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Do You Have Low Testosterone?

For 80 (!) years physicians have prescribed testosterone to men without being certain if it actually had any effect…other than raising testosterone levels. The only FDA-approved indication for testosterone is hypogonadism, in which there’s an actual disorder of the male reproductive system that results in the body not producing enough testosterone. Causes of hypogonadism include […]

Male Menopause: Is It Real?

Short answer: Yes, but don’t hope for any quick fixes—that’s pharmaceutical industry-think. Another way to view male menopause: Sure, a ball will bounce, just not as high over time. I get asked about male menopause all the time, almost always by women (who, admittedly, represent the majority of my patients) and only rarely by my […]

Disappointments With Testosterone

For 80 (!) years physicians have prescribed testosterone to men without being certain if it actually had any effect other than raising testosterone levels. The only FDA-approved indication for testosterone is pathological hypogonadism, in which there’s an actual disorder of the male reproductive system that results in the body not producing enough testosterone. Examples are testicular […]

Disappointments With Testosterone

For 80 (!) years physicians have prescribed testosterone to men without being certain if it actually had any effect other than raising testosterone levels. The only FDA-approved indication for testosterone is pathological hypogonadism, in which there’s an actual disorder of the male reproductive system that results in the body not producing enough testosterone. Examples are […]

Out Of Whack Hormones

“My hormones are out of whack!” That’s the single most common sentence I hear from my patients. It can come from a 25-year-old with irregular periods and industrial-strength PMS whose energy has gone down the tubes. Or from a 45-year-old (on the threshold of pre-menopause) who continues to gain weight even though she’s eating less […]

Testosterone Replacement For Men: Probably A Good Idea

It’s an interesting phenomenon that more women ask about testosterone therapy for the men in their lives than men ask for themselves. And when a man does ask, the question is usually couched with hesitations, “Uh, my…wife wanted me to…uh…ask about…you know…testosterone.” There are good reasons for hesitation. For men, the symptoms of age-related testosterone […]

Two More Orgasms Per Month? Why Not?

I was at dinner with an old physician colleague of mine who happens to be French. Despite living in the Midwest for decades, he continues his lifetime subscription to Le Monde and preserves–no, cultivates–his accent so efficiently that I miss about ten percent of what he’s saying. Given we were both well into our second […]

WTF Happened To My Sex Drive?

I don’t mean to catch you mid-croissant on this topic, but I want to report the latest research on a woman’s libido and its relationship to her masturbation activities. If you’re a woman in your mid-40s or older, partnered or not, straight or gay, you may have noticed something about your sex drive you’re not […]

Reversing the Potbelly of Male Menopause

This health tip begins with a mildly off-color story. If you’re offended by such things, please skip to paragraph three. During the 1920s and 30s the epicenter of New York City’s intellect and wit was the café at the Algonquin Hotel, with the famed Algonquin Round Table hosting luminaries Dorothy Parker, Alexander Woollcott, and Robert […]

Male Menopause–Is It Real?

Short answer: Yes, but don’t hope for any quick fixes—that’s so-o-o pharmaceutical industry think.

Another way to view male menopause: Sure, a ball will bounce, only less and less.

I get asked about male menopause all the time, almost always by women (admittedly they represent the majority of my patients), but only rarely by my male patients who, for the most part, don’t seem to sense much of a problem. Could men be viewing male menopause the way they view weight gain? While women buy diet books and serially starve themselves/gain everything back, men buy larger pants with elastic belts.