How Do I Know If I Need A Prescription For Testosterone Shots
Testosterone injections are prescribed for men and women, however they are more often prescribed for men. Testosterone is the critical male hormone. As men age, their testosterone level inevitably drops and they will experience the symptoms of low testosterone, which is also sometimes referred to as andropause. The symptoms of andropause, which may cause you to seek a prescription for testosterone injections, include:
- A loss of lean muscle mass
- Lack of energy/drop in stamina
- Sexual health issues such as lack of libido and erectile dysfunction
- Reduction in the amount of semen
- Insomnia and/or other forms of disturbed sleep
- Mental fogginess and memory issues
- Depression, aggression, irritability and other mood swings
Ask yourself if you are experiencing any of the above. If you answer yes to more than one, it is a good chance you have low testosterone, and could benefit from testosterone injections. But, the only way to know for sure is to have your blood tested.
Obtaining testosterone any other way than with a doctors prescription is illegal, and could be dangerous, even fatal.
Improved Mood And Emotional Stability
Testosterone is a precursor to many of the neurotransmitters, or brain chemicals, that are associated with mood and emotional states. As testosterone levels drop, so do the levels of these chemicals in the brain, which results in depression, anxiety, irritability and other mood swings. Testosterone replacement injections have been shown to return men to more stable moods and have an anti-depressant effect.
Deciding If You Want To Take Testosterone
The first step is deciding if this will be the best choice for you. Testosterone will change you, so knowing what changes will occur, what changes are permanent, and what changes are impermanent will help you make a safe and healthy decision. Well go over what changes a little further into this content.
Step 2: Find a Therapist to Write You a Letter of Support
If youre not already seeing a therapist, nows the time to start the hunt. Ideally, youll want to find an LGBTQ inclusive therapist or a therapist who has worked with other trans folks. This is not to say that other therapists are not qualified, but therapists who have worked with trans folks may have already had experience in writing letters of support. Overall, finding someone you feel safe and comfortable with is the most important.
Once you think youve found the therapist youd like to see, refer to this list of questions to see if theyll be the best fit for you. It will be important to state the intent of seeing them, which is to obtain a letter of approval to start HRT testosterone.
Once youve made an appointment with your therapist and get the letter, make sure that your letter of support specifically states that youve been diagnosed with gender dysphoria, it has to be stated this way .
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What About Testosterone Without Prescription
Some of the patients wonder how come they see testosterone without prescription in a pharmacy if this is a controlled drug. The truth is you cannot buy testosterone without prescription – real testosterone, that is. The products that are often sold freely are not testosterone medication. These are supplements that are said to stimulate your body to produce more of the natural hormone, but their effectiveness is questionable. If you are looking for medication that will contain actual testosterone, you must have a proper diagnosis and a doctors prescription.
Since testosterone has a number of beneficial effects, such as increased libido and improved sexual ability, muscle weight gain, and others, many perfectly healthy men try to buy testosterone without prescription. This cannot be done legally, nor is it safe from medical viewpoint, so companies that offer you to buy testosterone online no prescription are not only breaking the law, but also putting your health at risk. Illegal – or black market – hormone is often impure or low quality and can have disastrous side effects. Taking the hormone without proper medical recommendations and supervision is dangerous as well, so dont compromise your health trying to achieve miraculous results.
Understanding Testosterones Essential Role
Experts at the Harvard Medical School regard testosterone as the primary sex hormone in men for the many functions that it provides. Most, if not all, the characteristics of maleness come from the essential hormone thats known as testosterone. Thus, testosterone is the hormone that causes the penis and testes to develop, the voice to deepen, and muscles to increase in size and strength.
Facial and pubic hair start to appear during puberty because of testosterone. But, testosterone can also seem to reverse hair growth later in life, which then leads to baldness. Bones need testosterone to grow and become strong, the human sex drive cannot occur without testosterone, and testosterone enables the male body to produce sperm.
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Why Do Doctors Prescribe Testosterone
Testosterone prescription is often the first choice of therapy when a patient has low T levels in the blood and symptoms related to that. But before a doctor can prescribe you testosterone, you have to undergo medical examination and tests.
According to the American Urological Association, low T is defined as total testosterone levels under 300 ng/dL measured in the morning. Your hormonal levels should be tested at least twice to confirm the findings.
If both tests reveal low T and you have at least one symptom then you will be diagnosed with hypogonadism and considered for TRT.
The typical low T symptoms may include:
- Depression and mood swings
- Low energy levels and chronic fatigue
- Loss of body and facial hair
- Muscle loss and reduced strength
- Insulin resistance
Even in the absence of symptoms, your doctor should measure your total T levels if you have unexplained anemia, osteoporosis, diabetes, HIV, infertility or if you have been exposed to radiation, chemotherapy or long-term corticosteroid therapy.
Other methods such as questionnaires are not valid strategies to diagnose or monitor patients with low T
Several medical conditions can lead to low T levels. Most of them are caused by damage to the testicles and an inability to produce testosterone. This group of conditions is called primary hypogonadism and includes:
- Genetic diseases
- Brain surgery, infections, and radiation
- Anabolic steroid abuse
Learn About The Types Of Doctors
The following doctors prescribe hormone replacement therapy for menopause:
- Obstetricians-gynecologists provide medical and surgical care of the female reproductive system. They specialize in managing , labor and delivery, and women’s health during reproductive years and beyond.
- Internists provide comprehensive healthcare to adults. Many adults see an on a regular basis for checkups to monitor their physical and mental health.
- Family practitioners provide comprehensive healthcare to adults and children. They focus on caring for the health of the entire family through all stages of life.
Any of these types of doctors can help you through . Your job is to find the one who best meets your needs. Here are five steps to finding the best doctor to help you manage your menopause symptoms.
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Symptoms Of Testosterone Deficiency To Start Trt
Men and women may consider their T-hormone levels to be low if they experience the following symptoms :
- hair loss
- reduced spermiation
- reduced size of testicles.
The problem is that many of these symptoms are normal signs of aging, so they cant be the only way to define the low T. The proper diagnostics requires undergoing the specific laboratory evaluation that a doctor prescribes to learn if the treatment is indicated.
Recommended Lab Tests To Test For Low
Recommended lab tests for men with symptoms of low testosterone:
- Testosterone levels: At least two blood samples should be taken in the morning after fasting. Testosterone levels naturally fluctuate throughout the day.
- Sex hormone-binding globulin : Testosterone circulates in the blood bound to sex hormone-binding globulin, bound to the protein albumin, or unbound. Only the free testosterone plus the testosterone bound to albumin is available to act on target tissues. Free-testosterone and SHBG should be checked to determine the level of biologically active testosterone.
- Luteinizing hormone and follicle-stimulating hormone : LH and FSH are hormones secreted by the pituitary gland. LH stimulates the testes to produce testosterone, and FSH is involved in sperm production. Measuring these two hormone levels can help distinguish between low testosterone originating from a problem in the brain or pituitary gland from one in the testes.
- Prolactin: Prolactin is a pituitary hormone that stimulates milk production in the female. Abnormal levels of prolactin can indicate a problem in the pituitary gland.
- Additional lab tests: Hemoglobin level to check for red blood cell count. Lipid panel to check for cardiovascular risk. PSA to screen for prostate cancer. A baseline level of free estrogen . When testosterone is supplemented, some will be converted to estrogen. A baseline level of highly sensitive estrogen will help determine how high the conversion rate is.
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How To Get Legal Testosterone Prescription
Legal testosterone prescription can be issued on two conditions. One is that you actually are diagnosed with testosterone insufficiency, which is proven by your blood test. Not every man looking to buy testosterone injections, and not even every man experiencing Low T symptoms, actually has this medical condition. The other is that the doctor who issues it is legally allowed to practice medicine on the territory of the United States. If you try to get testosterone prescription elsewhere, it will not be legally valid in the US. So, in order to get legal testosterone prescription, you need to find a certified physician and undergo a blood test and a physical so that you can be properly diagnosed.
The Next Thing Most Of You Will Want To Do Is Schedule An Appointment With Your Doctor Refrain From Doing This Because It Could Be A Critical Mistake In Getting Adequate Treatment
Depending on your doctor and their willingness to treat for hormone deficiencies, you might not get anything out of them. Which is what happened to me. Your doctor will hear your complaints. If he takes your concern serious he will then schedule you I have an appointment to get blood work. This can be a huge expense even with insurance. The doctor will then make HIS call whether you are a candidate for TRT.
He will then likely schedule you for a follow-up blood test to make sure that the numbers were accurate.
There is a chance that he will still refuse to give you on my replacement therapy. There are a lot of doctors that actually require you to have almost no production whatsoever before they will even consider giving you a prescription. I know this sounds crazy but it is more common than you would believe.
If you seek a second opinion, that doctor may send you through the same process again. So you could find yourself repeating the same cycle over and over. And being out hundreds of dollars because getting blood-work through your doctor is not cheap.
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How To Get A Prescription For Testosterone Online Or Locally
Testosterone injections require a prescription as testosterone is a hormone and can have effects on many organ systems in the body. Testosterone replacement therapy should not be prescribed without documented symptoms of low testosterone and lab results, indicating that low testosterone levels are the source of your symptoms. There are several physician and clinic options men can choose from when determining how to get a prescription for testosterone injections and the best place to buy testosterone, whether locally or online.
Primary Care Physician: The first option is to visit your primary care physician. Your doctor will have your medical records and know your past medical history and any conditions he or she is currently treating you for. Primary care physicians cover pretty much all fields of medicine. They are the gatekeepers to more specific medical specialties. Therefore, you may find that they refer you to a specialist, such as a urologist if they determine you have low testosterone levels.
Urologist: A urologist is a specialist who treats conditions of the urinary system in both males and females and the reproductive system in the male. A urologist will know the latest treatment options and research findings for treating hypogonadism or low testosterone levels. Urologists, in many areas of the country, are in short supply, so you may find that you have a long wait before you can get in to see one.
Research Credentials And Experience
Take time to research the doctors credentials and experience. Look for a doctor who is board certified and cares for women in menopause on a regular basis. The more experience a doctor has treating your condition, the better prepared he or she is to advise you on the best type of hormone replacement based on your individual circumstances.
Also, confirm that the doctor is in good standing with state and federal agencies and that he or she has no history of malpractice claims or disciplinary actions.
Youll find all this information on Healthgrades.com.
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Treatment Options For Low T
If youve been diagnosed with Low T, you should visit a health and wellness clinic that specializes in the treatment of hormones, like SynergenX. Our doctors and medical professionals treat Low T with a hormone replacement therapy tailored to your specific needs. We also provide ongoing support and monitoring to ensure you are receiving the optimal dose your body needs to feel its best. Here are common methods of treating low testosterone levels:
- Skin patchA small 24-hour patch applied to the skin releases small amounts of hormones into the skin.
- GelsTopical gels applied daily to the arms, shoulders, or thighs helps increase testosterone in the body.
- Mouth tabletTablets dissolved in the mouth twice a day release hormones into the bloodstream.
- PelletsPellets implanted under the skin slowly release testosterone. They are replaced every three to six months.
- InjectionsWeekly or bi-weekly injections boost testosterone levels temporarily.
Get in touch with one of our skilled Low T doctors at SynergenX Health, or schedule an appointment for a $25 Low T test in McKinney, North Park, Woodlands, Kingwood, Vintage Park, Katy, Galleria, Burr Ridge, Sonterra San Antonio, Dallas, Houston, Northeast San Antonio or Northwest San Antonio. To get started, call 888-219-7259 or use our easy online form.
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Pbs Criteria For Testosterone Prescribing Position Statement
Healthy Male has received numerous enquiries since the change in PBS criteria for testosterone prescribing . In response, we offer some suggestions that may assist with understanding the changes and implementing the new PBS criteria.
Why is there a difference between PBS criteria for supported testosterone prescribing and various clinical practice guidelines?
Clear-cut androgen deficiency due to established testicular disease or pituitary failure warrants testosterone treatment and has always been supported by the PBS and clinical practice guidelines. But there is a great deal of uncertainty about the significance of low testosterone levels in middle-aged and older men who do not have testicular disease or pituitary failure. The present lack of evidence can only be addressed by clinical studies such as the major Australian T4DM study , which is investigating whether testosterone treatment can prevent diabetes.
While clinical guidelines provide some flexibility about the use of testosterone in men without established testicular disease or pituitary failure, it is not known if testosterone treatment in this setting is safe or effective. In this situation the PBS criteria reflect a more conservative approach to using public money for health interventions.
What about men who are about to start testosterone treatment for the first time?
What about men who are already on testosterone treatment? What needs to happen for them to receive continued PBS support?
What To Tell Your Doctor
Ideally, your doctor will bring up the topic during an office visit. âThat doesnât mean coming right out and asking, âDo you have low testosterone?â but âHowâs your sexual function?ââ Ramin says. âItâs usually the first question I ask.â
Still, you might need to broach the topic on your own. You can make an appointment with your primary care doctor or seek the help of a urologist, who specializes in male sex organs. If fertility is an issue, you can talk to a reproductive endocrinologist. They treat hormone imbalances in both men and women.
Since you may feel self-conscious, thereâs no need to tell the scheduler at your doctorâs office that you think you have low testosterone. Nor do you have to tell the nurse when she comes into the exam room to take your vital signs. âItâs OK to list a few of your symptoms, then wait for the doctor before you go into more detail, Werthman says. âYou can tell him, âIâve been having these symptoms lately.’ Then after you list them, suggest, âMaybe itâs testosterone.ââ
Itâs normal to feel embarrassed, especially if low sex drive is one of your complaints. But it can help to think of this like any other health problem that needs attention, Werthman says.
âAs medical providers, weâre not here to judge, but to help,â Ramin adds. âAs we age, our bodies tend to change. Itâs a natural process.â
Urology Care Foundation: âWhat is Low Testosterone?â
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