Androgen Deficiency Mitigation is a clinical strategy focused on identifying and addressing sub-optimal levels or reduced cellular action of androgens, such as testosterone and DHEA, in both males and females. The primary aim is to alleviate associated symptoms like decreased libido, reduced muscle mass, fatigue, and mood disturbance. Mitigation involves restoring androgenic balance to a physiological range that supports well-being, structural integrity, and cognitive health.
Origin
This clinical practice emerged from the recognition of Age-Related Hormonal Decline, specifically in the context of andropause and menopause, where declining sex steroid production significantly impacts quality of life. The term reflects a proactive, therapeutic approach rather than merely diagnosing a pathological condition, applying modern, individualized dosing and delivery methods. It is rooted in classical endocrinology but utilizes modern diagnostic precision.
Mechanism
Mitigation primarily involves the judicious administration of exogenous androgens, often bio-identical, via various routes such as transdermal or intramuscular application. Alternatively, it can involve stimulating endogenous production through lifestyle modifications or specific pharmaceutical agents that target the hypothalamic-pituitary-gonadal axis. The core function is to ensure adequate androgen receptor binding and subsequent genomic and non-genomic signaling to maintain vital physiological functions.
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