CATEGORY: Author Archive
Women: Before You Start Testosterone
How do doctors decide when to start testosterone treatment in women? I only diagnose women with testosterone deficiency (TDS) only when they have both symptoms and low blood levels of free (active) testosterone. Prior to the first appointment, I evaluate[...]
Men: Before Initiating Testosterone Replacement
There are some men whose low testosterone symptoms are not severe enough to require replacement but instead need to have their own production of testosterone stimulated. Men in this situation with borderline blood levels like 405 Total Testosterone and 130[...]
Men: Who Needs Testosterone Replacement
The decision to treat a man with testosterone (T) is not a slam dunk decision based on one test like the commercials for low T depict. Men come to me at any age over 40 (usually) with various levels of[...]
Orgasmic Headaches
It is frightening to be in the middle of a wonderful sexual experience, reach the point of orgasm, and then experience a blinding headache at the moment of release. It is rare but it can signal the presence of a[...]
Medical Treatments for Insomnia
Humans spend 1/3 of our lives sleeping. This eight hours of every day has a function and is necessary for healthy mind body and emotions. The work that is done in your sleep includes repair of cells that are damaged,[...]
When You Have Trouble Sleeping
Psychological/Emotional Issues with Sleep Two very common causes of difficulties with sleep are anxiety and stress. If you are facing some impending event that is important to you, your adrenal glands will put you in a state of hypervigilance: flight[...]
Testosterone and Parkinsonās Disease
Recently doctors have established a link between the decrease of testosterone in men and the increased incidence of Parkinsonās disease. Parkinsonās is a slowly progressing disease that causes changes in the brain leading to low dopamine levels. The decrease causes[...]
What You Need To Know About Tremors
TremorsĀ are a symptom of several conditions, and are quite common. We want to talk about them because they are a warning sign that observers notice before the person who experiences them and you can help your friends and family with[...]
Cholesterol as a Predictor of Heart Disease
Similar to the development of the DEW line (radar defense line along arctic circle in north America that was early warning for invasion from Russia) in national defense in the cold war, the use of lab tests to measure cholesterol[...]
One Size Fits All Doesn’t Work in Medicine
In medical school we are taught that there is one dose of a medication that will treat any patient, no matter how tall, how thin or fat, male or female, 18 to 90 years of age. For a profession that[...]