Testosterone Replacement Therapy (TRT) for Men – Bioidentical Hormone Optimization

As men age, testosterone and other critical hormone levels naturally decline. This process—often referred to as andropause or male menopause—can significantly impact energy, metabolism, sexual health, mood, and overall quality of life.

At Dr. Burkenstock’s Skin-Body-Health, we specialize in men’s hormone therapy and testosterone replacement therapy (TRT) using bioidentical hormones. Our approach focuses on restoring hormones to optimal physiologic levels—not simply “normal” lab ranges—to help men feel stronger, sharper, and more resilient as they age.

Testosterone and related hormones play a vital role in:

• Energy production and stamina
  
• Muscle mass and fat metabolism
  
• Cognitive clarity and mood stability
  
• Libido and erectile function
  
• Bone density and cardiovascular health

When properly prescribed and monitored, bioidentical testosterone replacement therapy for men can safely support long-term health, vitality, and performance.

Symptoms of Low Testosterone in Men (Andropause)

Low testosterone often develops gradually and may go unrecognized for years. Men experiencing hormonal decline may notice physical, sexual, and emotional changes that worsen over time.

Common signs of low testosterone include:

• Chronic fatigue or low energy
  
• Depression, irritability, or low mood
  
• Decreased motivation and mental focus
  
• Reduced confidence
  
• Brain fog or difficulty concentrating
  
• Insomnia or disrupted sleep
  
• Increased body fat
  
• Loss of muscle mass and strength
  
• Physical weakness
  
• Gynecomastia (enlarged breast tissue)
  
• Decreased bone density
  
• Erectile dysfunction
  
• Reduced libido
  
• Fertility concerns
  
  

If you are experiencing several of these symptoms, men’s hormone testing and evaluation may be indicated.

Benefits of Testosterone Replacement Therapy for Men

Testosterone replacement therapy does not stop the aging process; however, it can dramatically improve how men feel and function by restoring hormonal balance.

Potential benefits of TRT include:

• Increased energy and endurance
  
• Improved focus, memory, and mental clarity
  
• Enhanced mood and emotional stability
  
• Increased libido and sexual confidence
  
• Improved erectile performance (in most men)
  
• Better sleep quality
  
• Increased lean muscle mass
  
• Reduction in visceral and abdominal fat
  
• Improved motivation, drive, and vitality
  

Dr. Burkenstock has extensive experience in men’s hormone optimization, including diagnosing hormone imbalances, initiating therapy, monitoring safety markers, and adjusting treatment protocols over time to ensure optimal results.

Bioidentical Hormone Therapy vs. Synthetic Hormones

Many conventional hormone prescriptions rely on synthetic hormones, which differ structurally from the hormones naturally produced by the human body. These differences may increase the risk of side effects or undesirable metabolic by-products.

Bioidentical hormone therapy (BHRT) uses hormones that are chemically identical to those produced by your body. Because of this molecular match, bioidentical hormones are often better tolerated and more physiologically compatible when prescribed appropriately.

At Dr. Burkenstock’s Skin-Body-Health:

• Hormone therapy is individualized
  
• Labs are closely monitored
  
• Dosing is adjusted over time
  
• Patient safety is prioritized
  

Our approach emphasizes balanced hormone optimization, not testosterone excess.

Comprehensive Hormone Testing for Men

Effective testosterone replacement therapy requires more than simply prescribing testosterone. A full evaluation ensures hormonal balance and long-term safety.

Hormones and markers commonly evaluated include:

• Total testosterone
  
• Free testosterone
  
• Sex Hormone Binding Globulin (SHBG)
  
• Progesterone
  
• Estrogens (estrone, estradiol, estriol)
  
• DHEA
  
• Melatonin
  
• Prostate-Specific Antigen (PSA)
  

By evaluating the full hormonal landscape, we create a customized men’s hormone therapy plan designed to improve symptoms while supporting overall health and longevity.