Patients ask, “What is the safety of hormone replacing using male hormone replacement therapy in Portland?”

Senior couple on desert road sitting on motorcycle

The aging process does not just bring lines and wrinkles. Changes in hormone levels can affect your energy levels, personal drive, muscle, and bone density. For patients in the Portland, OR area, hormone replacement therapy is available for men and women experiencing symptoms of an imbalance. Male hormone replacement therapy has become a growing trend and can be done safely and effectively under the direction of Dr. Adam Maddox and the team at Thrive.


What is testosterone?

Dr. Adam Maddox explains what is testosterone To understand hormone therapy, we must first know more about testosterone and its purpose. Testosterone is a male hormone that helps to maintain bone density, fat, muscle bulk and strength, hair, red blood cell production, sex drive, and sperm quality and count.

Testosterone levels peak between the ages of 18 and 25. With age, the levels gradually decline. The rate of decline is generally about 1 percent per year after the age of 30 or 40. For older men, lowered testosterone levels may be a normal part of aging or due to a disease called hypogonadism. Patients with hypogonadism have a problem with the testicles or pituitary gland resulting in the inability to produce normal amounts of testosterone.

Lowered testosterone levels can cause changes that affect a man’s daily life. These changes may include:

  • Sexual function – Men may experience reduced sexual drive, fewer erections, and even infertility.
  • Sleep – Low testosterone levels can cause problems sleeping including insomnia.
  • Physical changes – Body changes are possible with hormone imbalances. Physical changes may include increased body fat, less muscle, and decreased bone density. Gynecomastia, or swollen male breasts, may occur. Patients may have less energy.
  • Emotional changes – Patients with low testosterone may experience a decrease in motivation, confidence, or memory. They may feel depressed or have trouble concentrating.
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Although these symptoms may be caused by various factors including medications or medical conditions such as diabetes or depression, hormone changes are a possibility as well. It is necessary to have blood work and a physical exam done to determine the underlying cause and to create the appropriate treatment plan.


Benefits of hormone replacement therapy

Dr. Adam Maddox explains benefits of hormone replacement therapy In testosterone therapy, injections, pellets, patches, or gels may be used to treat the decline in normal testosterone. Men suffering from hypogonadism or natural testosterone loss with age may benefit from hormone replacement therapy. The effects of the lowered hormone levels are reversed with this therapy. Therapy helps promote the effects of youth and vitality that may have been lost with abnormal testosterone production.

For men, hormone replacement therapy may involve the following:

  • Intramuscular injections are injected into the buttocks every two to three weeks.
  • Testosterone patches are applied daily to the back, arms, buttocks, or abdomen.
  • Testosterone gel is applied daily to the shoulders, arms, or abdomen.

Dr. Maddox also uses bioidentical testosterone pellet therapy as a more natural alternative. Pellet therapy offers a steady dose to sustain testosterone levels for up to 3 to 6 months. Made from wild yams, pellets are placed just under the skin through a tiny incision. The procedure is performed in the office in just 30 minutes. Downtime is not necessary but avoiding exercising may be recommended to allow the pellet to set up.


Risks or concerns of treatment

Dr. Adam Maddox explains Risks or concerns of treatment There are differing views on the effectiveness of hormone replacement therapy on healthy men. Some believe that because testosterone is lost as a natural part of aging, there is no need to replace it. However, hormone replacement therapy may help reverse the changes you have felt with aging. You can function and participate more fully in daily activities and feel better about yourself in general.

With any treatment, there may be risks but there are benefits as well. Your doctor will work with you to determine the best treatment plan for your unique needs to ensure the benefits outweigh the risks. Dr. Maddox has been successfully treating andropause and using hormone replacement therapy for nearly 15 years. Your detailed medical history, current health, and laboratory results measuring your testosterone levels will be used to customize your treatment plan. In addition to testosterone therapy, natural treatment options such as weight loss and exercise may be suggested to help boost testosterone.

Don’t assume hormone changes must remain part of your daily life. If you have been considering male hormone therapy, contact the team at Thrive in Portland to schedule a consultation. (503) 928-6505


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Front office team was lovely; responsive and helpful from start to finish. Dr. Maddox was the cherry on top, my woes were treated promptly with meticulous care. Results were awesome and noticeable within 5-7 days (post treatment). Confidence boost - YES! Looking forward to my next visit.

Dr. Adam Maddox - Medical Director

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A graduate from Northern Arizona University and the National College of Naturopathic Medicine, Dr. Adam Maddox is a very established professional in the field of integrative anti-aging and aesthetic medicine with a special interest in Botox, Restylane and Testosterone Replacement therapy for men to name a few.

As a board-certified physician, he has a passion to help people with their health especially as they get older. Dr. Maddox believes in maintaining a strong sense of empathy in order to better serve his patients whilst ensuring his care is personalized. In addition to practicing medicine, Dr. Maddox uses his time to train other medical professionals on various effective medical techniques used in the anti-ageing medical sphere such as injectable techniques. He is also the founder and medical director of Thrive Aesthetic and Anti-Aging Center in Portland, OR.

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Say goodbye to armpit hair and underarm sweating. Mirror Smooth (miraDry??) will save your day.


You shave it. You wax it, you laser it. Heck, you might even dye it pink. Talking about armpit hair. Now some people are saying you can microwave it away once and for all. We’re revealing a new treatment right now and our procedure room. Take it away, Doctor Ashton.

Hi guys So, I’m back here with doctor sheila Nazarian, board certified plastic surgeon and our patient Aaron. You’re going to be demonstrating this new microwave procedure to hit axillary hair, but before we get to that, tell, tell me why this hair bothered you, Aaron? Because I mean, you’re blonde, you wouldn’t mind.

I’m a personal trainer. I spend 95% of my day in a tank top in the gym or in a bikini and shaving every day is such a pain. No one likes to do it. I tried laser hair removal. It doesn’t work. If you have blonde hair and darker skin. So, I heard about mirror smooth So, thought I’d give it a try.

And you said it’s your game, okay, So, doctor Nazarian,


Go ahead and lie back Aaron. So, as you start working tell us a little bit about this technology. Who’s a good candidate for it and how? Does it work?

Well, the beauty of this technology is that everyone is a good candidate. Any skin colour, any hair colour? I’ve actually had the procedure performed on myself, didn’t get any hyperpigmentation from it.

So, you numbed Aaron up before we started, right?

Arron’s been numbed already. We’ve placed a temporary tattoo which basically gives us little tick marks. It’s really paint by numbers at that point and we use the microwave technology of mirror smooth to remove not only 70% of her hair with one treatment, but also the sweat and odour glands are also eliminated. So, it’s basically a little suction and some you know heat is applied, but because she’s numb there’s no pain.

You feel anything?
Fine, just a little pull,


And So, how many treatments typically does it take to really get a good effect?

So, 80% of people really only need one treatment. You’re going to get an 82% reduction in the sweat and odour glands and a 70% reduction in the hair growth. Which, if you’ve ever had laser hair, you know you need multiple treatments in order to get anywhere close to 70%.

So, what’s the cost range for something like this?

This that’s a great question. So, the first treatment is around 2000 dollars, but it’s, but if you think about how many laser hair removal treatments to do. I mean, it really is a great benefit and also laser hair doesn’t remove the sweat and odour glands.

Nice, well, 2000 dollars, meaning that you could throw away all your razors for the rest of your life.


Never have to worry about sweating in your armpits again and being musty.

No more deodorant and think of all the money you spend on deodorant over a lifetime.

That’s true.

And it takes how long to do both pitch?

We usually schedule people for an hour at a time?
An hour!

So, can you imagine an hour and you’re done.
Oh my gosh,


Sign me up, scoot over.

Second string.


The one done idea is very appealing.

Exactly, yeah.

Thanks for sharing that with us and thanks for showing us your armpits,

Thanks for having me

You’re welcome.

Anti-aging Specialist

In Portland OR-Dr. Maddox

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Anti-aging Specialist In Portland OR-Dr. Maddox

Feeling good and looking good. It’s not just about diet and exercise anymore. Aesthetic and anti-aging medicine makes a safe and effective addition to your routine. At thrive, we offer the very latest in non-invasive beauty technology like vanquish, a painless, non-surgical way to remove unwanted fat cells from your waist and hips. And best of all, treatments take less than an hour, leaving you plenty of time to enjoy the new you. Visit for complimentary consultation. Thrive aged beautifully.

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