More support for men battling low testosterone after cancer

madman

Super Moderator
Top tier Memorial Sloan Kettering, worked alongside Dr. Mulhall to boot!




Dr Samantha Strumeier

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A new clinic at Barts Cancer Centre is providing vital support for men whose testosterone levels have been affected by cancer treatment.

Testosterone is a hormone that plays an important role in energy, mood, and overall health.

Some cancer treatments - including surgery, chemotherapy and bone marrow transplants - can cause testosterone levels to drop, leaving patients feeling tired, low, or unwell.

Until now, getting help through the NHS hasn’t always been easy. Care has often been patchy, with long waits, limited treatment options, and a lack of joined-up support between departments.


Thanks to the work of Dr Samantha Strumeier, a senior nurse and lead for uro-oncology (urinary and reproductive cancers), Barts has set up a dedicated clinic to improve care for these patients.

The clinic, which focuses on testosterone replacement therapy, is designed to be safe, consistent, and centred around each patient’s needs.

Dr Strumeier trained in the United States at Memorial Sloan Kettering Cancer Center and earned her Doctor of Nursing Practice from Johns Hopkins University.

She worked alongside leading andrologist Dr John P. Mulhall and multidisciplinary teams to develop a more cohesive approach to men’s health.

At Barts, patients now benefit from a wider range of treatment options, clear information to support informed decisions, and regular follow-up to ensure care remains safe and effective. The team has also embedded training into the service to equip future nurse leaders to carry the work forward.
 




 

hCG Mixing Calculator

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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