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Why measure male hormones?
Measurements of hormones can be used in two general ways.
1. To estimate the body's own production (baseline test)
2. To measure levels of hormones after supplementation (therapeutic monitoring)
Baseline hormone measurements demonstrate hormone levels and the balance of six distinct interacting hormones. If levels are too low, too high or if hormone ratios are outside of expected limits, an objective personalized treatment plan can be developed for the individual. Symptoms help characterize the hormonal imbalances, but by themselves, are not a substitute for measuring the hormone levels. Symptom expression generally involves both hormone and non-hormonal factors.
Using appropriate methods and tests for monitoring hormone therapy is crucial toward establishing the appropriate dosing regimen. This reduces the chance of undesirable side effects and maximizes beneficial effects.
For example, excessive use of androgens (testosterone, androstenedione, DHEA) can activate existing subclinical prostatic tumors which are androgen-dependent. Testosterone does not cause prostate cancer but it can stimulate a present cancer to grow. Monitoring the prostatic response to therapy is especially important in older males. By the age of 70, because of increasing estrogen levels, at least 50% of men have subclinical prostate cancer.
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