Similar to women, men also experience a hormonal decline as they age. Testosterone levels usually peak between the ages of 18-25 and then it gradually declines at a rate of about one percent per year thereafter.
Known as andropause, the decline of testosterone levels can make daily life a struggle. However, unlike menopause, the symptoms of andropause are subtle. An increase in daytime fatigue and decreased sexual interest are usually the first signs that hormones are shifting. Other symptoms may include weight gain, fatigue, muscle loss, depression, memory loss, decreased drive, erectile dysfunction, decreased sex drive, and irritability.
What to Expect
Our medical director and age management expert, Dr. Adam Maddox, is highly experienced in treating andropause and hormone replacement therapy in men. He has been optimizing men’s hormone levels with testosterone replacement for nearly 15 years. During your visit at our Portland aesthetic and wellness center, Dr. Maddox will take a detailed medical history and analyze your current state of health. Upon the completion of required laboratory testing, Dr. Maddox will discuss your test results and design a treatment plan for your specific needs.
Your customized treatment plan may consist of the integration of testosterone replacement, thyroid support, DHEA replacement, nutrition, exercise, and nutritional supplements. With optimal levels of testosterone, the body becomes strong again by building lean muscle and supporting healthy heart and brain function. By optimizing testosterone, you may experience:
- Improved sexual function
- A decrease in body fat
- Stronger erections
- Improved mental and cognitive function
- Increased muscle strength
- Healthier outlook on life
- Decreased risk of heart disease
Treatment options to optimize testosterone levels
“There are multiple treatment options available for testosterone replacement therapy including, topical creams and gels, skin patches, injections, pellet implants, as well as sublingual and oral forms. Over the years I have prescribed most of these and have found that the subcutaneous pellet implant is the best. With that said, I do not embrace a one size fits all approach. Instead I find what works best for that person and treat accordingly.”
-Dr. Maddox
Testosterone Pellet for Men
As symptoms of testosterone deficiency including fatigue, decreased muscle mass, increased body fat, and loss of sexual drive, develop in men, testosterone pellet therapy along with healthy nutrition and exercise can help reverse these negative effects.
Bio-identical testosterone pellet therapy is a natural alternative to synthetic testosterone that offers sustained daily testosterone levels for up to 3-6 months. Unlike testosterone injections, creams, gels, and patches, which usually cause a roller coaster effect of testosterone blood levels, testosterone pellets offer a steady dose.
If you live in the area of Portland, including Beaverton, Lake Oswego, Tigard, Milwaukie, Clackamas, Oregon City, Tualatin, Wilsonville, Hillsboro, Sherwood and Vancouver, and want to feel your best as you age, Dr. Maddox has the knowledge and experience in testosterone replacement therapy to help you. Contact us today to schedule your consultation and take back control of your health.
Frequently Asked Questions
How do I know if I am a candidate for testosterone pellet therapy?
We start with a detailed health history. Symptoms can vary from anxiety to depression and from increase belly fat to decreased sexual function. We also test total and free testosterone blood levels along with other hormones including thyroid levels. Although your testosterone levels may be within normal lab reference range there are variables that need to be taken into consideration when evaluating a new testosterone pellet therapy candidate. This will be determined at your evaluation.
How long does the testosterone pellet procedure take?
The administration process for testosterone pellet therapy is simple and usually takes about 30mins. You can return to normal daily activity but we ask that you limit your exercise for a few days to allow the pellets to full set up.
How often will I need testosterone pellets?
Usually testosterone pellets will need to be administered 3 times a year.
What are testosterone pellets made from?
They are made from wild yams.
How are testosterone pellets administered?
Through a small incision in the hip/buttocks are the pellets are placed just under the skin.
Is testosterone pellet therapy covered by insurance?
Check with your insurance to see if you have coverage. We do not bill insurance so most benefits will likely be covered as out of network provider coverage.
What is testosterone replacement therapy (TRT)?
Testosterone replacement therapy (TRT) is a medical treatment designed to bring testosterone levels back to a healthy range. This hormone plays a key role in energy, mood, muscle mass, libido, and overall well-being. At Thrive Aesthetic and Wellness in Portland, Oregon, Dr. Adam Maddox uses a personalized approach to ensure you feel your best while maintaining your health and safety.
How do I know if I have low testosterone?
Signs of low testosterone often include fatigue, reduced sex drive, difficulty building muscle, mood swings, and even trouble concentrating. Dr. Adam Maddox encourages men to listen to their bodies and get tested if they suspect something is off. Diagnosing low testosterone starts with a simple blood test followed by expert guidance to interpret the results.
Is testosterone replacement therapy safe?
TRT is generally safe when performed under the supervision of an experienced professional like Dr. Adam Maddox. Proper monitoring is key to minimizing risks. At Thrive Aesthetic and Wellness, all treatments are approached with a focus on customized care, keeping your health and safety as the top priority.
What are the different types of TRT?
There are several types of TRT, including injections, gels, creams, patches, and even implantable pellets. Dr. Adam Maddox works with each patient to determine the best method based on lifestyle, comfort, and effectiveness. No one-size-fits-all here. Your treatment will be as unique as you are!
Will TRT improve my energy and mood?
Yes! Reduced testosterone levels are often linked to fatigue, lack of motivation, and mood swings. By restoring your hormone balance, TRT leads to improvements in energy, mental clarity, and overall outlook. Many of our patients at Thrive Aesthetic and Wellness have reported feeling like themselves again soon after beginning treatment.
Are there any side effects of TRT?
Like any medical treatment, TRT might have side effects, but they’re often mild and manageable. Common side effects might include mild fluid retention, increased acne, or changes in red blood cell levels. Dr. Adam Maddox takes a proactive approach to both managing and preventing these issues, ensuring that you receive the safest and most effective treatment possible.
How soon will I start noticing results?
Some men experience improvement within the first few weeks, while others may require a month or two. You may experience better sleep, increased energy, and improved workouts initially, with continued enhancements over time. At Thrive Aesthetic and Wellness, Dr. Adam Maddox tracks your progress closely to ensure your results align with your goals.
Is there an age limit for TRT?
TRT is typically recommended for adult men who have been diagnosed with low testosterone, regardless of age. Dr. Adam Maddox believes in treating the individual, not the age. He evaluates your overall health, symptoms, and hormone levels to determine if TRT is right for you.
Does insurance cover testosterone replacement therapy?
Insurance coverage for TRT can vary depending on your provider and your medical plan. At Thrive Aesthetic and Wellness, our front office team is available to help you understand your insurance benefits. Whether it is covered or not, Dr. Adam Maddox offers affordable options to make access to care as seamless as possible, regardless.
Why should I choose Dr. Adam Maddox and Thrive Aesthetic and Wellness?
Dr. Adam Maddox brings expertise, compassion, and a patient-first philosophy to every appointment. At Thrive Aesthetic and Wellness in Portland, you will receive state-of-the-art care in a welcoming environment. From your initial consultation to follow-up appointments, you will feel supported on your health and wellness journey.



