We've Been Lied To About Testosterone

madman · 2026-06-10T16:54:34-0500

In this episode, Dr. Kelly Casperson is joined by urologist and men's health expert Dr. Helen Bernie to discuss why testosterone may be one of the most overlooked biomarkers in medicine.

They dive into the surprising links between testosterone, diabetes, cardiovascular disease, osteoporosis, erectile dysfunction, energy, and overall longevity. Dr. Bernie explains why many men struggle to access treatment, how outdated regulations continue to impact care, and why routine testosterone screening could change the future of men's health.

You'll also learn:

Why low testosterone is often a sign of deeper health issues
The connection between erectile dysfunction and cardiovascular disease
Common misconceptions about testosterone therapy
Whether testosterone increases clotting risk
How GLP-1 medications and testosterone may work together
What men should know about Peyronie's disease and sexual health
Why improving men's health benefits everyone

madman · 2026-06-10T16:56:17-0500

Thread 'Helen L. Bernie, DO, MPH, outlines clinical management of hypogonadism in fertility-desiring men'

Dec 26, 2025

* Finally, Bernie noted unresolved controversies in the field, including the optimal duration of fertility-preserving therapies, long-term outcomes of hybrid regimens combining testosterone with hCG, and best practices for sperm recovery after prolonged testosterone exposure. She emphasized the urgent need for larger, prospective, fertility-focused studies to guide future care.

Exogenous testosterone therapy and fertility are fundamentally incompatible.

In a talk at the 2025 Sexual Medicine Society of North America meeting in Grapevine...