Fletcher Combs
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This helps people make better choices about their health and get the care they need. It’s about finding the reason for the problem and choosing the safest, most effective treatment. The choice may also depend on other health conditions a person has. Urologists can also offer treatments that help maintain sperm production, which may be important for men who want to have children. When low testosterone is caused by damage or disease in the testicles, a urologist may be the right specialist.
Low testosterone is a medical condition that can affect physical, mental, and emotional health. It is not just about getting treatment—it is about getting the right kind of treatment for the specific cause of low testosterone. If the concern is hormone balance, pituitary function, or multiple health conditions, an endocrinologist may be best. If the focus is on fertility, sexual health, or the testicles, a urologist is often the better choice.
And actually, because of that one press conference, the FDA at the time put a blanket label with a big box around it on all hormone products. Overnight, hormone prescriptions went to zero. And it's really important, especially if you're not my age or older, to understand that this one incident in the media and in medicine profoundly negatively impacted women's lives for decades. This was a 2002, I believe the Women's Health Initiative, which is what the study was called.
Determining how to treat low testosterone in females requires a close partnership with an experienced physician. The two most common methods for boosting testosterone in females are injections and topical creams. Along with this, even small dips in testosterone can impact overall wellness. Women’s bodies generate testosterone primarily in the ovaries and adrenal glands. When you hear the word testosterone, chances are you think of men.
So other than being very effective in preventing UTIs, what else does vaginal hormones do for a woman of any age? UTIs are a massive problem for our healthcare system, but we are not effectively using these vaginal hormone products. Now, I'm not saying you should never be on these medications, but when you play with hormones, there can be consequences. And then there's the fact that we decided not to study women at all in science. But if sexual health or urinary health or quality of life is important to you, there is a growing movement of clinicians who deeply care about these issues too.
BMD increased in patients treated with testosterone therapy leading the authors to conclude that younger testosterone deficient men may benefit from having routine DEXA scans performed, particularly those with concomitant low E2 and low BMI.89 A systematic review found that varicocele ligation results in significant improvement in testosterone levels in some men, with a mean improvement of approximately 100 ng/dL. Point estimates that measure the difference in testosterone levels between men with and without ED may appear statistically significant, but these estimates are not always clinically meaningful. A challenge in making the diagnosis of testosterone deficiency is that many of the symptoms reported by patients are non-specific and might be related to conditions other than low testosterone. Total testosterone absence of signs and/or symptoms increases the likelihood of making a false diagnosis and reduces the potential benefit of testosterone therapy.