Men, Sex, and Testosterone

A urologist's view on men and sexuality.
Abraham Morgentaler, M.D. specializes in male reproductive and sexual health, and is a professor of urology at Harvard Medical. He is the author of Testosterone for Life and The Viagra Myth. See full bio

Comments on "Is Testosterone Good For Men With Prostate Cancer?"

Is Testosterone Good For Men With Prostate Cancer?

Until very recently, the use of testosterone (T) was prohibited in men with a prior history of prostate cancer, or even in men with just suspicion of prostate cancer. Yet a case I had this week underscores how dramatically ideas can change in medicine over a very short period of time. Read More

Testerone gel

Testosteone gel is very effective for hormone replacement therapy. For more information about bioidentical hormone replacement go to www.doctorkalitenko.com

in aug 2000 my psa was 22,

in aug 2000 my psa was 22, biops-Gleason 7 , mix small/lage cell adenoarcinoma. Lupron inj.
in Sept total prostatecomy
Nove psa 1.2
Jan psa 2.4
Lupron inj. every 90 days psa 0.1 until l0-05 psa 1.2 start daiy casodex and lupron inj. cntinue
psa down 0.l
2007 psa l.2 begin finestraride, continue casodex, continue lurpon psa levels at 1.2
March 2008 psa 2.4
June 2008 psa 2.5
Fossa radiation treatment - 35 treatments--Aug,Sept.Oct, 2008.
If psa goes down to 0.1 would it be ok to begin testosterone supplement? current testosterone 32

Low Testosterone & Prostate Cancer

The key to avoiding prostate cancer is to keep testosterone in the optimal range, and to keep your blood levels of vitamin D in the optimal range. Most men focus on the testosterone and fail to address vitamin D.

Doctor in Detroit Area

I have read Dr. Morgentaler's book with great excitement. I started T therapy in July 2008 and had all of the reported benefits. In April 2009 I was diagnosed with prostate cancer and the T therapy was stopped. My Radical Prostatectomy is scheduled in 10 days. None of the doctors I see are willing to put me back on T therapy once my PSA is zero. I have returned to no sex drive, low energy, foggy attention and weight gain around the middle. Can anyone refer me to a doctor in Michigan who is like minded with Dr. Morgentaler?

The use of testosterone after

The use of testosterone after a diagnosis of prostate cancer is controversial, but increasingly physicians are offering treatment to men in your situation. Two names you might wish to look up in Michigan are 1) Dr. Dana Ohl, in Ann Arbor (I think) and Dr. Mani Menon at Henry Ford Hospital in Detroit.

Thank you! I'll follow up

Thank you! I'll follow up with them.

The use of testosterone after

The use of testosterone after a diagnosis of prostate cancer is controversial, but increasingly physicians are offering treatment to men in your situation. Two names you might wish to look up in Michigan are 1) Dr. Dana Ohl, in Ann Arbor (I think) and Dr. Mani Menon at Henry Ford Hospital in Detroit.

PSA and T

“Testosterone for Life”
I enjoyed your book very much and I think you might gain from my well documented hormone history including almost 17 years of PSA results.
Mid 1990’s. Suffering from chronic fatigue. Something I thought was in people’s heads and so did my doctors think about me. I finally found a holistic doctor and ask her “am I going through MENopause?” She checked my hormones. Prolactine too high and testosterone to low. Sent me to an endocrinologist. He did not believe the test results and ran another blood test. Now worse. So he sent me for an MRI. Well it was all in my head. Prolactinoma. Put me on Bromocriptine (Parlodel) in 1997. MRI’s continued to show lesion shrinking. Tumor gone in 2005. Continued to take medicine until May 2008. Prolactine stayed normal as soon as I started medicine. Testosterone climbed from a low of 161 to a high of 612 in Jan 2003. But T then started to decline right after my 60th Birthday Dec 2002. At the age of 65 I finally found a urologist that would put me on T. I refused to take any invasive tests, but had a CT Urogram that came out great. After 4 months, I retested PSA. AH OH. Went from .76 to 2.12. A 280% increase. Urologist said “time for biopsies”. No thanks. I went for a 2nd opinion. Biopsy said the doctor. No thanks, I will go off of T. PSA went back to .8. See my charts. Did my PSA go up because I had sex that morning which I was never told it could raise my PSA? If not, if I stayed on T would my PSA have leveled off around 2? The urologists only want to use old ultrasound equipment as a guide and not as a diagnostic tool. They say a suspicious site could be negative and a non suspicious site could be positive. I say a suspicious surface site should be biopsied and a deep site should be left alone as a biopsy could spread a small Pca elsewhere. So far I cannot find anyone who will do an ultrasound with the latest equipment as a diagnostic tool and only biopsy an outer shell suspicious site. 12-15 biopsies just to be sure are just too dangerous as far as I am concerned. 3 digital exams by 3 different doctors this year have come up negative. One bending over. One lying on my side with knees up and the last one by a urologist that had me stand up during the procedure. Is that weird or what?
Born New Years Eve 1942. Things I have now learned about my bone problems including every vertebra and lose of connecting tissues in toes and wrists. Shrunk over 2 inches. Here is what I now know. As a child with epilepsy I took medicines until the age of 14 depleting my vitamin D. My D stayed low until a blood test a few years ago. In 1991 I stopped eating red meat. This may have added to my fatigue. Only in my last blood test was B-12 tested and found inadequate. Something that added to my connecting tissue going away. I now take D and B-12. All other blood tests are in normal range except hormones. So you see why I want to go back on T. I have osteopenia, lack of energy and sex drive, ED. All were better for the 4 months I was on T. I only had to take ¼ of a Viagra (25mg). I am now 5’8” and 170 pounds. Just took EKG for foot surgery. Stopped taking statin drugs which caused muscle pain. My HDL/LDL ratio has always been better than good.

Low T after radical protatectomy

Diagnosed with protate cancer in 2005, and after several concurring opinions I had the procedure conducted by Dr. Patrick Walsh, Johns Hopkins, who in many opinions is the leading authority on this subject and procedure. 3 1/2 later I have undetecible PSA, however, my sex drive and issues with ED remain an issue. Yes, I have read articles regarding how this can be caused by my mental anxiety on these issues. Nevertheless, my T is low and I have considered some type of therapy. Like others, I have been hesitant due to the theory that increased testosterone would "re-activate" my condition. In addition, I have noticed a considerable drop in energy and physical muscle tone. Altough I am 54 years old, I am and always have been very active. Is there a time period where it may be considered "safer", such as 5 years with no PSA findings?

HRT and PC

I have been on androgel for 9 yrs - following "stress related" drop in T. 7.5 g kept me in the 300 - 400 T range: functioning and decent if not great with the sex. I am 55 - so not far off from Curt in CA.

I was recently diagnosed with early prostate cancer. 3.0PSA and 1 positive out of 12 biopsy samples. Am trying to determine treatment.

In the meantime, I was told to get off the anrdo. ALL energy has come crashing down. Can't make it thru a 9 - 5 day. Haven't had a blood test since, but T level must be on the way to 100 the way I feel.

Any help would be appreciated. My uro did acknowledge that "thinking has changed" re HRT and PC but still pulled me from it for now. I feel like I'm is a very bad loop - a double punch of PC and terribly low T.

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