Men's Health & Testosterone Replacement Therapy

madman

Super Moderator

In this episode of the Back Table Urology Podcast, Dr. Bud Burnett discusses men’s sexual health and testosterone replacement therapy. He explains the importance of open conversation about sexual health and its impact on overall well-being. Dr. Burnett also shares insights from his research on nitric oxide, which led to the development of drugs for erectile dysfunction.


Key Takeaways:

*Dr. Burnett emphasizes the need to start thinking about sexual health from a young age and to take a preventative approach through lifestyle adjustments like maintaining a good diet and exercise.

*The classic treatments for erectile dysfunction include oral medications like sildenafil, injectable therapies, and vacuum erection devices. Dr. Burnett recommends starting with the least invasive options first.

*Testosterone replacement therapy can be beneficial for men with prostate cancer who experience sexual dysfunction. Dr. Burnett explains that it can be safely administered as long as the cancer is well controlled and regular monitoring is done.

*Dr. Burnett mentions ongoing research on the use of shockwaves and stem cells for erectile dysfunction, but cautions that more studies are needed to establish their effectiveness and safety.

*He also touches on other aspects of men’s sexual health, such as premature ejaculation, Peyronie’s disease (curvature of the penis), and priapism (prolonged erection without sexual interest). Treatment options vary depending on the specific condition and its impact on functionality.

*Sexual health should not be stigmatized and individuals should be informed about the available treatments and interventions for various conditions. The goal is to improve quality of life and overall well-being for men.
 




















 

 

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HCG Mixing Protocol Calculator

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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