The Gillett Health Podcast Testosterone, Sexual Function, & fertility
Nov 25, 2024
Dr. Jake Fantas, a urologist specializing in men's health and testosterone replacement therapy, joins the discussion. He provides insights on the implications of telemedicine in TRT, particularly regarding fertility. The conversation covers the complexities of varicoceles and venous leaks tied to erectile dysfunction. Fantas also explores how lifestyle choices impact reproductive health through epigenetics and the effects of SSRIs. Additionally, he highlights the emerging landscape of male birth control and the rising societal acceptance of testosterone therapy.
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Secret Shopper Study
- A hypothetical patient with normal testosterone visited telemedicine TRT clinics.
- The patient was offered testosterone and other medications without proper screening.
Telehealth TRT Concerns
- Many telehealth TRT clinics prescribe testosterone without proper screening or counseling.
- They often fail to ask about cardiovascular health or fertility preservation.
TRT Monitoring
- Monitor testosterone levels, red blood cell counts, and PSA after starting TRT.
- Frequent reassessment and appropriate adjustments are crucial for patient safety.