Hormone replacement therapy in our clinic supposes the use of HGH or testosterone replacement treatment cycles as prescribed.
Growth hormone (GH) replacement therapy is provided in the form of human recombinant GH available in subcutaneous injection form. Testosterone products are used to help with fatigue, erectile dysfunction, and loss of sex drive.
In adults, a lack of growth hormone is often due to damage to the pituitary gland, which may be permanent. The damage could have occurred in childhood or adulthood.
Other causes include:
- radiation therapy;
- a head injury;
- infections, such as meningitis.
Problems in the pituitary with producing growth hormone are commonly due to a pituitary tumor.
The pituitary can be damaged by the tumor itself or by treatment such as surgery and radiotherapy.
In adults, a lack of HGH can cause a number of different problems including:
- anxiety and depression;
- increased fat around the waist;
- increased risk of heart disease and stroke;
- weak heart;
- weak muscles and bones;
- reduced ability to think;
- other conditions.
Growth hormone deficiency can also be a combination of one or more hormone deficiencies.
Some medical conditions may also benefit HGH treatment.
Turner’s syndrome: Women with this condition generally have underdeveloped female sexual characteristics.
Prader-Willi syndrome: A genetic disorder that causes weak muscle tone, feeding difficulties, poor growth, and delayed development.
Noonan syndrome: This genetic disorder interferes with the proper development of various parts of the body.
Chronic kidney disease.
A person can administer HGH injections at home or receive the hormone at the doctor’s office. The most common treatment in both adults and children is growth hormone therapy using lab-developed HGH injections.
Doses occur several times per week or on a daily basis depending on how severe the deficiency is. Manufacturers designed the growth hormone to mimic the behavior of natural growth hormone in the body. It will be prescribed by a doctor.
HGH treatments can be self-administered or given by a doctor. Treatments are often given for several years. Patients will see their doctor every month or so to check their condition.
Blood tests will be carried out to see if extra growth hormone is needed and if treatments should be increased, decreased, or stopped. Cholesterol levels, blood sugar levels, and bone density will also be checked to see if they are healthy.
Taking growth hormone can affect the body’s response to insulin, which controls blood sugar levels. Growth hormone deficiency can also lead to high cholesterol and brittle bones if it is not treated.
Specific treatment for growth hormone deficiency depends on the person.
Doctors base this treatment on certain factors, such as:
- overall health and medical history;
- the extent of the condition;
- tolerance for specific treatment;
- treatment expectations;
- patient’s choice.
Many adults have to take HGH treatment for the remainder of their life.
Anyone taking HGH will undergo regular monitoring to assess the safety and effectiveness of the hormone.
The goal of growth hormone treatments is to restore energy, metabolism, and enhance body development or shape. It can help to reduce total body fat, especially around the belly.
HGH injections can also help to improve strength and exercise tolerance and reduce the risk of heart disease in those who lack the growth hormone.
Many people experience an increase in overall quality of life.
Testosterone therapy is only recommended for hypogonadism patients. Male hypogonadism is a combination of low testosterone levels and the presence of any of these symptoms:
- the drop in sex drive (libido);
- erectile dysfunction (ED — inability to get or keep an erection) and loss of spontaneous erections;
- lowered sperm count and infertility (inability to have children);
- breast enlargement or tenderness;
- reduced energy;
- reduced muscle mass;
- shrinkage of testes;
- increased irritability, inability to concentrate, and depressed mood;
- hot flashes (when testosterone levels are very low).
You should not receive testosterone therapy if you have:
- prostate or breast cancer (or suspected);
- enlarged prostate causing difficulty with urination;
- elevated prostate-specific antigen (PSA) levels;
- the high number of red blood cells;
- untreated sleep apnea (obstructed breathing during sleep);
- heart attack or stroke within the last 6 months;
- blood clots.
The method of treatment depends on the cause of low testosterone, the patient’s preferences, cost, tolerance, and concern about fertility.
Injections. Self or doctor administered in a muscle every 1–2 weeks; administered at a clinic every 10 weeks for longer-acting. Side effects: uncomfortable, fluctuating symptoms.
Gels/Solutions. Applied to the upper arm, shoulder, inner thigh, armpit. Side effects: may transfer to others via skin contact — must wait to absorb completely into the skin.
Patches. Adhere to the skin every day to the back, abdomen, upper arm, thigh; rotate locations to lessen skin reaction. Side effects: skin redness and rashes.
Buccal Tablets. A sticky pill applied to gums twice a day absorbs quickly into the bloodstream through gums. Side effects: gum irritation.
Pellets. Implanted under skin surgically every 3–6 months for consistent and long-term dosages. Side effects: pellet coming out through the skin, site infection/ bleeding (rare), dose decreasing over time, and hypogonadism symptoms possibly returning towards the end of dose period.
Nasal Gel. Applied by a pump into each nostril 3x a day. Side effects: nasal irritation or congestion.
Risks of Testosterone Therapy
- elevated red blood cell count;
- sleep apnea;
- possible prostate enlargement.
There is no firm scientific evidence that long-term testosterone replacement is associated with either prostate cancer or cardiovascular events.
Apply for getting free advice from an expert if you need to learn the price list or the cost of HRT therapy per 6 months and per year.