Reproductive endocrinology refers to the hormonal systems that regulate reproduction in both women and men. (These hormones are also relevant in those not seeking fertility: testosterone and estrogen are important not only for sexual and reproductive function, but also body composition, mood, bone and/or muscle strength, and quality of life.)
An increased rate of reproductive hormone deficiency is seen after concussion. Symptoms may include irregular menses, decreased libido, erectile dysfunction, or changes to mood, skin, and weight. Prolactin, the hormone responsible for lactation, may also be affected by concussion. A careful history and evaluation can help determine if there is an issue, and how it can be addressed.
We also offer care and counseling to men and women interested in fertility. We can help with fertility induction in men –men with testosterone deficiencies often need specific medications to restore not only testosterone but sperm count—and counsel women who may be concerned about future fertility or considering alternate ways of starting a family.
For transgender individuals seeking hormone management, we offer gender-affirming therapy.
Our reproductive endocrine care follows Endocrine Society guidelines.
Neuroendocrine Associates offers full evaluation, education and counseling, and management of reproductive endocrine disorders. Our focus is on time with patients, to learn about each situation and hear each story.
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