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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...

Hi, patients are NOT cured with androgen deprivation therapy (ADT), it is used either as adjuvant therapy to radiation/surgery or as solo therapy to keep prostate cancer silent via lowering the testosterone level. Estrogen in the form of DES has been used similar to ADT but is not accepted as...

Hi, patients are NOT cured with androgen deprivation therapy (ADT), it is used either as adjuvant therapy to radiation/surgery or as solo therapy to keep prostate cancer silent via lowering the testosterone level. Estrogen in the form of DES has been used similar to ADT but is not accepted as...

No, that's not what this research concludes.

No, that's not what this research concludes.

The study you quote was done in patient with castrate resistant prostate cancer so it is very specific. These are very advanced prostate cancer patients with a poor long term prognosis. Now, giving patients who had prostate cancer and are cancer free is an area where a few urologists including...

The study you quote was done in patient with castrate resistant prostate cancer so it is very specific. These are very advanced prostate cancer patients with a poor long term prognosis. Now, giving patients who had prostate cancer and are cancer free is an area where a few urologists including...

Hi, Your urinary issues are not likely related to timing of injection. We know TRT does cause prostate enlargement but your symptoms are suggestive of an underlying prostate issue. I would recommend seeking out a urologists evaluation.

Hi, Your urinary issues are not likely related to timing of injection. We know TRT does cause prostate enlargement but your symptoms are suggestive of an underlying prostate issue. I would recommend seeking out a urologists evaluation.

PSA elevation is something I deal with on a daily basis. In your situation, I would certainly not be sexually active for a few days nor have any examination the day of the blood draw. Generally TRT will raise PSA 0.3-0.6 but being that you have been in it for many years, it may not be a factor...

PSA elevation is something I deal with on a daily basis. In your situation, I would certainly not be sexually active for a few days nor have any examination the day of the blood draw. Generally TRT will raise PSA 0.3-0.6 but being that you have been in it for many years, it may not be a factor...

A frenulectomy does cause some bleeding but in a good urologists care, this should not be a problem. We do use hemostatic techniques to prevent bleeding etc. I also perform this procedure in my office under anesthesia which makes the patient much more comfortable.

A frenulectomy does cause some bleeding but in a good urologists care, this should not be a problem. We do use hemostatic techniques to prevent bleeding etc. I also perform this procedure in my office under anesthesia which makes the patient much more comfortable.

I have not run these high doses in patients for more than a shor time such as 2-3 months and this has not been a problem. Certainly clomiphene is an option and most info out there is anecdotal.

I have not run these high doses in patients for more than a shor time such as 2-3 months and this has not been a problem. Certainly clomiphene is an option and most info out there is anecdotal.

Hi Everyone , thank you for your wonderful questions some of which have stumped me and some of which I cannot answer as we don't know everything there is about this evolving field. I have been away on meetings for a couple weeks and have had an extensive operative schedule. I will sit down this...

Hi Everyone , thank you for your wonderful questions some of which have stumped me and some of which I cannot answer as we don't know everything there is about this evolving field. I have been away on meetings for a couple weeks and have had an extensive operative schedule. I will sit down this...

Liver disease e.g. alcoholism, hyperthyroidism, malnutrition, and some medications.

Liver disease e.g. alcoholism, hyperthyroidism, malnutrition, and some medications.

Thank you for your question. Honestly I don't think all this matters in the big picture. High SHBG is overcome with more testosterone but not sure there is way to manipulate SHBG except for controlling the diseased states that effect it.

Thank you for your question. Honestly I don't think all this matters in the big picture. High SHBG is overcome with more testosterone but not sure there is way to manipulate SHBG except for controlling the diseased states that effect it.

2.5 has been used as a cutoff for people under the age of 60. That being said, it is not a universally accepted number . The choice to do a biopsy is made in a discussion between you and urologist so you can understand the risks , benefits and alternatives.

2.5 has been used as a cutoff for people under the age of 60. That being said, it is not a universally accepted number . The choice to do a biopsy is made in a discussion between you and urologist so you can understand the risks , benefits and alternatives.

Many urologists will routinely prescribe antibiotics for a patient with an elevated psa as historically the psa would go down in cases of inflammation in the prostate and repeat PSA would be more reliable. That methodology is being discouraged now but many still do it.

Many urologists will routinely prescribe antibiotics for a patient with an elevated psa as historically the psa would go down in cases of inflammation in the prostate and repeat PSA would be more reliable. That methodology is being discouraged now but many still do it.

Hi, side effects include variable estradiol levels. I have very few patients on these high doses. And i don't believe the second statement is true.

Hi, side effects include variable estradiol levels. I have very few patients on these high doses. And i don't believe the second statement is true.

There is no consensus on how often prostate should be checked on a physical exam in a patient on TRT but in general I would check PSA yearly or even more often in a patient on TRT particularly if PSA rising or fluctuates. In general I was taught rectal exams should be done once yearly.

There is no consensus on how often prostate should be checked on a physical exam in a patient on TRT but in general I would check PSA yearly or even more often in a patient on TRT particularly if PSA rising or fluctuates. In general I was taught rectal exams should be done once yearly.