The Gillett Health Podcast cover image

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.
01:13:03

Episode guests

Podcast summary created with Snipd AI

Quick takeaways

  • Telemedicine clinics for testosterone replacement therapy often lack thorough evaluations, leading to inappropriate prescriptions amidst growing demand.
  • Individualized treatment plans are essential, as practitioners frequently overlook crucial factors like future fertility during testosterone consultations.

Deep dives

The Rise of Telemedicine in Hormone Therapy

The shift toward telemedicine in hormone replacement therapy has seen a significant increase, particularly during the COVID-19 pandemic. Many individuals with normal testosterone levels were assessed by telemedicine clinics, often resulting in excessive and inappropriate prescriptions for testosterone replacement therapy (TRT). A notable study, referred to as the secret shopper study, highlighted that patients seeking testosterone were sometimes prescribed therapies without thorough evaluations of their cardiovascular health, reproductive intentions, or fertility preservation options. This trend raises concerns about the adequacy of patient assessments conducted by telemedicine providers, emphasizing the need for standardized guidelines to ensure safe prescribing practices.

Get the Snipd
podcast app

Unlock the knowledge in podcasts with the podcast player of the future.
App store bannerPlay store banner

AI-powered
podcast player

Listen to all your favourite podcasts with AI-powered features

Discover
highlights

Listen to the best highlights from the podcasts you love and dive into the full episode

Save any
moment

Hear something you like? Tap your headphones to save it with AI-generated key takeaways

Share
& Export

Send highlights to Twitter, WhatsApp or export them to Notion, Readwise & more

AI-powered
podcast player

Listen to all your favourite podcasts with AI-powered features

Discover
highlights

Listen to the best highlights from the podcasts you love and dive into the full episode