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What part of Houston are you located? If you are near the Woodlands, I have some good recommendations for you. If you are more of a downtown person, Nelson is right. I know they guy he will send you to, and he's great

If flomax is doing that for you, its likely placebo. It doesn't have a chemical mechanism that should be doing that. Quite the opposite, actually. Rezume essentially kills the tissue using steam. Later it sloughs off and you urinate it out. Thats why the recovery is so much poorer than...

Here's my opinion Urolift>Rezume>TURP Flomax and finasteride both have horrible sexual and hormone affecting side effects so i prefer to get them off meds and into one of the minimally invasive procedures as fast as possible (patient willing of course). Resume has a much worse recovery with...

That doesnt happen with finasteride. It does happen with peyronies

This could be a whole different thread, but the treatment for PFS is individualized to the patient.

In my practice, I have had guys who we just could not get their HCT under control or guys who flat out did not want to do phlebotomy. In the end, I tried "split-dosing" or "mini-dosing" and have seen great responses in my patients as a result. Split dosing, meaning rather than having them...

I am really moving away from prescribing dutasteride or finasteride for BPH. The sexual side effects alone are enough, but post finasteride syndrome is a thing, and its a nightmare to treat. My BPH pathway, in general (each individual patient is unique and their treatment plan must be...

Honestly? You may need a little more T in your dose. Or maybe some Deca added on 2:1 to your test dose. I don't like AIs and really prefer tamoxifen IF I think there may be some gyno presenting. I don't chase E2 levels unless the patient is having E2 symptoms. Each guy is different and...

It's been my experience that men, especially men actively working out and trying to gain mass and strength, feel better with a slightly higher E2. But again, I want to be clear that I don't think you can treat HRT like a cooking recipe. Its as much art as science. The "numbers" may tell me...

I also think there is something significant to be said for keeping an appropriate T:E ratio. I haven't found anything definitive yet that can be used to govern care for all patients, but like almost all aspects of HRT, I have to tailor my treatment regimen to the person. All factors have to be...

In my practice, I have a lot of men who get on HRT, get normalized (or supranormalized, as I prefer) and feel great. They pick up their work outs and see gains and hit their goals and beyond. Often, older men come back to me saying "I feel great, but my joints are killing me". If labs prove...

I am a Physician Assistant (PA) in the field of Mens Health Urology / Sexual Medicine. I specialize in HRT / TRT, ED, Sexual function, Ejaculatory dysfunction, Anorgasmia, etc. I have been working in this field for about 7 years. I did my initial TRT training with the most prominent TRT and...