How to Prepare Before Vasectomy

Vasectomy is the most reliable form of birth control available today. The term “vasectomy” comes from the name of the tubes in your scrotum that are blocked during the procedure


Dr. Morgentaler Clarifies Misperceptions of Testosterone Replacement Therapy and Heart Disease Risk

The video is a recording of a lecture by Dr. Abraham Morgentaler, which took place on March 22, 2015, in Madrid, Spain, at the annual meeting of the European Association of Urology (EAU). Dr. Morgentaler is a distinguished researcher and clinician who serves as the Associate Clinical Professor of Urology, Harvard Medical School. He is also the Founder of Men’s Health Boston, the first Men’s Health Center in the US, founded in 1999 Men’s Health Boston is dedicated to the special health care needs of men. This includes testosterone deficiency, a common condition that causes sexual and non-sexual symptoms in men, and is associated with a number of general health conditions, such as obesity, diabetes, osteoporosis, and atherosclerosis. Men’s Health Boston also offers state-of-the-art treatment to men with problems related to the prostate, as well as sexual and fertility issues. Dr. Morgentaler pioneered the modern use of testosterone in men, and has over 25 years clinical experience in treating men with hypogonadism. He is actively engaged in medical research, and is the author of the books,TESTOSTERONE FOR LIFE and THE TRUTH ABOUT MEN AND SEX, and more than 150 scientific articles. Dr. Morgentaler continues to have an active medical practice, sees new patients, and is in high demand as a lecturer.

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How About This For The Testosterone Therapy

It could be said that testosterone is what makes men, men. It gives them their characteristic deep voices, large muscles, and facial and body hair, distinguishing them from women. It stimulates the growth of the genitals at puberty, plays a role in sperm production, fuels libido, and contributes to normal erections. It also fosters the production of red blood cells, boosts mood, and aids cognition.

Over time, the testicular “machinery” that makes testosterone gradually becomes less effective, and testosterone levels start to fall, by about 1% a year, beginning in the 40s. As men get into their 50s, 60s, and beyond, they may start to have signs and symptoms of low testosterone such as lower sex drive and sense of vitality, erectile dysfunction, decreased energy, reduced muscle mass and bone density, and anemia. Taken together, these signs and symptoms are often called hypogonadism (“hypo” meaning low functioning and “gonadism” referring to the testicles). Researchers estimate that the condition affects anywhere from two to six million men in the United States. Yet it is an underdiagnosed problem, with only about 5% of those affected receiving treatment.

Studies have shown that testosterone-replacement therapy may offer a wide range of benefits for men with hypogonadism, including improved libido, mood, cognition, muscle mass, bone density, and red blood cell production. But little consensus exists on what constitutes low testosterone, when testosterone supplementation makes sense, or what risks patients face. Much of the current debate focuses on the long-held belief that testosterone may stimulate prostate cancer.

Dr. Abraham Morgentaler, an associate professor of surgery at Harvard Medical School and the director of Men’s Health Boston, specializes in treating prostate diseases and male sexual and reproductive difficulties. He has developed particular expertise in treating low testosterone levels. In this interview, Dr. Morgentaler shares his views on current controversies, the treatment strategies he uses with his own patients, and why he thinks experts should reconsider the possible link between testosterone-replacement therapy and prostate cancer.