Management of Erectile Dysfunction and CV Disease

madman

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* he confirms the irrefutable relationship between erectile disfunction (ED) and cardiovascular disease.

* Dr. Kohler notes onset of erectile dysfunction can be predictive of myocardial infarction by 2 to 5 years.

* Dr. Kohler also presents straightforward algorithms to help determine the safety of sexual activity and to provide guidance for cardiovascular work-up.

* A calculated 10-year atherosclerotic disease risk score will often lead to coronary artery calcium screening in men with borderline to intermediate risk.



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Dr. Tobias Köhler, a Urologist at Mayo Clinic in Rochester, MN, shares insights from his article appearing in the September 2024 issue of Mayo Clinic Proceedings, where he confirms the irrefutable relationship between erectile disfunction (ED) and cardiovascular disease. Dr. Kohler notes onset of erectile dysfunction can be predictive of myocardial infarction by 2 to 5 years. Dr. Kohler also presents straightforward algorithms to help determine the safety of sexual activity and to provide guidance for cardiovascular work-up. A calculated 10-year atherosclerotic disease risk score will often lead to coronary artery calcium screening in men with borderline to intermediate risk. Management of ED in men with cardiovascular disease also requires clinicians to have a straightforward inquiry with occasional use of stress testing.
 



 
 

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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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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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