Prostate Cancer, Testosterone and PSA: What's Actually Going On?
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Prostate Cancer, Testosterone and PSA: What's Actually Going On?
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ナレーター：
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著者：
With Dr. Abraham Morgentaler and Dr. Marianne Brandon
Listen to the podcast on all of your favorite platforms:
Apple: https://podcasts.apple.com/ec/podcast/the-sex-doctors/id1761813985?l=en-GB
Spotify: https://open.spotify.com/show/0apSFzquJXKoOGnmI6ndgT?si=e5a1e482c7ca46c7
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LinkedIn (Dr. Abraham): https://www.linkedin.com/in/abraham-morgentaler-md-81628b6
LinkedIn (Dr. Marianne): https://www.linkedin.com/in/mariannebrandon-59224513
X (Dr. Abraham): https://x.com/DrMorgentaler
X (Dr. Marianne): https://x.com/drbrandon
In this episode, Dr. Brandon & Dr. Morgentaler talk about Gleason 6 prostate cancer, PSA, testosterone therapy, DHT and estrogen, sexual side effects from medications like finasteride, and the lack of solid evidence for ivermectin as a prostate cancer treatment.
00:00 Welcome and Listener Case – A 65-year-old man with Gleason 6 prostate cancer asks about TRT, PSA changes, sexual symptoms, and his current medication regimen.
02:06 Gleason Score Explained – Dr. Morgentaler breaks down how Gleason scores work and why 3+3 equals the lowest current prostate cancer grade.
04:28 Is Gleason 6 Really Cancer – They discuss why Gleason 6 is considered very low risk and why some experts question whether it should still be labeled cancer.
07:11 TRT Safety and Medication Stack – They review testosterone, anastrozole, finasteride, and how hormone balance may affect both prostate monitoring and sexual function.
11:44 DHT Finasteride and Sexual Side Effects – Dr. Morgentaler explains DHT, questions the value of serum DHT testing, and highlights finasteride's possible sexual side effects.
15:24 Ivermectin PSA Myths and Wrap Up – They address the lack of solid evidence for ivermectin and explain why PSA changes on or off testosterone do not automatically reflect cancer growth.
#prostatecancer #testosteronetherapy #sexualhealth