238. Testosterone: An Education
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Dr. Khera lives in Houston, TX practices at Baylor and has dedicated his clinical and research efforts to three main areas:  Men’s Health, sexual medicine, and hormone replacement therapy.   His basic science and clinic experiences have allowed him to thus far give over 250 lectures at scientific meetings throughout the world, publish over 120 articles in peer-reviewed journals, complete 15 book chapters, and edit and write two books, all in the
field of sexual medicine and Men’s Health.
Why is testosterone so interesting to Dr. Khera?
Testosterone and prostate cancer – what do we know.
Is a lowering Testosterone in men "natural"? and if it isn’t, what causes low testosterone in men?
What do the new weight loss drugs do to testosterone levels and male fertility?
We discuss the different ways you can give testosterone to women: topical, pellets and compounded injectable doses of testosterone for women: 50mg/ml and start at 0.1 mg injected a week. The benefits of testosterone for women besides low libido.
The role of chronic pain and testosterone and pain meds.
The mechanism of how your testosterone goes up when you lose body fat.
The four pillars of health for natural testosterone production – diet, exercise, sleep, stress reduction
Erectile dysfunction is a harbinger for heart attack and heart disease.
“There is not a better barometer of a man’s sexual health than his sexual health” – Dr. Khera
The role of DHEA (a mild androgen made in the adrenals) in men and women.
The link with Peyronies disease and Testosterone. And we discuss penile stretching devices.
We discuss a 2013 Finkelstein article – they gave men testosterone and blocked its conversion to estrogen. So are we undertreating men by not addressing their estrogen?
Dr. Khera was  part of the NEJM study that came out this summer looking at T in men with low T and high risk CV risk. The Traverse
trial. Conclusions: In men with hypogonadism and preexisting or a high risk of cardiovascular disease, testosterone-replacement therapy was non-inferior to placebo with respect to the incidence of major adverse cardiac events. 
Barriers to a testosterone prescription include that it is a regulated medication, a physician needs a DEA license to prescribe it – similar to a narcotic. Dr. Khera lends his opinion to safe prescribing of testosterone but thinks the DEA regulation is here to stay.
He clarifies the number of men who suffer from hypogonadism and the number of men who are undergoing treatment for this
condition?
Testosterone levels are dropping because men are getting less healthy. Dr. Khera talks about measuring a baseline
testosterone level in men as a marker of overall health and focus on lifestyle changes to naturally get this normal.
50% of men don’t talk to their doctor about their
erectile dysfunction, and 44% of those men don’t talk to their partner about
it.
www.instagram.com/drmohitkhera
Dr. Mohit and Dr. Morgentaler’s testosterone course
⁠NEJM article discussed: Gonadal
Steroids and Body Composition, Strength, and Sexual Function⁠
⁠Traverse Trial
https://drmohitkhera.com/
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