Men's Hormone Optimization in Fairlawn & Akron

Andropause and Testosterone Replacement Therapy

When Something Feels Off, It's Worth Evaluating—Not Guessing

Changes in energy, drive, mood, body composition, or sleep can have many causes. Testosterone decline is one possibility, especially with age—but it should be evaluated thoughtfully.

At Monarch Ideal Care, we start with symptoms, history, and comprehensive labs, then discuss whether testosterone replacement is appropriate.

Why Testosterone Can Shift

Testosterone levels can change due to:

  • age-related decline

  • chronic stress and poor sleep

  • illness or inflammation

  • weight and metabolic changes

  • certain medications

Not every man with symptoms needs testosterone therapy. Our job is to identify root contributors and talk through options.

Our Approach: Bioidentical Replacement Therapy + Monitoring

If therapy is appropriate, we use bioidentical testosterone replacement and monitor regularly. This is replacement therapy—not a shortcut and not a guarantee.

If you discontinue therapy, testosterone levels return toward your pre-treatment baseline over time. We'll guide the safest off-ramp if you decide it's not the right fit.

How We Offer Treatment In-Clinic

We offer two delivery methods at this time:

  • Sublingual troches

  • Subcutaneous pellets (men's pellets are testosterone-only and typically last 4-5 months)

Clear Expectations Matter

Even when labs are low, symptom improvement is not automatic. Some changes take time, some require dose adjustments, and some symptoms are driven by non-hormonal factors.

We'll reassess together and adjust your plan based on both how you feel and what your labs show.

Frequently Asked Questions

What treatment methods do you offer?

We offer bioidentical sublingual troches and subcutaneous pellets. We do not provide injections or gels through our clinic.

How long do men's pellets last?

Typically 4-5 months, depending on metabolism and dosing.

Will therapy affect fertility?

Testosterone replacement can affect fertility. If fertility is a concern, we'll discuss that during your consultation before starting any therapy.

How soon will I feel different?

Timeline varies. Some changes may be noticed within weeks, while others take months. We monitor and adjust based on response.

Can I stop treatment at any time?

Yes. You can discontinue if it's not working for you; levels return toward baseline over time.

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