madman
Super Moderator
Dr. Jason Kovac.
14:08-19:11 (T+hCG)
* a lot of times you know from a dosage point of view you need a lot less hCG when your combining it with testosterone and you could also keep things going in the background with not a lot of hCG, so you can use for example a 1000 IU of hCG once a week and that's typically enough to keep your sperm counts going, to keep your testicular size going
Pay close attention here!
19:10-25:26 (Optimal testosterone range)
* I tend no to look too much at the number but I would rather look at symptoms and then you could look at that and take it either way right like say if a guy is at 1000 and he still doesn't feel better you know what do you do about that you know vs what if a guy is at 200-300 and he is like you know what I'm okay I don't need anything so do you supplement that guy and there's a little bit of debate about that in terms of do you supplement someone for other benefits like blood sugar control for example um versus if you know they feel okay you know do you just leave it alone uh and you know a lot of times if people don't need a medication then it's usually better not to give them one right so if the guy feels fine his testosterone is 280 that's low on the blood test I would just leave it he's healthy he feels fine I usually don't treat that
* similarly if a guy is at 500 and he comes in and has hypogonadal symptoms yeah okay well let's talk about the history let's do a physical exam and let's look at all that and then decide if testosterone supplementation is right for you in the context of the symptoms and you know you put guys on say the guy comes in he's got a testosterone 400-500 you put him on you know whatever you decide to put him on he comes back and his testosterone is 1500 he's like I still feel like crap okay there's probably something else going on there that is not going to be helped by boosting your testosterone to 6000 , yeah absolutely and then you almost get into more like side-effect management vs like the optimization piece of it which is also very frustrating
Dr. Kovac is a board-certified Urologist in both Canada, and the United States. He has an MD and a PhD from Western University in London, Ontario, Canada as well as a focused, 5-year Urology program at McMaster University in Hamilton, Ontario.
His surgical expertise, training and continued excellence is certified by the prestigious Fellowship of the Royal College of Physicians and Surgeons of Canada (FRCSC) as well the American College of Surgeons (FACS). Dr. Kovac is further sub-specialized in the field of Men’s Health, Male Fertility and Sexual Medicine having trained at the world-renowned Baylor College of Medicine in Houston, TX with the originator of the modern vasectomy reversal, Dr. Larry Lipshultz, as well as the pioneer of male-fertility research, Dr. Dolores Lamb.
Dr. Kovac has published over 100 manuscripts in scientific journals as well as numerous textbook chapters. He has presented award-winning research in both national and international meetings. He is currently on the editorial board of several high-profile medical journals including the Asian Journal of Andrology and the American Journal of Men’s Health. Dr. Kovac has led multiple clinical trials in male fertility, scrotal pain and hormone management techniques.
In the first of two parts, we’re talking with Dr. Kovac about the multifaceted issue of male infertility. We’ll explore how lifestyle choices like drug use, caffeine, and alcohol consumption can significantly impact sperm quality. Dr. Kovach also discusses the complications that can arise from testosterone therapy and the importance of managing it properly. Additionally, we look at hormonal treatments, including the use of HCG and Clomid, and the nuanced considerations of testosterone therapy for men with localized and resected prostate cancer.
Topics discussed in this episode include:
• Why Dr. Kovac transitioned from aspiring physical education teacher to board-certified urologist.
• Insights from Dr. Kovac's training at Western University and Baylor College of Medicine.
• Dr. Kovac's early work with erectile dysfunction and vasectomy reversals.
• How lifestyle factors like drug use, caffeine, and alcohol impact sperm quality.
• Why testosterone therapy can suppress sperm production, plus the need for proper management.
• Common causes of male infertility, including anatomical issues like varicoceles and genetic conditions.
• Strategies for addressing idiopathic infertility cases where no clear cause is identified.
• How medications like HCG and Clomid are used to maintain optimal testosterone levels.
• The delicate balance required for treating men with localized and resected prostate cancer.
• Safety and risks of testosterone therapy versus alternatives like Clomid for prostate cancer patients.
• Dr. Kovac's commitment to advancing men's health within the traditional medical model.
• How Dr. Kovac manages male hormonal treatments.
• When HCG might be preferred over Clomid, including challenges and cost considerations.
• How combining HCG with testosterone can maintain testicular function and size.
• The importance of discussing fertility desires regardless of age for optimal treatment.
14:08-19:11 (T+hCG)
* a lot of times you know from a dosage point of view you need a lot less hCG when your combining it with testosterone and you could also keep things going in the background with not a lot of hCG, so you can use for example a 1000 IU of hCG once a week and that's typically enough to keep your sperm counts going, to keep your testicular size going
Pay close attention here!
19:10-25:26 (Optimal testosterone range)
* I tend no to look too much at the number but I would rather look at symptoms and then you could look at that and take it either way right like say if a guy is at 1000 and he still doesn't feel better you know what do you do about that you know vs what if a guy is at 200-300 and he is like you know what I'm okay I don't need anything so do you supplement that guy and there's a little bit of debate about that in terms of do you supplement someone for other benefits like blood sugar control for example um versus if you know they feel okay you know do you just leave it alone uh and you know a lot of times if people don't need a medication then it's usually better not to give them one right so if the guy feels fine his testosterone is 280 that's low on the blood test I would just leave it he's healthy he feels fine I usually don't treat that
* similarly if a guy is at 500 and he comes in and has hypogonadal symptoms yeah okay well let's talk about the history let's do a physical exam and let's look at all that and then decide if testosterone supplementation is right for you in the context of the symptoms and you know you put guys on say the guy comes in he's got a testosterone 400-500 you put him on you know whatever you decide to put him on he comes back and his testosterone is 1500 he's like I still feel like crap okay there's probably something else going on there that is not going to be helped by boosting your testosterone to 6000 , yeah absolutely and then you almost get into more like side-effect management vs like the optimization piece of it which is also very frustrating
Dr. Kovac is a board-certified Urologist in both Canada, and the United States. He has an MD and a PhD from Western University in London, Ontario, Canada as well as a focused, 5-year Urology program at McMaster University in Hamilton, Ontario.
His surgical expertise, training and continued excellence is certified by the prestigious Fellowship of the Royal College of Physicians and Surgeons of Canada (FRCSC) as well the American College of Surgeons (FACS). Dr. Kovac is further sub-specialized in the field of Men’s Health, Male Fertility and Sexual Medicine having trained at the world-renowned Baylor College of Medicine in Houston, TX with the originator of the modern vasectomy reversal, Dr. Larry Lipshultz, as well as the pioneer of male-fertility research, Dr. Dolores Lamb.
Dr. Kovac has published over 100 manuscripts in scientific journals as well as numerous textbook chapters. He has presented award-winning research in both national and international meetings. He is currently on the editorial board of several high-profile medical journals including the Asian Journal of Andrology and the American Journal of Men’s Health. Dr. Kovac has led multiple clinical trials in male fertility, scrotal pain and hormone management techniques.
In the first of two parts, we’re talking with Dr. Kovac about the multifaceted issue of male infertility. We’ll explore how lifestyle choices like drug use, caffeine, and alcohol consumption can significantly impact sperm quality. Dr. Kovach also discusses the complications that can arise from testosterone therapy and the importance of managing it properly. Additionally, we look at hormonal treatments, including the use of HCG and Clomid, and the nuanced considerations of testosterone therapy for men with localized and resected prostate cancer.
Topics discussed in this episode include:
• Why Dr. Kovac transitioned from aspiring physical education teacher to board-certified urologist.
• Insights from Dr. Kovac's training at Western University and Baylor College of Medicine.
• Dr. Kovac's early work with erectile dysfunction and vasectomy reversals.
• How lifestyle factors like drug use, caffeine, and alcohol impact sperm quality.
• Why testosterone therapy can suppress sperm production, plus the need for proper management.
• Common causes of male infertility, including anatomical issues like varicoceles and genetic conditions.
• Strategies for addressing idiopathic infertility cases where no clear cause is identified.
• How medications like HCG and Clomid are used to maintain optimal testosterone levels.
• The delicate balance required for treating men with localized and resected prostate cancer.
• Safety and risks of testosterone therapy versus alternatives like Clomid for prostate cancer patients.
• Dr. Kovac's commitment to advancing men's health within the traditional medical model.
• How Dr. Kovac manages male hormonal treatments.
• When HCG might be preferred over Clomid, including challenges and cost considerations.
• How combining HCG with testosterone can maintain testicular function and size.
• The importance of discussing fertility desires regardless of age for optimal treatment.
