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Is Male Hormone Replacement Therapy Safe for Heart Patients?

Is Male Hormone Replacement Therapy Safe for Heart Patients?

By Dr. Patrick Lovegrove Medically Reviewed by Lindsay Langley, BSN, RN, CHT
Posted Wednesday, January 25th, 2023
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Is Male Hormone Replacement Therapy Safe for Heart Patients

Hormone replacement therapy has been very popular in recent years, as they offer a potential way to alleviate various age-related issues such as low energy levels, declining muscle mass, and sexual dysfunction. For men, testosterone replacement therapy is often the hormone of choice, as it can effectively improve these issues. However, there has been some concern over whether or not testosterone replacement therapy is safe for men with heart conditions.

An article from the national library of medicine stated that “in patients with established CV disease or those with increased CV risk factors including risks for ASCVD, the benefits of TRT should be weighed against the risks of replacement. The article goes on to say that over the past few years, the FDA has concluded that there is no evidence for significant CV risk for any given group of people treated with TRT.” However, the article also states that “further studies are warranted to elucidate the risks of TRT in patients with significant CV risk factors and those with prior history of CV events.”

Recommendations from both the American College of Cardiology (ACC) and the American Endocrine Society are to avoid testosterone replacement therapy in men with poorly controlled heart failure, recent myocardial infarction, revascularization, and stroke within the last six months. However, it is important to note that these recommendations are based on expert opinion rather than large-scale clinical trials.

Overall, there is still some uncertainty over whether or not testosterone replacement therapy is safe for men with heart conditions. However, the available evidence does not seem to suggest that it is a major risk factor. If you are considering testosterone replacement therapy, it is important to discuss the risks and benefits with your doctor to make sure that it is right for you.

Benefits of Hormone Replacement Therapy for Men

Improves Energy Levels

Fatigue is a common problem for men as they age. Hormone replacement therapy can help to improve energy levels by replenishing hormones that decline with age. Testosterone, for example, plays a vital role in energy production and muscle function. As testosterone levels drop, men may notice a decrease in energy levels, as well as muscle weakness and reduced stamina. Hormone replacement therapy can help to reverse these effects by increasing testosterone levels.

Increases Muscle Mass

As men age, they tend to lose muscle mass. This process is known as sarcopenia, and it can lead to a decrease in strength and mobility. Hormone replacement therapy can help to combat sarcopenia by increasing testosterone levels. This can help to preserve muscle mass and improve strength and function.

Improves Sexual Function

Sexual dysfunction is a common problem for men as they age. Testosterone plays a key role in sexual function, and a decline in testosterone levels can lead to problems such as erectile dysfunction and reduced sex drive. Hormone replacement therapy can help to improve sexual function by increasing testosterone levels. This can improve sexual desire and performance.

Reduces Body Fat

As men age, they often gain body fat, particularly around the waist. This increase in body fat can lead to health problems such as obesity and type 2 diabetes. Hormone replacement therapy can help to decrease body fat by increasing testosterone levels. This can improve overall health and reduce the risk of obesity and type 2 diabetes.

May Improve Mood and Sense of Well-Being

Depression is a common problem for men as they age. Low testosterone levels have been linked to depression, and hormone replacement therapy can help to improve mood by increasing testosterone levels.

Can Help to Reduce the Risk of Osteoporosis

Osteoporosis is a condition that causes bones to become weak and brittle. It is a common problem for older men, and it can lead to fractures. Hormone replacement therapy can help to reduce the risk of osteoporosis by increasing testosterone levels. This can help to preserve bone density and reduce the risk of fractures.

Final Thoughts

There are many potential benefits of hormone replacement therapy for men. However, it is important to discuss the risks and benefits with your doctor to make sure that it is right for you. We at Merge Medical Center are happy to answer any questions you may have about hormone replacement therapy. Give us a call today to learn more!

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About the author

Dr. Patrick Lovegrove

Dr. Patrick Lovegrove is board certified by the American Board of Family Physicians. He was born in Staunton, Virginia, and graduated from the University of Virginia where he majored in Biology. He received a Medical School Scholarship from the United States Air Force. A graduate of Nova Southeastern College of Osteopathic Medicine, his over 20 years of clinical experience includes Family Practice, Anti-aging, Holistic Internal Medicine, Pain Management, Aerospace, Sports, and Emergency Medicine. He believes that holistic medicine should be integrated with conventional medicine in a scientifically based model to achieve the best results for patients.