Kenneth R. Kafka, M.D. 

955 Carrillo Drive, Suite 210, Los Angeles, CA 90048      Tel: 805.889.2800 Fax: 323.938.1028
204A Pirie Road, Ojai, CA 93023

Office Hours By Appointment
Kenneth R. Kafka, M.D.
Integrative Medicine

Bioidentical Hormone Replacement Therapy for Men

The symptoms women experience during Menopause and Perimenopause are well documented and studied. For men, there is increasing information on the symptoms of the age-related hormonal imbalance known as Andropause, also referred to as Male Menopause or Androgen Deficiency in Aging Men (ADAM).

For men, testosterone levels begin declining by the age of thirty. It continues to steadily decline 10-15% each decade for the average male, and up to 30% if he has other health problems. Because the decline usually is gradual, the symptoms for men are not initially as dramatic as they are for women. Yet, by the time testosterone levels drop below a certain range, men also experience a dramatic change in their entire outlook on life and begin to feel that their most vital years are now behind them.

Testosterone is an androgen. Androgen’s help build the body and are vital for longevity. Testosterone, produced by the testicles, is responsible for maintaining muscle bulk, robust levels of red blood cells, bone density, cardiovascular health, sense of well-being, motivation and drive and sexual and reproductive function. In fact, studies show that the major risk factor for mortality in men over the age of 65 does not correlate with cholesterol levels, but correlates with androgen status.

Andropause affects men in different ways and to varying degrees. Some men start experiencing symptoms as early as the thirties and forties and many more experience symptoms in the fifties and thereafter.

Benefits of BHRT for Men

Improved cognition, memory and focus
Improved mood and positive sense of well-being
Regain drive and motivation and increase pleasure at work
Increase in muscle mass, bone density and athletic performance
Decreased fat
Increased sex drive
Improved cardiovascular health
You feel like yourself again!

There is a wide range of indicators that one’s testosterone levels may be too low:

The Brain: Decreases in cognition, memory, focus, concentration and intelligence and accelerates brain aging.

: Increases incidence of depression, moodiness and irritability, anger, anxiety and panic attacks. If you find yourself feeling a little out of sorts, either being more demanding, angry, defensive, withdrawn, anxious or sad, it is time to take a look at your hormone levels.

: Less assertive, decreased motivation, decreased desire to compete, decreased pleasure in work and relationships, and you start to lose your ‘edge’.

System: Increased incidence of cardiovascular disease, illustrated in many studies.

and Bones: Decrease in muscle mass, bone density, strength and athletic performance. Increase in fat, achiness, stiffness, and legs cramps.

: Decrease in sex drive, desire, fantasies, morning erections, erectile strength, intensity of orgasms and the often talked about erectile dysfunction.

Well Being: Pervasive fatigue, hair loss on body and thinning of beard, increase in sleep problems, hot flushes and arthritis of the hands and feet.

: Increase in prostate size, increased urination at night, decreased urinary flow and increase in frequency of urination.

As you see, men can experience a wide range of symptoms that may be due to low testosterone. Many men just assume they are experiencing symptoms of aging when in fact, if they have their hormones rebalanced, they could literally set the clock back a decade or more in regards to their health, vitality, sense of well-being, level of functioning and happiness. You can get your ‘edge’ back!
To determine if you are suffering symptoms of Andropause, blood tests are necessary to measure testosterone levels. While it is true that decreased testosterone levels can be a major factor, other issues may be present.
There is no one ‘right’ level of testosterone for all men. We work together to establish the level that is optimal for you, and then decide on a course of treatment that works best.


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Kenneth R. Kafka, M.D.
955 Carrillo Drive, Suite 210, Los Angeles, CA 90048      Tel: 805.889.2800 Fax: 323.938.1028
204A Pirie Road, Ojai, CA 93023

© 2005 Dr. Kenneth R. Kafka