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Hi, can you let me know your age and if you have any family history of prostate cancer.

Clomid has been associated with some vision issues in a small percentage of patients but I don't think any long term harm has ever been proven. I generally discontinue the medication on a patient that experiences this side effect. Dr. Rotman

Clomid has been associated with some vision issues in a small percentage of patients but I don't think any long term harm has ever been proven. I generally discontinue the medication on a patient that experiences this side effect. Dr. Rotman

Thank you for the kind words! Many issues here so I will take them 1 at a time . 1. Sexual activity 24-48 hours before a PSA test is generally discouraged as there is some that believe it can effect the results negatively. 2. Caffeine is not known to effect PSA results unless it triggered a...

Thank you for the kind words! Many issues here so I will take them 1 at a time . 1. Sexual activity 24-48 hours before a PSA test is generally discouraged as there is some that believe it can effect the results negatively. 2. Caffeine is not known to effect PSA results unless it triggered a...

Apologies for late response , contact Nelson Vergel the moderator of this board and he can certainly assist you in this matter.

Apologies for late response , contact Nelson Vergel the moderator of this board and he can certainly assist you in this matter.

Not at this time. The company is doing some studies to use this technology to treat prostate cancer but that is still in its infancy.

Size of the prostate, length of the prostate, size of the median lobe. One has to remember this is a minimally invasive procedure, thus people with severe obstruction may not be candidates.

​I have performed about 30 of these procedures here in the New York area. For the appropriate patient, this has produced fantastic results. I was skeptical at first, but now realize the science behind it really works.

Hi Joej85, It seems you have been introduced to many forms of therapy but never been treated the way the majority of properly treated TRT should be. You probably needed a combination of T and Hcg and that would give you consistent benefits and little side effects. I think you should locate a...

Hi Joej85, It seems you have been introduced to many forms of therapy but never been treated the way the majority of properly treated TRT should be. You probably needed a combination of T and Hcg and that would give you consistent benefits and little side effects. I think you should locate a...

of course I use twice weekly hcg, sometimes more often, the twice weekly Testosterone injections are not necessary for the majority, but if a patient insists on it , they can certainly do that. Hope that clears it up.

of course I use twice weekly hcg, sometimes more often, the twice weekly Testosterone injections are not necessary for the majority, but if a patient insists on it , they can certainly do that. Hope that clears it up.

Hi, the majority of my patients are on once weekly unless they are experiencing high estradiol levels or significant peaks and troughs. I have many patients on 100mg weekly in combo with hcg and have great results in the majority. In terms of estradiol, I don't have a strict cutoff but I analyze...

Hi, the majority of my patients are on once weekly unless they are experiencing high estradiol levels or significant peaks and troughs. I have many patients on 100mg weekly in combo with hcg and have great results in the majority. In terms of estradiol, I don't have a strict cutoff but I analyze...

Hi Tadeo, ​As, a first step you should seek consultation with a medical professional to have a complete physical examination and subsequently have a urological consultation to investigate this further. The source of the problem must first be determined and using a pump like yours is not a...

Hi Tadeo, ​As, a first step you should seek consultation with a medical professional to have a complete physical examination and subsequently have a urological consultation to investigate this further. The source of the problem must first be determined and using a pump like yours is not a...

Great news! Love to hear stories like this.

Great news! Love to hear stories like this.

Hi, I of course like the trough to be above the referenced normal level , but what's more than the number is assessing the patients symptoms. So I don't look for any absolute number or range.

Hi, I of course like the trough to be above the referenced normal level , but what's more than the number is assessing the patients symptoms. So I don't look for any absolute number or range.

yes that is right

yes that is right

In the short term you will have success but rarely have I seen patients do well on HCG alone. I have some seen some patients do well on Clomid alone but its about 50/50 or less. I have not seen patients on clomid and HCG together. I would consider a lower Test Cyp injection in combination with...