Basic Hormone Replacement: Replenishment for Men

William Clearfield, D.O.

Medical Director, Clearfield Family Medicine, Reno, NV

Executive Director, American Osteopathic Society of Rheumatic Diseases

Adjunct Professor, Arkansas College of Osteopathic Medicine; University of Guadalajara School of Medicine

Aside from routinely prescribing testosterone for men, it is important to understand many basic concepts before doing so. Wading through disagreements and issues with peers can also become problematic if you are not well-versed in the literature and controversies. Prescribing hormones for men can be simple; however, dealing with side effects and complications is not. This lecture will address common problems, complications, side effects, monitoring, understanding levels, erythrocytosis vs. polycythemia, prostate cancer and elevated PSA, use of 5-alpha reductase inhibitors, and aromatase inhibitors and the harm of blocking DHT and estrogen. Prescribing testosterone to men is easy 90% of the time. However, it is the other 10% that requires skill, experience, insight, and command of the medical literature to appropriately treat routine and confusing cases. This lecture will review many usual as well as unusual cases and scenarios that will enable the experienced clinician to handle those difficult cases. A literature review will be provided to support why we do what we do in various scenarios.

Duration: 53m37s