Low Testosterone in Men: Q&A with Dr. Justin Houman in Los Angeles

madman

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In this episode of For the Good of Man, we dive into a comprehensive Q&A session all about Low Testosterone (Low-T) in men. Featuring expert insights from renowned urologist Dr. Justin Houman, we address key questions submitted by listeners and explore the causes, symptoms, and treatments of Low-T.

Whether you're curious about the signs of testosterone deficiency or the latest treatment options, this episode covers it all from A to Z. Tune in to gain a deeper understanding of this vital men's health issue. Don't forget to submit your questions for future episodes at menmd.com/podcast!
 
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Dopamine, serotonin, and oxytocin all play a role in libido, too,” explains Justin Houman, M.D., a urologist in Los Angeles who specializes in men’s sexual and reproductive health.

Psychological factors like stress and anxiety can lower a person’s libido, no matter how robust their levels of testosterone, estrogen, or any other biological element may be. So can social factors, like relationship troubles.
If you’re not jazzed about your partner, or how things are going between the two of you, then even if you’re biologically pristine you may not have as much desire for sex as you used to. Even personal beliefs or values about sex and relationships can have a top-down effect on our bodies. If, say, you believe sex outside of marriage is a dire sin and you’ll be damned to hell if you pursue it, your raging hormones may not matter all that much.

The effect of any of these factors, much less the interplay between them, within any unique body and mind, is hard to calculate. Stress and anxiety are big libido killers for many people, for example, but for others, they lead to a spike in sexual desire—and we’re not entirely sure why.

Libido is very complex, and definitely poorly understood,” stresses Sun. So it's often far harder to treat sex drive issues than banner ads for testosterone treatments often seem to suggest.
 

 
 
 

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TRT Hormone Predictor Widget

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.

ℹ️ Input Parameters

Normal range: 300-1000 ng/dL

Predicted Hormone Levels

Enter your total testosterone value to see predictions

Results will appear here after calculation

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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