And I just wish you all of the success and the optimized life ever because you deserve all of that. Your life matters so deeply and you deserve a team around you to help you with that and get you to whatever your goals are. There are things that I learned today that I wouldn't even thought to make a list and go talk to somebody or learn more. But these three documentaries are just showing how much excitement there is about this topic, how much that people want to know about it. Obviously, women urologists have to be funny, by the way. So testosterone is a human hormone. That's whole body estrogen. So we have four major buckets when we're talking about hormone therapy. They stopped decades of doctors wanting to do this because how can you prescribe something that is safe, but the box from the FDA says stroke, blood clots, heart attacks, dementia. Every man reacts differently to testosterone replacement therapy, and symptom management and improvement vary. Before beginning TRT, your urologist may perform a prostate exam and order a PSA blood test to assess the health of your prostate. In general, hormone replacement therapy is safe under the supervision of an experienced physician. The timing of this blood work is very important since hormone levels change throughout the day. Your provider will begin by taking your medical history and performing a physical exam. And if she didn't have the quality of life she wanted, she wasn't really happy to do more. And my mom was a lady who lived the crap out of life. She didn't quite see herself the way that everybody else saw her. They're making estrogen again, they're making progesterone again. So an IUD, your ovaries now are making testosterone again. Every woman on a birth control pill has a low testosterone state, and that's a problem because remember, the genitals are full of testosterone receptors. A urologist is a healthcare provider who specializes in diagnosing and treating conditions that affect your reproductive system and urinary system. Though there aren’t cures for some causes of ED, many treatment options can help you get and maintain an erection hard enough for sexual intercourse. A healthcare provider will help determine the best treatment for you. The provider may also ask to talk with your sexual partner. She is helping save women’s lives by educating them about UTIs, GSM and hormones. And so vaginal hormones help with this tissue. And mind you, up until last year, all these products said that they caused stroke, blood clots, heart attacks, reprobable dementia, which was 0% true for all hormones, let alone microdosing vaginal hormones. If you're not on hormones, this is not whole body hormone therapy. But actually people don't know this, but Cialis, which is Viagra's cousin, we give to men all the time for urinary symptoms, frequency, urgency, things like that. Vaginal hormones help with arousal, help with lubrication, help make sex not painful. And in fact, we've done even more research that shows very few of these patients are actually offered a vaginal hormone therapy and it's being really underused. I mean, again, maybe these women are sexually active, they're more active, they're more interested in their health so that we see these health outcomes, but you shouldn't suffer. So the paper shows up at the doctor's offices. This is why I mentor so much because it truly, this cannot die with the people above me and it cannot die with me. It's pain from the abrasions and the irritation from the act of intercourse itself. Often, men have symptoms that they do not share with their doctors. It is estimated that while testosterone deficiency can affect up to 38 percent of the population, only five percent of affected men receive treatment. Testosterone decreases naturally with age, but if levels drop quickly or below a certain level, a man can develop bothersome symptoms that significantly impact quality of life. Testosterone is a sex hormone produced by the testicles in response to natural signals that come from the brain. Serum testosterone, hematocrit, and prostate-specific antigen levels should be measured at baseline and at least annually in men 40 years or older receiving testosterone replacement therapy.
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