Tag Archives: hormone test MN


ADAM Questionnaire for screening Low Testosterone of men in Minnesota


Take this quick quiz to find out if you should talk to your doctor about low testosterone.

• Do you have a decrease in libido (sex drive)?
• Do you lack energy?
• Has your strength or endurance decreased?
• Have you decreased in height?
• Have you noticed decreased “enjoyment of life”?
• Are you sad or grumpy?
• Are your erections less strong?
• Have you noticed a recent deterioration in your ability to play sports?
• Do you fall asleep after dinner?
• Has there been deterioration in your work performance?

If you answered YES to one or more of these questions from the ADAM questionnaire, you might be suffering from andropause (low testosterone). You are welcome to visit us in the Edina or Shoreview Offices to get help. One Stop Wellness Clinic offers the Saliva tests for sex and adrenal hormones and bio-identical hormone replacement therapy to the men with low testosterone in Minnesota.


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Diagnosis of Low Testosterone in Minnesota


As we discussed in the previous blogs, the physiologic decrease of testosterone as men in Minnesota age can cause changes in sexual function, mood, energy level and function of other organs. While testosterone is thought of as the male hormone, it is also important to maintain appropriate levels of other hormones such as estrogen, progesterone, DHEA, and cortisol, because the adrenals play a central role in sustaining optimal health and sex hormone function.

Diagnosing low testosterone:

The question may arise whether the symptoms you have may be related to low testosterone level. Dr.Shu takes a medical history and physical exam, assess your signs and symptoms and determine your testosterone levels with either blood or salivary test. Salivary tests for a panel of hormones are preferable, and the tests may include sex hormones, thyroid and adrenal hormones.. Initial salivary testing is important to make a diagnosis of andropause (low testosterone). Due to the complexity of the interactions among hormones, problems that arise rarely stem from just one hormone. If testosterone replacement is warranted, blood test to check Prostate-Specific Antigen (PSA) must be performed. There is no evidence that testosterone increases the risk of prostate gland cancer; however, if prostate cancer has already developed, testosterone may accelerate its growth.


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Hormone Checking in Minneapolis MN


Forgetfulness and cognitive decline are some of the most commonly reported symptoms of menopause. In fact, peri-menopausal women were 1.4 times as likely to report forgetfulness compared to pre-menopausal women in Minnesota, and this was independent of additional factors including reported stress. There are a number of mechanisms through which changes in hormones affect brain function and memory.

Estrogens have direct effects in the brain by increasing the number of synapses in the hippocampus, the region of the brain where transferring short term memories to long term memories is thought to occur. Estrogen and progesterone both help to protect the brain from exogenous and endogenous toxins including glutamate-induced excitotoxicity, and progesterone is a potent anti-inflammatory agent in the central nervous system, working to rebuild the blood-brain barrier, reduce edema and down-regulate the inflammatory cascade in the event of physical or ischemic trauma.

Another important mechanism through which hormones enhance memory is by increasing acetylcholine activity. Acetylcholine is an important neurotransmitter involved in learning and encoding new memories and its production is greatly decreased in conditions of compromised memory including Alzheimer’s disease. Estrogen increases the activity of the enzyme choline-acetyl transferase, which stimulates the synthesis of acetylcholine.

Maintaining optimal hormone levels throughout the menopausal transition can not only aide in the management of classically “menopausal symptoms” such as hot flashes and night sweats, but can prevent and treat memory loss and protect the brain from chemical and physical assault. As always, the correct balance of hormones is important, so it is important to test, not guess.


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The Symptoms related to Low Testosterone in Minnesota


Are you experiencing low sex drive? Do you feel low energy and fatigue more frequently than before? These symptoms often occur in any aging male who has a drop in testosterone level. Andropause cause emotional and physical changes that many middle-aged men in Minnesota go through.

Andropause doesn’t happen to every man in Minnesota. It’s not a sudden change, either. The changes happen even much slower than women’s menopause. This is why many men in Minneapolis and St Paul think these subtle symptoms are a normal process of aging without seeking active medical care.

Here is the list of common symptoms in the andropause men.

• Diminished sexual desire and erectile quality.
• Low energy level and fatigue
• Mood changes and irritability
• Decrease in muscle mass and strength
• Depression and loss of excitement
• Weight Gain with an increase in fat around internal organs
• Bone density decreases resulting in osteoporosis
• Sleeping problems
• Hair Loss
• Gynecomastia (male breasts)
• Sweating at night and hot flashes
• Urinary Problems

It is important to keep in mind that not every male in Minnesota will experience Andropause symptoms the same way or the same level. Some will be affected by just a few of these symptoms; some will be affected by most of them.


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Hormone Imbalance in Perimenopause Women In Minnesota


Perimenopause refers to the time period during which a woman’s body makes its natural transition toward menopause. Women in Minnesota start Perimenopause at different ages. Most often start during our mid to late 40’s, leading to menopause at an average age of 51 in the US.

Typical sign of perimenopause is that menstrual cycles may lengthen or shorten. When sex hormone levels fluctuate and imbalance, many women in Minneapolis and St Paul may also experience menopause-like symptoms, such as hot flashes, mood swing, sleep problems and vaginal dryness.

In perimenopause, hormonal imbalance results when women’s sex hormone levels fluctuate widely. Contrary to popular belief, many of the symptoms experienced during perimenopause are not due to estrogen deficiency, but rather are due to estrogen dominance. The term “estrogen dominance” can be confusing at times because it does not relate solely to the amount of circulating estrogen in the body, but rather to the relationship between estrogen and progesterone.

In the next blog, we will discuss the details on the relationship between estrogen dominance and perimenopause symptoms.


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What is the difference between bio-identical hormone replacement (BHRT) and conventional hormone replacement (HRT)?


Menopausal women in Minnesota may develop some symptoms when hormonal imbalance occurs as they age. The common symptoms of menopause are hot flashes, sleeplessness, mood swings, menstrual changes, fatigue, unwanted hair growth, weight gain, thinning skin, vaginal dryness, depression, irritability and bone loss. These symptoms of menopause are also related to your stress levels, poor nutrition, lack of exercise and the toxins your body that build up on a daily basis.

The good news is that there is a solution to help menopausal women in Minneapolis and St. Paul. One Stop Wellness Clinic offers physician supervised natural bio-identical hormone therapy in combination with nutrition and exercise. Bio-identical hormones will improve these menopausal symptoms and overall quality of life.

What is the difference between bio-identical hormone replacement (BHRT) and conventional hormone replacement (HRT)? Conventional HRT is best exemplified by the commercial drug Prempro. Prempro is a combination drug that has both estrogen and a progestin. The estrogens are derived from the urine from pregnant mares and the progestin is medroxyprogesterone, a synthetic hormone not found in nature. Prempro is taken orally once a day.

There are significant differences between conventional hormone replacement (HRT) and bio-identical hormone replacement (BHRT):

Hormones are identical to human hormones No Yes
Dosage customized for individual patients No Yes
Hormone balance is goal of therapy No Yes
Primary goal is improved quality of life Possible Yes
Primary goal is to prevent disease Yes No
May causes other diseases Yes No
Close monitoring is regular part of treatment No Yes


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Menopausal Women in Minnesota


When a woman hasn’t had her period for twelve consecutive months she is considered to be post-menopausal. Hormone levels do not suddenly drop at menopause ; gradual changes occur for as long as 12 years prior to menopause. These years are known as peri-menopause. During this time progesterone levels begin to drop significantly. Estrogen levels also change, but rarely in balance with the change in progesterone levels. Estrogen dominance is common during peri-menopause and leads to mood changes, hot flashes, irritability and memory loss. Both estrogen and progesterone need to be in balance for the body to function optimally. That is why it is so important to have your hormones tested and balanced.

Menopause is part of the natural cycle of life, which every woman in Minneapolis and St Paul will go through. However, the aging side effects that can accompany changes in hormone levels can be avoided. Natural bio-identical hormone therapy for menopause can help women in Minnesota deal with these symptoms, reclaiming the vitality of your youth and freeing you to enjoy this new stage of life.


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Bioavailable Testosterone and Andropause in Minneapolis & St Paul


Testosterone is an important hormone that has an effect on almost every aspect of a man’s body. It is produced in the testes and in the adrenal glands. It is to males what estrogen is to females. Testosterone assists the male body in building proteins that play key roles in virtually every bodily function, and it is crucial for normal sexual behavior and giving rise to erections. Testosterone also contributes to several metabolic functions including bone formation, cholesterol metabolism, liver function, prostate gland growth and production of blood cells in bone marrow. It also affects mood.

When men get into their early 30s, testosterone levels drop at a rate of one percent a year (10 percent every decade). At the same time, another factor in the body called Sex Binding Hormone Globulin (SHBG), is increasing. SHBG binds (traps) much of the testosterone in the circulation and makes it unavailable to exert its effects in the body’s tissues. What’s left over does the beneficial work and is referred to as ‘bioavailable’ testosterone.

Every man experiences a decline of bioavailable testosterone but some men’s levels dip much lower than others. And when this happens these men can experience a cluster of andropause symptoms.


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Andropause (Low Testosterone) in Minnesota


Menopause is a natural biological process for the women in Minnesota, but do Minnesotan men have male menopause (andropause)? The answer is YES. The phenomena of the biological “pause” isn’t exclusive to women, it seems men also have age related changes in hormone levels, sexual function, energy level, mood and body composition. These changes affect men’s quality of life. Andropause is a condition in males in which hormones, especially testosterone, is low. Testosterone plays a critical role in maintaining both physical and mental health. The production of male hormones taper off steadily from the age of 30 onward. As men reach their middle age, the decrease in testosterone production speeds up, and this causes a cluster of andropause symptoms.

Eight in ten family physicians in Minnesota today recognize male andropause as a real change of life for men comparable to female menopause. You should know that andropause is fairly common, and chances of getting it increase the older you get. At 40-49 years of age, about 2% to 5% of men have it. From 50-59, it jumps to anywhere from 6% to 40% of the population. If you’re 60-69 years old your likelihood is somewhere in the 20-45% range. From 70-79 it affects about 34% to 70%. The number will be even bigger if we include the men who have the andropause symptoms, but their testosterone level is in the low end of normal range. That means that if you are concerned or you have some symptoms, you should see a doctor to find out what can be done.

If men in Minneapolis and St Paul have some andropause symptoms, such as loss of energy, foggy mind, depression, sluggish libido, sexual dysfunction, decreased muscle mass and strength, increased body fat, and overall weakness, you should have saliva tests done at the One Stop Wellness Center to check your testosterone hormone level.


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Female Sexual Dysfunction and Hormone Balancing in Minnesota


Female sexual dysfunction is defined as a lack of interest in or enjoyment of sexual activity that is distressing to a woman in MN. It can result from a loss of sex drive (libido), an inability to become aroused or to reach an orgasm, or pain during intercourse. A combination of many personal, interpersonal, and medical factors may contribute to sexual dysfunction.

Physical causes of sexual dysfunction may include health issues such as: diabetes, heart disease, nerve disorders, or hormone problems. While some women may lose their libido, they find that when and if sexually active their bodies are still very responsive and able to reach orgasm. Other women will experience a slowing of their physical responsiveness.
All the sex hormones play a role in sexual arousal and libido in Minneapolis. Loss of libido is a common complaint with both men and women and becomes more prevalent with age. Though libido is often related to low testosterone, less than half of women will recover their libido through testosterone therapy.

For most women with diminished sex drive, deficient testosterone is not the only problem. When testosterone deficiency is not the cause of low libido, other hormone deficiencies or imbalances must be explored. Low sex drive is often a combination of several hormone changes influencing sexual drive and responsiveness. This can include estrogen to progesterone imbalance, low thyroid hormone levels, or hyper or hypo function of the adrenal gland. Understanding the multiple hormones involved can help explain why a woman’s sexual responsiveness is so powerfully influenced by mood, energy, well-being, and other psychological mechanisms.
When returning to pre-menopausal levels, estrogen increases vaginal circulation, helping to restore the vaginal lining and increase lubrication and elasticity of the vaginal tissue; progesterone may help with uplifting mood factors and energy. Addressing adrenal fatigue can positively influence a woman’s desire to have sex. Sometimes it takes a little time and tweaking, but once the right balance of hormones is accomplished, most women experience a renewed sexual vitality. A hormonal imbalance may or may not contribute to any one woman’s low sex drive. But if a woman does have a hormonal cause for sexual dysfunction, treatment can include bioidentical hormone therapy with One Stop Wellness Clinic.


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