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Message: <blockquote data-quote="madman" data-source="post: 269111" data-attributes="member: 13851">Dr. Mulhall is very thorough and on point as usual![MEDIA=youtube]77ORlBBUX_4[/MEDIA]In this video, Dr. John Mulhall discusses the impact of prostate cancer treatment on sexual health. He emphasizes the importance of fully informed consent and realistic expectations before treatment. He explains the common sexual dysfunctions that can occur after prostatectomy, radiation therapy, and hormone therapy. Dr. Mulhall also discusses the role of nerve-sparing in preserving erectile function and the concept of penile rehabilitation. He encourages patients to be proactive in discussing their sexual health with their healthcare providers and seeking the expertise of sexual medicine physicians. In addition, he stresses the importance of a healthy lifestyle and self-care in maintaining sexual function after treatment. He also highlights the value of organizations like the Sexual Medicine Society of North America in providing resources and support for patients.Key Takeaways:*Fully informed consent and realistic expectations are crucial before prostate cancer treatment.*Prostate cancer treatment can lead to sexual dysfunctions such as erectile dysfunction and decreased sex drive.*Optimal outcomes require discussion with healthcare providers and consideration of penile rehabilitation.*Patient age, pre-treatment erectile function, and extent of nerve sparing affect erectile function after surgery.*Radiation therapy can have a honeymoon effect in the first year, but long-term effects on sexual function may occur.*Androgen deprivation therapy can lead to permanent erectile tissue damage and decreased sex drive.*Physician experience and volume play a significant role in treatment outcomes.*Lifestyle factors such as heart health, exercise, and stress reduction are essential for sexual health.*The Sexual Medicine Society of North America provides valuable resources for patients seeking sexual health information and support.*Beware of misleading advertising and seek credible sources for information on treatments and therapies.</blockquote>

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TRT Hormone Predictor Widget

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