful in boosting testosterone levels without any side effects.

Dosage: – 1 capsule twice daily with plain water, after meals.

3. Male Support Formula

These capsules are known as “Herbal Viagra” and contain pure extracts of Ashwagandha, Gokshura, and Shilajit and are known to improve the symptoms of testosterone deficiency and keep male sexual health at its best without any addiction or side effects. It also helps to provide emotional stability to patients having issues at home or work that might lead to hormonal imbalances.

Dosage: – 1 teaspoonful daily with plain water, after meals.

4. Musli Strength

The formulation is created by the addition of both Gokshura and Safed Musli which are the most renowned herbs in Ayurveda for their effects on male sexual health and well-being making this formulation the best aphrodisiac and super helpful in improving sexual functions, testosterone levels, and stamina. This formulation is also observed to help improve blood circulation in the body along with stabilising hormones and fighting long-standing infertility.

Dosage: – 1 capsule twice daily with plain water, after meals.

5. Amalaki Rasayan

This formulation is formed with extracts of Indian gooseberry or Amla which is known as the best fruit in the whole dietary system as it is a rich source of vitamin C. This is an aphrodisiac (Vrishya) herb that boosts sexual functions and also keeps infections and cellular damage away as it is rich in antioxidants. It also keeps mood swings and sexual weakness away by boosting stamina and immunity. Amla also helps to keep the temperature maintained in the scrotum so that sperm production can be done at a normal rate.

Dosage: – 1 capsule twice daily with plain water, after meals.

CONCLUSION

Testosterone deficiency is becoming common and common with an increase in stress and improper lifestyle. Men tend to feel embarrassed and seek no medical care due to shame which leads to the worsening of the cases. Consumption of steroids and over-the-counter medications leads to even worse consequences in later life. Testosterone replacement therapy seems like the perfect solution to this but it has multiple side effects that are not taken under proper guidance. At Planet Ayurveda, we have done proper research for a long time on such cases and come up with multiple herbal solutions that help to restore normal testosterone levels without any addictions and side effects.

What is Testosterone Replacement Therapy (TRT) and its Natural Alternative

Abstract

Testosterone replacement therapy (TRT) is a widely used Treatment for Hypogonadism and this can be seen with declining age in men. The gradual decline the bioavailable testosterone can affect both the physical and emotional state of a person. Steroids and therapies to increase the levels of testosterone in males can suppress the condition but will leave you with many side effects. Although for natural management, it is better to adopt healthy habits and avoiding incompatible food habits. (3)

What is Testosterone and its Role?

Testosterone is considered as a primary male sex hormone secreted by a pituitary-gonadal gland which is responsible for the development of sex characteristics, sex differentiation, and fertility. This hormone is responsible for masculinity i.e. regulates secondary male characteristics. Secondary sex characteristics include hair growth and patterns, vocal variation and deepening of the voice. Generally, the level of hormones get lowers with age, this is the reason why men older in age have higher chances of having lower testosterone levels. (1)

Male Hypogonadism

What is Male Hypogonadism (MG)?

Male hypogonadism is a condition that is characterized by the failure of testis in secreting an adequate amount of sex steroids and sperms. Though this usually occurs with aging which hampers the testis functioning which ultimately results in an imbalance in follicular stimulating hormone (FSH), gonadotropin-releasing hormone (GnRH) and Luteinizing hormone (LH). According to the studies, low testosterone levels result in decreased morning erections, sexual thoughts, and erectile dysfunction. This condition leads to the need for testosterone replacement therapy (TRT) in the affected person. (1)

What is Testosterone Replacement Therapy (TRT)? (العلاج باستبدال التستوستيرون)

Testosterone replacement therapy (TRT) focuses on restoring healthy testosterone levels and is also known as androgen replacement therapy. There are some potential benefits of TRT such as improved sexual desire, bone mineral density, enhances muscle mass and strength which changes body composition and all over improves the quality of life. (2)

Who Should not Get Testosterone Replacement Therapy (TRT)?

There are Some People for Whom TRT Can be a Risk are

  • People with a medical history of prostate or breast cancer
  • Severe or untreated sleep apnea
  • Erythrocytosis
  • Thrombophilia
  • Cardio-vascular disorders
  • Those who are planning for a child because this will suppress spermatogenesis.

What are The Symptoms of Low Testosterone Levels?

Low testosterone levels can be caused due to various medical conditions like diabetes, obesity, hormonal disorders, and some medications. There are some signs and symptoms which includes-

  • Disturbed sleep patterns
  • Low libido
  • Infertility
  • Sexual dysfunction
  • Reduced strengths
  • Sudden weight gain
  • Reduced muscle bulk
  • Depression

Low libido 

Diagnosis of Testosterone levels

The low levels of Testosterone may range from 300 Nanograms per deciliter and the higher limit is 1000-1200 ng/dl. These fluctuations can be clinically diagnosed by some hormonal tests for analyzing the levels of LH, GnRH, and Testosterone in males.    

Side effects associated with testosterone replacement therapy (TRT)

Some of the Severe Side Effects of the Testosterone Replacement Therapy may Include

  • Infertility
  • Shrinking of testicles
  • Calcification of blood vessels
  • Increased acne which may lead to oily skin
  • Increased risk of benign prostatic hyperplasia (BPH) and prostate cancer.
  • Stroke or onset of any cardiovascular disease   

Ayurvedic Aspect for lowering of Testosterone Levels(مستويات التستوستيرون)

It is mentioned in Charka Samhita that vitiated Vata and Pitta Dosha are the reasons for defective semen and it is suggested that semen disorders should be treated properly by involving dosha and dhatus after the examination. As impotency caused by the defect in semen is cured by the elimination of the defect itself. It is believed that intake of cold, rough, uncooked food and incompatible food, as well as deficiency of rasa (dhatus), exertion, anxiety, fear, grief, etc., causes impotency due to loss of seed (semen).

Ayurvedic Treatment by Planet Ayurveda

Ayurvedic Treatment

Testosterone replacement therapy (TRT)

Planet Ayurveda is offering a wide range of herbal supplements for the management of healthy testosterone levels in males. They have formulated a TRT care pack that includes these herbal medicines i.e. Male Support Capsules, Tribulus power capsules, Musli Strength capsule, Atirasadi Churna, and Amalaki Rasayan. All these formulations are 100% pure, natural and vegetarian. All the manufacturing is done in a totally sterilized environment and is strictly supervised by MD Ayurveda.

Product Description

1. Male Support Capsules

Male support capsules is a unique herbal formulation from Planet Ayurveda which contains Ashwagandha (Withania somnifera), Shilajit (Asphaltum) and Gokshur (Tribulus Terrestris). This natural remedy supports overall male reproductive health and provides strength. It also increases stamina, boosts up energy levels and beneficial in the loss of libido. These capsules effectively boost the testosterone levels by stimulating pituitary glands; responsible for hormone secretion.

Dosage– 1-2 capsules two times a day with plain water after meals.

2. Musli Strength Capsules

Musli strength capsules are a pure herbal formulation contains medicinal herbs like Safed Musli (Chlorophytum borivilianum) and Gokshura (Tribulus Terrestris). These herbs in combination regulate hormonal balance and strengthen the complete reproductive system. Gokshura is enriched with various phytochemicals, the precursor of male hormone i.e. DHEA which is responsible for increasing the testosterone levels and supports male sexual function. Safed Musli is a traditional herb and is commonly known as herbal Viagra. In this herbal combination, musli plays a significant role in increasing sperm count.

Dosage– 1-2 capsules one or two times a day after meals with plain water.

3. Tribulus Power Capsules

Tribulus power capsules contain standardized extracts of Gokshura (Tribulus Terrestris) which is known for its aphrodisiac property and stamina enhancer. These capsules improve muscular strength, weakness, low stamina, and premature ejaculation. This herb supports overall male health and the healthy functioning of male sexual organs. Overall, this herbal remedy is very beneficial in increasing testosterone levels.

Dosage– 1-2 capsules one or two times daily after meals with plain water.

4. Atirasadi Churna

Atirasadi churna is an herbal formulation which contains Safed Musli (Chlorophytum borivilianum), Kali Musli (Curculigo orchioides), Semal Musli (Salmalia malabarica), Gokshura ( Tribulus Terrestris), Shatavari (Asparagus racemosus), Ashwagandha (Withania somnifera), Akarkara (Anacyclus pyrethrum), Vidari Kand (Pueraria tuberosa), etc. These herbs in combination work efficiently in enhancing stamina and libido, reduces stress and anxiety. This herbal blend is beneficial in relieving weak erection and premature ejaculation.

Dosage- 1 teaspoonful two times a day after meals with plain water.

5.Amalaki Rasayan Capsules

Amalaki Rasayan is an amazing herbal remedy that contains pure extracts of Indian gooseberry (Emblica Officinalis). This herbal formulation is a great rejuvenating and aphrodisiac agent. Amla is a cooling, expectorant, anti-oxidative agent and along with this, it supports a healthy reproductive system in males.

Dosage- 1 tablespoon of this powder two times a day with plain water or milk.

Conclusion

Hence with the detailed discussion on testosterone replacement therapy, it can be concluded that all the ailments depend on the Aahar and Vihar of person. The elimination of the root cause according to the dosha can result in a healthy life without modern therapies and side effects.

References

  1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5583373/
  2. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2701485/
  3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3897047/