Suffering from Andropause, the Male Menopause?

Bioidentical Hormone Replacement Therapy for Men

The loss of hormones in men is usually a gradual process. By the age of 50, a man has about half the testosterone he used to have in his 20’s and 30’s. Since it is a slow loss, men typically don’t notice the drop until they begin feeling extreme difficulties in completing normal daily tasks. Before this occurs, however, the effects of falling Testosterone levels are severe in terms of long term consequences, and has been shown to be associated with chronic disease such as osteoporosis, diabetes, metabolic syndrome, inflammation, cancer, and heart disease. Most people who think that hormones are only for women would be remiss. Men, just like women, are in NEED of hormone therapy. Below is a list of the key “andropause”, or male menopause symptoms and affiliated concerns:



Low Testosterone puts men at risk for cardiovascular disease, obesity, diabetes and osteoporosis. Fortunately, at Wdowin NMD, our physicians are trained to recognize these risks and offers men a chance to regain good health through nutrition and a customized hormone replacement therapy program.

The program for replacing hormones in men includes the following:


To assess an individual’s hormonal requirements, physicians at Wdowin NMD starts by examining the body’s current hormonal state through urine, saliva, or/and blood test. Our physicians also spend a good portion of their office visits getting to know you, your family history, work life, marital life, and just YOU in general. This allows us to fully customize a replacement therapy program that is right for you. Upon commencing bioidentical hormone therapy, we observe and re-evaluate your hormone levels and symptoms to attain the most optimal levels for your body. We want to make sure that you are getting the most out of the hormones, and from life.


This topic has falsely permeated the medical community for roughly 80 years. The general conclusion that cancer of the prostate is activated by testosterone was based on a single patient in 1941.  Contrary to this individual isolated study, there are several large studies published recently within the last decade concluding that there is NO association between prostate cancer and Testosterone. Furthermore, a recent study published in 2011 in the Journal of Urology showed that Men treated with Testosterone therapy who also had untreated prostate cancer experienced symptomatic relief, had no increase in PSA, showed no increase in prostatic volume, and demonstrated no definite cancer progression. In fact, 54% of the patients biopsied at the end of this trial showed no cancer! Physicians at Wdowin NMD are hormone experts and are always current on the latest research concerning men’s health. We understand that it is time to treat men who sorely need treatment, and could greatly benefit from hormone therapy.

The Adrenal Glands

The adrenals are two triangular shaped glands that sit on top of the kidneys. The adrenal glands are responsible for regulating the stress response in men through the hormone, cortisol. Cortisol has been identified as the key adrenal hormone engaged in stress management, such as the case during reactions to excitement, exercise, and low blood sugar.

Under NORMAL conditions, cortisol is released during the initial waking hours of the day, with gradual decreasing spikes cropping up as the day progresses.


Stress and adrenal fatigue in men occur simultaneously. Improper stress management, or in cases of extreme stress, the adrenal gland’s ability to cope with the stress is jeopardized. The adrenal glands become overloaded until they are unable to generate the required amount of cortisol to meet the body’s demands. This ultimately results in reduced cortisol levels and men’s adrenal fatigue. To compound this, other adrenal hormones also experience a decline due to the exertion placed on the adrenals, such as in the case of Dehydroepiandrosterone (DHEA). DHEA is vital to maintaining the balance of hormones in your body and low amounts of this important hormone contribute to male adrenal fatigue symptoms as well.



An integrated approach is needed to address adrenal fatigue. Since stress is the key cause to this condition, and because many different stresses can add up to cause the end result of fatigued adrenals, taking time to assess situational and daily stressors and engaging in stress management with mild to moderate exercise, reflection exercises or yoga can be of exceptional value to your customized regimen.

Sufficient sleep is also of vital importance in men to offer an opportunity for the adrenals to repair overnight. It is advisable to avoid caffeine, hydrogenated fats, refined carbohydrates, sugar and alcohol. Therefore, it is recommended that men change to a diet that is high in nutritional value inclusive of high quality proteins.

The subsequent steps entail incorporation of hormone restoration therapy when needed, and enhancing with an excellent multi-vitamin, as well as magnesium, vitamins B, C, among others.  There is no need for men to suffer anymore. Patients at Wdowin NMD have conquered their way out from this ailment though an integral technique of bioidentical hormone replacement therapy merged with appropriate nutrition and wellness.

Thyroid Imbalances in Men


Low levels of thyroid hormone in men are associated with the following symptoms:

Cases of hypothyroidism, the condition linked to inactivity or underactivity of the thyroid gland, occurs at a significant rate of 1 in 7 adults, in comparison to hyperthyroidism. In 2002, The Endocrinologist Society determined that the current standard of care for assessment of thyroid levels was unreliable, and has resulted in the under diagnosis of hypothyroidism in a large population of men. Unfortunately, this is still a little-known fact. This means that most physicians who carry out a thyroid hormone assessment may misdiagnose a seemingly ‘normal’ lab test due to misinformation.  This is due to the fact that most physicians still primarily focus on TSH, the hormone responsible for the release of thyroid hormones into the body. It is important to understand, however, that even though thyroid hormones may become released in the body, there may be many impediments to its actions. Physicians at Wdowin NMD understand these impediments and offer a more complete diagnostic strategy for assessing thyroid dysfunction, allowing us to assess a wider variety of thyroid issues. We also specialize in diagnosing Hashimoto’s disease, a disorder characterized by the body’s own immune system attacking the thyroid glands. For this, we take careful aim at assessing thyroid hormone antibodies (TPO) in order to assure this diagnosis is not easily missed.


At Wdowin NMD, physicians take a more thorough approach to treating thyroid disorders. We don't just look for "adequate" or "normal" ranges, but aim to keep your thyroid hormone levels in an optimum range, so that you can feel your best.

To keep your hormones optimal, we use the most effective combinations of thyroid hormones. In traditional medicine, hypothyroidism is generally treated with synthetic T4 (inactive thyroid hormone), which can correct your T4 and TSH levels. However, many people cannot efficiently convert T4 to T3. This is a problem because T3 is the active form of the thyroid hormone. Even if your T4 and TSH levels are optimal, if your T3 levels are imbalanced, you may still experience symptoms.

Once we assess your current levels of all your thyroid hormones, we can then customize an individually-tailored thyroid replacement therapy regimen designed specifically for you. The Wdowin NMD strategy of thyroid treatment frequently focuses on a combination of T3 and T4 hormone replacement, so that ALL of your levels are brought into an optimal range.

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