Endocrinologist, specialist of the Moscow State University clinic, doctor with 23 years of experience, talks about important scientific discoveries
People in general and men in particular have begun to live longer.
So, we began to live up to the moment when the endocrine glands cease to provide the body with the required amount of hormones, including testosterone.
And if earlier a person was forced to live out his life with what he had left for old age, now there are good options.
For example, an endocrinologist or urologist can prescribe testosterone replacement therapy to such a person, of course, having examined him first. In any case, this is exactly how it should be, in the absence of contraindications.
And then the world becomes colorful and full of joy again.
By the way, not only those who have been prescribed testosterone replacement therapy are filled with joy, but also those who surrounds these people, as the person becomes less irritable and more like what he was before.
In addition to age-related decline in testosterone, very often, low levels of this hormone accompany obese and overweight men. This is because testosterone is converted into estradiol (conditionally "female" hormone) in adipose tissue.
Since it is not customary for us to control estradiol in men, most doctors, having received an analysis with a low testosterone level, boldly prescribe hormone replacement therapy, contributing to an even greater increase in estradiol and suppression of the synthesis of its own testosterone.
Even more regrettably, you can see the claims of doctors that the higher the testosterone level, the better. These speculative statements are unsupported and clearly demonstrate the lack of education of the applicants.
Scientific societies, in particular, the European Association of Urology, American, Canadian, Russian Society of Endocrinologists urge and recommend to adhere to average physiological testosterone levels from 14 to 17 (in a number of American sources up to 20) nmol / l.
I am in complete solidarity with my colleagues and, as always in medicine, and in general in life, it is necessary to strive for the golden mean.
Testosterone deficiency is obviously a bad condition. The excess is even worse. The body is healthy only in balance.
Excess testosterone is considered by the body to be akin to intoxication and "includes" a number of measures to reduce high testosterone levels:
- activation of enzymes that convert testosterone to other hormones.
- a decrease in the number of receptors, which are affected by testosterone in the cell, thereby showing its properties.
- suppression at the intracellular level of intracellular signaling molecules that prevent the action of testosterone.
That is, there is no benefit from an excess level, except for harm, and a beautiful figure in the analyzes. If you really want to brag, then just say that your high testosterone level delights and surprises doctors and laboratory assistantsbut do not harm your health because of someone else's prejudice or educational gaps.
Your Doctor Pavlova
