Exploring the Male Fertility Crisis – Weight Loss, ED and More

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Dr. Ramasamy is in a lane of his own!



Dr. Ranjith Ramasamy discusses male fertility issues, including the stigma around male infertility and the need to address male reproductive health. He highlights factors such as obesity, sedentary lifestyles, and drug use that can contribute to fertility problems in men. He also discusses the diagnosis and treatment options for male infertility, including lifestyle modifications and surgical interventions.


*Dr. Ramasamy talks about the impact of climate change on male fertility and the need to address this issue. He mentions a new clinical trial using Probenecid to improve sperm quality in men with spinal cord injuries, an often overlooked aspect of reproductive health for these individuals.

*Erectile dysfunction is also discussed, with Dr. Ramasamy
mentioning the high prevalence of this condition in men over the age of 50. He talks about the need for awareness and treatment options beyond pills, such as shockwave therapy and platelet-rich plasma injections.

*Dr. Ramasamy emphasizes the psychological effects of infertility, including the strain it can put on relationships and the silent suffering men may experience. He discusses the importance of providing support and addressing the stigma associated with male infertility.

*The importance of mentorship is highlighted, with Dr. Ramasamy sharing his own experiences and the impact mentors have had on his career. He also discusses the need to mentor and inspire the next generation of medical professionals.

*Dr. Ramasamy mentions the team approach to his work and the importance of delegating responsibilities and cultivating a supportive environment. He credits his team, including medical students, residents, and fellows, for his accomplishments.

*Dr. Ramasamy research includes a clinical trial on the use of OIC for weight loss and its impact on sperm quality in men with obesity and diabetes. The results of this study are expected in May 2024.

*The video concludes with praise for Dr. Ramasamy's achievements and his role as a role model at the University of Miami Miller School of Medicine. The speaker expresses gratitude for the supportive environment and inspiring colleagues and students.
 

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TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

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Normal range: 300-1000 ng/dL

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Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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