Showing posts with label Mens sexual Health. Show all posts
Showing posts with label Mens sexual Health. Show all posts

Monday, February 27, 2017



Testosterone Pellets

The benefits of hormone replacement for both men and women are well known and most people are now aware that it in fact it is does not cause cancer and all the other bad things that used to be  rumored. But it appears that not many people are familiar with pellet therapy. Pellets are a particularly convenient method for people on the go, especially men.
That's because a lot of men don’t like to have to use something everyday, especially not creams and gels. Many prefer shots but then they get tired of being stuck. Pellets are done 2 or 3 times a year and that’s it.
So what are pellets?
They are a method of administering hormones and are inserted just under the skin of the buttock. These subcutaneous pellets have been used for decades and are plant- based. More specifically they are made from wild yams. Testosterone is the commonest hormone administered by pellet but both estrogen and progesterone can be added.
Pellets avoid the fluctuations of hormone levels seen in other methods. They have very few side effects and peak levels occur in 4 weeks. Women will begin experiencing benefits after a week and men within  two weeks.
Symptoms of menopause and andropause are relieved for months. Pellet  users  like them so much that their continuation rates are reported to be over 90%.
In women 90%of vaginal atrophy and dryness is resolved and 75% of mood disorders improved. Men have an over 95% rate of increased energy and muscle tone with resolution of erectile dysfunction related issues.
Another advantage is that testosterone cannot be spread to other family members in this way.
There are research papers that have come out showing that not only does testosterone prevent breast cancer it can be used to  suppress and treat it. This is exciting news because it means it is even safe for breast cancer survivors (usually given with aromatase inhibitors). Other actions of testosterone include: Reduces fatigue, corrects insomnia, improves memory, focus and concentration. Increases libido and increases lean muscle mass.
For more information on testosterone pellets and hormone replacement read my new book "Sex, Sanity and Sleep!' If you would like a one on one consult about this exciting modality call for an appointment.
As Steve Jobs said:
“Your time is limited, don’t waste it living someone else’s life!”

Cheers!

Dr. Tuakli


Sunday, May 22, 2016

Management of Erectile Dysfunction




Here is a brief synopsis of treatments available for erectile dysfunction and what tests should be done. As always start with history, issues like how long you have had the problem, whether your partner is interested in correcting the problem. What medications do you take that could be aggravating the problem. Are you a smoker of cigarettes or marijuana, abuser of alcohol all these cause ED. Have you had Diabetes or Hypertension and so on. The history should be extensive. Next is the Physical exam and lab tests for hormones and diabetes. Six hormones are tested for as well as standard blood tests.If you are physically normal and have no problems with desire then your doctor may prescribe the PDE5 inhibitor drugs like Viagra. If your hormones, such as testosterone are found to be low these can be replaced. Medical issues can be addressed and any offending medications removed. If these don't work there are medications like "Muse" which the man can put directly into his penis, this will give him an erection that could last 4 hours. A variety of medications can be put into the urethra or injected directly into the penis, by the patient or the doctor. If these are not satisfactory or unacceptable there are surgical remedies which include inserting rods into the penis some of these are firm in consistency and some have to be inflated. My urology colleagues tell me that for the people that have to get implants the satisfaction rate is 90%. If you have more questions please call for an appointment, I would love to go into more detail.

Originally Published by Dr. Tuakli February 8th 2016