Whether you are a 30, 50 or 80 year old man, having low testosterone levels is neither fun nor healthy. The symptoms of low testosterone in men range from lack of energy, depressed mood, loss of vitality, muscle atrophy (sarcopenia), muscle aches, low libido, erectile dysfunction, weight gain, to bone loss (osteopenia), osteoporosis, mild anemia, increased risk of Alzheimer’s, increased risk of high-grade prostrate cancer, and increased risk of death due to all causes.
As you may know, low testosterone in men may be caused by problems in the testicles. This is called primary hypogonadism and can be brought on by the mumps, testicular trauma, or testicular cancer, etc., and can only be treated with testosterone replacement therapy. However, the more common causes of low testosterone/hypogonadism result from problems in the pituitary gland and/or hypothalamus in a man’s brain, depression/anxiety, head trauma, iron overload, anabolic steroid overdosing, diabetes, sleep deprivation, or some medications.
Traditionally, if low testosterone is diagnosed, testosterone replacement therapy is prescribed, and it most commonly comes in the form of a cream, gel, pellet, patch, and by injection. Although these types of therapy are effective, some methods are better than others, and there are side – effects with all of them. For example, testicular shrinkage, low sperm count/sterility and polycythemia (overproduction of red blood cells) are common side effects of testosterone replacement therapy. Clomid has been used by specialists for decades to increase testosterone production, increase sperm production, and increase fertility. Both these therapies effectively help signal the testes to produce testosterone and thereby increase testosterone levels.
In a healthy male, the pituitary gland in the brain releases luteinizing hormone (LH) into the blood stream, which signals the tests to “GO” and produce testosterone. After testosterone has been produced it naturally converts to some estrogen (yes, there’s estrogen in men too) and this estrogen acts as a “STOP” signal to the pituitary to stop making LH. It is a delicate system of checks and balances which I have simplified here for your purposes. Clomid (clomiphene citrate) works by blocking estrogen at the pituitary and hypothalamus. Thus, the usual estrogen message to “STOP” production of LH is essentially silenced, and therefore the pituitary makes more LH and there is an increased “GO” signal to produce testosterone in the testes. Prescribing testosterone for a man, however, does the opposite of what clomiphene does.
With traditional testosterone replacement therapy, the brain (hypothalamus and pituitary) gets the message that there is plenty of testosterone being made in the testes, so much so that it doesn’t think it needs to make anymore. Subsequently, the pituitary stops producing LH, and the natural production of testosterone in the testes ceases, which is why traditional testosterone replacement results in testicular shrinkage and low sperm count. . . a man’s testosterone and sperm manufacturing plant is essentially shut off.
Clomiphene citrate does not turn off the testosterone manufacturing plant but rather turns it back on.
Initial Visit – $155 (Includes first 6 weeks of Medication and doctor visit)
Average 6 week cost of Clomid – $65