madman
Super Moderator
Dr. Mohit Khera, renowned urologist, researcher, and expert in male and female sexual health, joins Dr. Rena Malik to discuss the global decline in testosterone, why symptoms matter more than blood test reference numbers, and the crucial role of free testosterone. They dive into types of testosterone replacement therapies—including injectables, gels, orals, and pellets—their risks, benefits, and considerations around fertility. The conversation also covers how semen analysis serves as a window into overall health, the influence of lifestyle changes (like weight loss, sleep, and stress management) on hormone levels, and the relationship between testosterone, cardiovascular health, depression, and prostate cancer. Dr. Khera and Dr. Malik explore regenerative therapies for erectile dysfunction, including hyperbaric oxygen, shockwave therapy, stem cells, PRP, and Botox, and discuss lesser-known issues such as post-finasteride syndrome and the status of sexual health in women.
Chapters:
00:00:00 – Introduction
00:02:10 – The Testosterone Decline
00:06:07 – Free vs. Total Testosterone
00:11:32 – TRT Options
00:14:19 – Oral Testosterone & Fertility
00:17:26 – Protecting Fertility on TRT
00:20:38 – Recovery After TRT
00:29:10 – The Power of Estrogen
00:38:48 – Boosting Testosterone Naturally
00:42:31 – Stress & Operator Syndrome
00:50:12 – ED & Shockwave Therapy
00:55:13 – Regenerative Therapies
01:36:24 – Closing Thoughts
