Hormone Therapy for Men

The Natural Path offers physician prescribed and medically supervised Testosterone Therapy programs in Portland.  Dr. Robert Madda is highly trained in the use of testosterone replacement therapy.  When a patient meets the criteria for testosterone deficiency Dr. Madda creates a unique protocol using one of several testosterone therapies including testosterone cream, testosterone intramuscular injections and subcutaneous testosterone pellets. We specialize in hormone replacement therapy for men to regain and maintain optimal health.

Symptoms of Low Testosterone/Andropause in Men

If you are age 35 or older and have some or all of these symptoms, You may have low testosterone.

  • Depression and lack of enthusiasm for daily life
  • Decreased energy and desire for physical activity
  • Low libido
  • Lack of concentration
  • Mild to moderate erectile dysfunction
  • Muscle and/or bone loss
  • Trouble Sleeping
  • Irritability

What is Andropause?

There is an age-related decline in total testosterone in healthy adult men. Testosterone tends to be lowered in men with many chronic health issues such as high cholesterol, diabetes, heart disease etc. Low testosterone can contribute to osteoporosis and problems with the cardiovascular system, as hormones have important effects throughout the body.  Starting at age 30, a man's testosterone typically declines 10 percent each decade. Some men experience a more dramatic change known as andropause — the male version of menopause. There are safe and natural ways to increase testosterone levels that lead to profound improvements in quality of life, mood, sexual interest and performance.

How do I know if I need testosterone therapy?

We will determine if testosterone therapy can help you after reviewing your symptoms as well as testing hormone levels via blood work.

What can I expect with testosterone therapy?

Testosterone affects mood, sexual desire, erectile function, bone density, muscle mass and strength, fat distribution, energy and psychological well-being.

At the Natural Path, we treat low testosterone with testosterone injections, subcutaneous pellets, as well as creams/gels. We recommend a baseline blood work to determine the proper dosing. After 6 weeks of therapy, we recommend re-testing blood work to monitor hormone levels. While under our care for testosterone therapy, you will meet with Dr. Madda every 6 months.

Why do we test your estrogen levels?

As testosterone levels optimize, there can be conversion to estrogen.  We will monitor your estrogen levels throughout your treatment. If needed, we recommend the use of an aromatase inhibitor (estrogen blocker) to block the conversion of testosterone to estrogen. 

Why do we test your prostate specific antigen (PSA) levels?

Testosterone therapy can exacerbate existing prostate cancer even though testosterone is also FDA approved for the treatment of prostate cancer.  Prior to beginning testosterone therapy, we recommend a prostate exam and prostate specific antigen (PSA) levels be evaluated.