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05-27-2011, 08:32 AM #1HRT
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Erectile dysfunction and hypogonadism (low testosterone).
If this is of any interest to you go to pubmed.com and read the summary.
Erectile dysfunction and hypogonadism (low testosterone ).
Can J Urol. 2011 Apr;18 Suppl:2-7
Authors: Barkin J
Erectile dysfunction (ED) is one of the earliest signs and markers of present or potential future endothelial dysfunction. One of the causes of ED can be low testosterone levels or hypogonadism. This article describes ways to identify and diagnose patients with ED or hypogonadism, and it offers a plan for treatment of these conditions. The mainstay first-line medical therapies for ED are phosphodiesterase-5 (PDE-5) inhibitors. For patients with symptomatic hypogonadism, testosterone replacement therapy is both safe and effective.
PMID: 21501544 [PubMed - in process]
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05-28-2011, 10:26 AM #2
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05-28-2011, 11:28 AM #3HRT
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For men who lurke on this board and have symptoms they can print this article and take it with them when the see thier GP for treatment...proper treatment. It's a great way to introduce something like this to an MD who doesn't know and get them to think forward on how to treat men correctly and not make them feel defensive.
I just love the last sentence in the summary!
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05-28-2011, 01:02 PM #4
Sad truth is, like everything these days, it's a business and it's about making money or preventing the loss of it by covering your ass. Docs get fiscal incentives, [i.e. commissions] from the pharmaceutical industry and also tend to take the safe route for fear of potential malpractice law suits. Due to congressional investigations and all the media hype about steroid abuse , many docs tend to steer clear of TRT because of the potential risks to their practice. So for them, prescribing a "little blue pill" is both safer and more lucrative than TRT. Not to mention, most docs are too busy to stay up on *all* the latest med research. Unless it's a condition that walks in their door every day or something they've been bombarded about by their pharm reps, they just don't have the time to stay up on it. That's why they give referrals so often on cases like TRT. They'd rather let some other doc deal with it. But even far too many endo's don't know all the latest for the very same reasons and in the end, we get caught in the middle.
Sucks but it's the reality.
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