Testosterone and the Prostate
Vložit
- čas přidán 6. 09. 2024
- In the first part of the Point-Counterpoint debate on whether or not testosterone treatment is safe and effective, Dr. E. David Crawford, MD, argues that testosterone treatment has beneficial effects for multiple systems and that it's safe to use with appropriate medical monitoring.
If high testosterone levels caused prostrate cancer and enlarged prostates then every male from 18 to 30 years old would be totally screwed.
I'm convinced that they put that statement out to put fear in men with low t , and prostate issues. I took a blood test with my urologist, and took another for an endocrinologist at the same time, my urologist said my T was high, and the endocrinologist said my T is extremely low, and that he was concerned. The difference here is that my urologist didn't show me any data, or results from my blood test to back what he said up, my endocrinologist not only show me data, but also educated me on what to look for, and how to read the charts and know what range I was in, and come to find out that he was right based on my blood test. I said that to say this, these urologist really don't help the situation at all in my opinion, at this point I trust my endocrinologist MORE than I trust my urologist, and I begin my trt treatment soon.
@@abovebeyondandforever6571 Obviously sounds like you had a bad experience with your urologist, fortunately educated consumers know urologist are trained on testicular function and androgens.
Dr. Crawford - wonderful review. Amazing the data you must have gone through. thanks
I have gleason 6 but higher volume. When I was taken off testosterone replacement, I was a wreck and 5 months later found a clinic to continue my TRT my urologist is not happy but I have to live the horror of hypogonadism and it is awful. I plan on treatment-radiation or brachy but I will not stop my TRT. I know there is a risk in this but it is what I choose. Another issue is due to claustrophobia and severe pain along with sleep apnea made it impossible to continue the MRI so we have to figure out a way to get a CPAP into the MRI machine because they put me to sleep with profolol as I cannot stand the stress and pain of doing the MRI (I am extremely claustrophobic)
Where do you go? I have been dealing with no ambition or drive of any kind. Finally dawned on me i may have low T because i wasnt like this till the last 5 or so years. Got it checke and below 200. But my psa was 3.5 and they wont treat me. I do have a appointment with the urologist. I cant keep going like this . No life enhoyment is hard. How do i get treated for this low T?
@@johnburroughs8532 I go to a clinic on Staten Island. There were a lot of them in NYC area
Prostate problems crop up in older men. And it happens just at the time that their testosterone levels start to drop as they get older. That being the case it would be difficult to believe that enlargement or cancer is the result of testosterone.
This is intriguing but seems to contradict my personal experience. I’ve had PCa for at least four years since diagnosis. I have never submitted to any treatment for quality-of-life reasons. I continued TRT for the first couple years but as my PSA was creeping up, I stopped TRT. I missed the great benefits of TRT so twice I tried reinitiating TRT briefly. On both occasions my PSA scores skyrocketed within a few weeks each time. So, while I strongly wish I could continue TRT, it appears to be very dangerous to me. At present I’m low T and my PSA scores wander up and down in the fifties. Am I suffering without TRT unnecessarily?
And how are you doing with tha PCa, i hope you r ok
Excellent information, thank you!
Yes physiological estrogen/estradiol is important… what you really don’t want is the xenoestrogens… not understanding the difference is critical… if you take an aromatase inhibitor which blocks physiological estrogen (aromatization) and you keep on with xenoestrogen build up from environmental factors (plastics, water in plastics or other sources perfumes, etc) you could potentially have higher “bad estrogen” to good estrogen ratio… microdosing T and frequency can help with aromatization if there are concerns… high TRT once a week or every 2 weeks will have more aromatization then more frequent smaller doses… get with a good clinic that knows what they are doing…
Older Men on "TRT" treatment MUST monitor their ESTROGEN levels also. If it gets above 35 it's time for some "E" inhibitor treatment too.
That’s the most ridiculous comment you could make about testosterone and estrogen.
@@keithnicholsmd6896 why?
@@JesusSaves7012 because it is the estradiol that provides most of the benefits from testosterone. Testosterone is essentially a prohormone except on muscle tissue. Everywhere else provides benefit is through its conversion into either DHT or estradiol. When you block estradiol you block the beneficial effects of testosterone. It's basic physiology that no one seems to want to acknowledge. In every study that you block estradiol did you cause harm or there is no benefit and in every study where you give testosterone to men showing benefits they didn't block estradiol.
Check out a CZcams channel called TRY & Hormone Optimization. They’ve got lots of info about estrogen and TRT 👍🏻
@@keithnicholsmd6896 There is some flexibility, but estradiol needs to be keeps in range, if unopposed, then expect gynecomastia. Urologist and endocrinologist are aware of this