The clinical oversight and regulation of circulating testosterone concentrations to ensure they remain within an optimal, functional range tailored to the individual’s clinical presentation and health goals. This management involves initial diagnostic assessment, therapeutic intervention, and ongoing monitoring to address symptoms of deficiency or mitigate potential risks of excess. It is a core practice in men’s and women’s hormonal health.
Origin
The practice is a specialization within endocrinology, initially focused on treating hypogonadism but now extended into the realm of wellness and vitality maintenance. The term “management” denotes the active, continuous clinical responsibility required for safe and effective hormone therapy. It is a process that integrates clinical symptoms with laboratory biomarker data.
Mechanism
Management works by adjusting the dose and route of exogenous testosterone administration or by utilizing pharmaceutical agents to stimulate endogenous production, such as with HCG. The goal is to restore the biological action of the androgen by ensuring adequate levels of free, unbound testosterone are available to target tissues like muscle, bone, and brain. Proper management also includes monitoring for conversion to estrogen and dihydrotestosterone.
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