Diagnosis

By Nelson Vergel — chemical engineer, patient advocate, and 34+ years on TRT | Last updated: July 2026 You feel flat. Training that used to feel easy now drags. You're sleeping enough, your testosterone looks dialed in, and your doctor says your bloodwork is "normal." So why the fatigue? For a...

Do you know how to use assessment tools to guide treatment decisions for your patients with depression? Listen to learn more.

Unlock remission: Learn to identify residual major depressive disorder (MDD) symptoms and personalize timely augmentation strategies with the latest clinical data. Stay current.

* Immunoassays show acceptable accuracy for total T but are unreliable for free T measurement [19,20]. * As previously noted, the main limitation of free T evaluation in clinical practice is the poor accuracy of the available immunoassay methods [19]. To address this issue, several...

* most cases of erectile dysfunction resistant to PDE5 inhibitors is due to VASCULAR PROBLEM Many men with erectile dysfunction are treated symptomatically without identifying the underlying cause. In this video, Eric Allaire explains how physicians can approach erectile dysfunction as a...

Chronic Scrotal Pain

Peyronie's Disease This presentation provides a practical, experience-driven guide to the evaluation and management of Peyronie’s disease, spanning clinic-based therapies through operative intervention. Jeffrey C. Loh-Doyle, MD, Assistant Professor of Clinical Urology, University of...

One of the true heavyweights in the field here! https://cancer.umn.edu/staff/emmanuel-antonarakis https://www.urotoday.com/video-lectures/advanced-prostate-cancer/video/5408-practical-approaches-to-genetic-testing-in-metastatic-hormone-sensitive-prostate-cancer-emmanuel-antonarakis.html...

* The upper back, upper and lower back, and shoulders were the most common areas of truncal acne. Post-inflammatory hyperpigmentation (PIH), papules, and pustules were the most common truncal lesions. The most common clinical manifestations of truncal acne were comedones + papules + pustules +...

DEBATE: WHAT IS A LOW TESTOSTERONE? Professor Geoffrey Hackett Professor Shalender Bhasin Synthesis

Dr, Channa Jayasena

Hot off the press! Dr. Mohit Khera Baylor College of Medicine, USA https://www.excelmale.com/threads/hypogonadism-101.27657/

After 30 years of struggling with libido and ED and seeing many top specialists and trying it all. I just received the best consultation I think I have ever had. A synopsis of exactly how I feel with a new approach clearly outlined - now to see if it will work. Who provided the consultation...

https://www.urologytimes.com/view/jesse-mills-md-outlines-the-pitfalls-of-bundled-trt-treatments Mills describes TRT not merely as a prescription but as an ongoing therapeutic relationship aimed at comprehensive, long-term wellness. In this video, Jesse N. Mills, MD, director of the Men's...

One of the big boys in the field! Dr. Anawalt! Pay attention to the Q&A (43:20-56:30) especially when it comes to testing free testosterone! 43:20-46:27 - How do we assess for free testosterone? * There's a direct antibody assay (IA) that measures free testosterone it is notoriously...

* TRT may be appropriate for men with persistent symptoms and repeatedly low morning testosterone levels. The clinic counsels on realistic goals: improved sexual function, energy, strength, and sleep quality, while monitoring for potential risks such as erythrocytosis, blood pressure or lipid...

We have relied on PSA for decades, but what’s next in precision screening for prostate cancer? In this episode of BackTable Urology, Dr. Jason Hafron from the Michigan Institute of Urology joins host Dr. Ruchika Talwar to discuss the evolving role of biomarkers and artificial intelligence in...

* The lack of standardization and harmonization among ferritin assays results in significant variability in clinical values. These assays have different reference ranges and numerous clinical cut-offs for interpreting anemia and iron toxicity. This inconsistency is due to manufacturers using...

This video is part one of a four-part series where we review helpful screening and diagnostic tools for prostate cancer. This video highlights the basics of prostate cancer, its risk factors and how early screenings can help. Chapters 00:07: What is prostate cancer? 01:13: What are the risk...

https://www.urologytimes.com/view/robert-jansen-md-discusses-evaluation-of-candidates-for-testosterone-therapy Jansen stresses that testosterone is not a cure-all and often requires adjunct evaluation and management of other conditions such as sleep apnea or thyroid disorders. In this...

Author Block: Petra E. Pederson, MD, PhD1, Jeremy Winkelman, MD1, Michelle Wong, MD1, Leah Puglisi, MS2, Matthew Jason Levine, MD, FACE3. 1Scripps Clinic/Scripps Green Hospital, La Jolla, CA, USA, 2Scripps Hub Academic Research Core (SHARC)/Scripps Health, San Diego, CA, USA, 3Scripps...

Dr. Handlesman and Dr. Anawalt two highlly respected and well known endos in the field! https://academic.oup.com/jcem/advance-article-abstract/doi/10.1210/clinem/dgaf370/8171633?redirectedFrom=fulltext Abstract: In this debate, two clinicians discuss the merits and demerits of the free...

Dr. Jasuja and of course Dr. Bhasin! * Participants were identified using the Research Patient Data Registry (RPDR), selecting individuals with SHBG levels exceeding 100 nmol/L. Preliminary analysis revealed that participants with low free testosterone, despite normal or elevated total...

Join a discussion with the experts for an enlightening journey into the intricate world of managing patients with bipolar depression.

Can you differentiate bipolar depression from major depressive disorder (MDD)?

Figure 2. Classes of medication for the treatment of LUTs and site of action within the lower urinary tract; adapted from Sarma AV,Wei JT. Benign prostatic hyperplasia and lower urinary tract symptoms. N Engl J Med. 2012;367:248-57. Background Benign prostatic hyperplasia (BPH) is a...

https://grandroundsinurology.com/an-algorithm-to-pacify-the-male-patient-with-chronic-genital-pain/ Ryan P. Terlecki, MD, FACS, presents a systematic approach to patients presenting with chronic genital pain, with the goal of identifying the underlying cause while avoiding common pitfalls...

Abstract Testosterone (T), the principal androgen secreted by the testes, plays an essential role in male health. Male hypogonadism is diagnosed based on a combination of associated clinical signs and symptoms and laboratory confirmation of low circulating T levels. In this review, we have...

This study aimed to review the current knowledge on sexual dysfunction in men and women with hyperthyroidism through a systematic review and meta-analysis. Available clinical trials from the MEDLINE database were searched using a prerecorded protocol (Protocol Prospero ID: CRD42022340587), and...

Online consultation facilitates access to an erectile dysfunction specialist wherever you live. During this consultation you will know if your impotence has a psychological origin or on the contrary is caused by a physical illness. Maybe you feel like you already know what is the reason of your...