Supplementing male hormones during menopause should be done under the guidance of a doctor. Commonly used medications include testosterone undecanoate capsules, testosterone tablets, testosterone propionate injection, testosterone heptanoate injection, and testosterone patches.
1. Testosterone undecylate capsules
Testosterone undecylate capsules are an oral testosterone preparation suitable for primary or secondary testosterone deficiency. This drug is absorbed through the intestinal lymphatic system, which can avoid the first pass effect on the liver and has a relatively small impact on liver function. Prostate specific antigen levels need to be evaluated before use, and are contraindicated for individuals at risk of prostate cancer. Adverse reactions such as acne and increased body hair may occur, and regular monitoring of hemoglobin and blood lipid levels is necessary.
2. Methyltestosterone tablets
Methyltestosterone tablets are methylated testosterone derivatives with strong androgenic activity. Can be used for male hypogonadism, but long-term use may cause liver toxicity and regular liver function checks are necessary. This drug may increase the retention of water and sodium, so hypertensive patients should use it with caution. During medication, there may be symptoms of the nervous system such as hypersexuality and emotional fluctuations.
3. Testosterone Propionate Injection
Testosterone Propionate Injection requires intramuscular injection and is suitable for patients who need to rapidly increase testosterone levels. Pain or hardening may occur at the injection site, and the injection site needs to be rotated. This preparation has a short duration of action and usually requires two to three injections per week. During use, be alert to the risk of polycythemia and regularly monitor blood routine indicators.
4. Testosterone Enanthate Injection
Testosterone Enanthate Injection is a long-acting testosterone ester preparation that can maintain its efficacy for two to four weeks with a single injection. Suitable for patients who require long-term androgen replacement therapy. May cause fat atrophy at the injection site, deep muscle injection is recommended. During medication, bone density should be monitored to be alert to the risk of osteoporosis. Pre adolescent male use may accelerate epiphyseal closure.
5. Testosterone Patch
Testosterone patch achieves continuous administration through transdermal absorption and can simulate physiological testosterone secretion rhythms. It is necessary to change the application site daily to avoid skin irritation. Before use, clean the skin of the application area to avoid excessive hair. Local skin itching, redness, and other adverse reactions may occur. Compared with other testosterone preparations, it has less impact on the liver. In addition to medication supplementation, it is recommended that male menopausal patients maintain regular exercise such as resistance training and aerobic exercise, which can help maintain muscle mass and bone density. Diet should ensure high-quality protein intake and moderate supplementation of minerals such as zinc and magnesium. Controlling weight can improve hormone metabolism and avoid excessive alcohol consumption. Maintaining good sleep habits helps regulate endocrine function. Regularly check hormone levels and related biochemical indicators, and adjust treatment plans based on test results. When emotional disorders occur, psychological counseling can be combined to establish a healthy lifestyle intervention system.
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