Monday, November 23, 2015

A Hypogonadism Consult

I had an interesting consult the other  day. Again, one of the many, hordes in fact, of men coming in for a testosterone prescription. And I admit I'm jaded and I've begun the stereotype. This was the classical young man, meathead type with biceps bigger than a treetrunk. He could have been a body double for the incredible hulk. Proud that he bench presses 200 lbs.
And yet, feels that he needs to be on testosterone. Admits he 'juices' up frequently too (a word I learnt not too long ago) with crazy shit he was getting from his gym- androgens, to which they often add aromatase inhibitors to prevent gynecomastia, and HCG to prevent the resultant testicular shrinkage. What a crazy world.
Anyway, like many before him, this chap refuses to accept that his blood test showed his testosterone to be normal. And so he was here for  some 'medical testosterone'.
"I'm young. I should be on the higher range of normal!".
They all say that. Never mind that the total T was in the 600s already.
And he was most convinced of this for two reasons. That he has peaked with his weightlifting. And that he has 'erectile dysfunction'.
As an endocrinologist, I do go into a bit of detail when taking a history of ED. So I asked him what that meant to him. He was very concerned because a few years ago he could have sex about 5 times. And now it's only about twice.
A. SINGLE. DAY.

Talk about feeling inferior. This chap's definition of normal was having sexual intercourse 5 times a day. And he is concerned that he is now only interested or able to do it 2 times a day.

I wasn't sure if I should laugh, cry, hit my head on the wall, or go on my knees and kowtow to him. 5 times a day??? Teach this padawan, O Master.

I was professional and held my composure. And did all I could to explain to him the normal endocrine physiology of the reproductive system, the risks of unnecessary testosterone use and the medical guidelines. I'm pretty sure he left unconvinced.

In the meantime, I feel like I need to go to the gym more.

4 Comments:

Blogger mmjiaxin said...

air max 90
prada outlet
chanel outlet store
louis vuitton handbags
kobe shoes
rolex watches
hollister uk
fitflops outlet sale
north face outlet
nhl jerseys
moncler outlet
canada goose outelt
coach outlet store
ghd uk
mulberry outlet store
air jordan shoes for sale
toms outlet
longchamp handbags
michael kors outlet
hermes outlet store
mm1127

8:12 PM  
Blogger 艾丰 said...

jianbin1214
fitflops shoes
fitflops sale
fitflops sale clearance
fitflops sale
fitflops shoes
michael kors outlet
michael kors outlet
michael kors outlet
tiffany and co
tiffany jewellery
beats by dr dre
beats by dre
oakley sunglasses
oakley sunglasses
ray-ban sunglasses
ray ban sunglasses
hollister uk
lululemon outlet
ugg outlet
ugg boots
ugg boots
rolex watches
mulberry handbags
mulberry bags
mulberry outlet
mulberry sale
mulberry handbags
mulberry handbags
louis vuitton handbags
louis vuitton handbags
toms shoes
omega watches
ferragamo shoes

8:44 PM  
Blogger Shop 99 said...

Very glad to read your blog.Thank you for sharing this article.It is great! I will keep your article in my idea. Very happy reading.

Equinox Oxygen Concentrator

4:54 AM  
Blogger Hoai Nguyen said...

Thị trường sôi động với dự án Chung cư vinata tower, nằm trên mặt đường Khuất duy tiến, dự án chung cư vinata towers, chung cư vinata tower 289 khuất duy tiến,
Chung cư the artemis số 3 lê trọng tấn,
Chung cư udic riverside,
Dự án the manor central park khởi công, sắp ra hàng liền kề the manor central park, biệt thự the manor central park. Dự án the manor nguyễn xiển sẽ ra hàng trong năm 2016 này, the manor central park nguyễn xiển hứa hẹn là một siêu dự án cao cấp.
chung cư vinata towers Nếu bạn cần thông tin về dự án chung cư Modern Interior 41 Lê văn lương
chung cư 201 Minh khai Vietracimex
chung cư thanh xuân tower Hiện tại, chúng tôi đang phân phối chung cư tháp doanh nhân, tháp doanh nhân ngay chân cầu Trắng Hà Đông tháp doanh nhân hà đông ra hàng 400 căn hộ chung cư the legend toạ lạc mặt đường Nguyễn Tuân - Nguỵ Như kon Tum chung cư the legend 109 nguyễn tuân hoặc dự án chung cư vietracimex mở bán đợt đầu chung cư thanh xuân tower giá cực sốc chung cư eco green city vẫn còn nhiều căn tầng đẹp chung cu eco green city là một lựa chọn tốt chung cư eco green city nguyễn xiển sắp tới đây chung cu eco green city nguyen xien mở bán tiếp toà CT2 eco green city sở hữu vị trí đắc địa eco green city nguyễn xiển mua ngay dự án eco green city

12:48 PM  

Post a Comment

<< Home