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Phase III clinical trials have demonstrated the viability of intermittent hormone therapy in many patients with advanced prostate cancer -- this means that patients with undetectable PSAs who, in the past, would have been treated with hormone therapy for the rest of their lives can now consider allowing their testosterone to return, monitoring the PSA until it reaches a certain threshold, and then resuming hormone therapy at least until an undetectable PSA is again achieved. But what if a man's testosterone does not recover naturally? In this video, PCRI's Alex and medical oncologist Mark Scholz, MD, discuss whether it is safe for a man on intermittent hormone therapy to use testosterone replacement if his testosterone does not return to eugonadal levels naturally. Dr. Scholz also explains how the advent of the PSMA PET scan has made intermittent hormone therapy (combined with testosterone replacement therapy if the testosterone does not recover naturally) even more attractive because it offers an opportunity to see whether the lesions are treatable with spot radiation or some other treatment, which could delay or completely negate the need to resume hormone therapy. Finally, they discuss "bipolar androgen therapy," which is a treatment for men with very advanced prostate cancer that has shown anti-cancer benefits in a certain percentage of men; however, its use is limited to some of the most advanced cases. 0:07 In which situations could a man with advanced prostate cancer consider testosterone replacement therapy? 3:26 If someone with advanced prostate cancer ends testosterone deprivation therapy and allows their testosterone to return (or initiates testosterone replacement therapy if it does not recover naturally) how soon do you expect their PSA to rise? Is there a safe or unsafe PSA velocity? 5:20 Can someone with extensive metastatic disease consider temporarily discontinuing testosterone deprivation therapy, or is it only a consideration for men with oligometastatic disease (fewer than five metastatic lesions). 7:51 How does age factor into whether a patient with advanced prostate cancer can temporarily discontinue hormone therapy? 8:32 How often should men on intermittent hormone therapy monitor their PSA and testosterone? 10:02 What are the risks and side effects of testosterone replacement therapy? 10:42 What is bipolar androgen therapy? Who is it for? -- Don’t know your stage? Take the quiz: Visit http://www.prostatecancerstaging.org To learn more about prostate cancer visit http://www.pcri.org Sign up for our newsletter here to receive the latest updates on prostate cancer and the PCRI: https://pcri.org/join Who we are: The Prostate Cancer Research Institute (PCRI) is a 501(c)(3) not-for-profit organization that is dedicated to helping you research your treatment options. We understand that you have many questions, and we can help you find the answers that are specific to your case. All of our resources are designed by a multidisciplinary team of advocates and expert physicians, for patients. We believe that by educating yourself about the disease, you will have more productive interactions with your medical professionals and receive better individualized care. Feel free to explore our website at pcri.org or contact our free helpline with any questions that you have at pcri.org/helpline. Our Federal Tax ID # is 95-4617875 and qualifies for maximum charitable gift deductions by individual donors. The information on the Prostate Cancer Research Institute's YouTube channel is provided with the understanding that the Institute is not engaged in rendering medical advice or recommendation. The information provided in these videos should not replace consultations with qualified health care professionals to meet your individual medical needs. #ProstateCancer #MarkScholzMD #PCRI

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This is Part 2 of a 3 part series examining the use of Penile Vibration Therapy for penile rehabilitation following prostate cancer treatment. In this part of the series, we discuss: • the various options available to men for treating post-prostatectomy erectile dysfunction. • How to use Penile Vibratory Stimulation for the purposes of penile rehabilitation following radical prostatectomy. • The link between Penile Vibratory Stimulation, the brain and nervous system. • The role of the pudendal nerve in erectile recovery.

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Em mais um episódio de 'Dr. Jorge Responde', vamos abordar questões cruciais sobre saúde hormonal e bem-estar. Recebi uma série de perguntas dos meus seguidores, e hoje vamos explorar cada uma delas em detalhes. - Você já se perguntou sobre os efeitos da durateston no seu corpo a longo prazo? Um seguidor compartilhou sua preocupação com a libido e a ereção após o uso do medicamento por um ano. Vamos analisar essa situação e discutir possíveis soluções. -Além disso, discutiremos as chances de uma pessoa não recuperar seus níveis hormonais normais após a terapia pós-ciclo. Essa é uma dúvida comum entre aqueles que buscam equilibrar seus hormônios após o uso de esteroides. -Outro tópico importante que abordaremos é a reposição hormonal durante a gravidez. Será que é seguro iniciar esse tipo de tratamento durante a gestação, ou seria melhor aguardar até depois do parto? -Por fim, vamos falar sobre uma preocupação relacionada ao hematócrito alto ao usar apenas durateston. Examinaremos estratégias para lidar com esse problema sem interromper o uso do medicamento. Prepare-se para uma discussão informativa e esclarecedora sobre saúde hormonal e qualidade de vida. Vamos juntos encontrar as respostas que você precisa para viver melhor e mais saudável. Não perca! AGENDE SUA CONSULTA ONLINE NESTE LINK 👉🏼 https://linktr.ee/Drjorgeyamamoto MEUS CURSOS (EXCLUSIVO PARA MÉDICOS) 👉🏼 https://linktr.ee/Drjorgeyamamoto Minhas redes sociais: Instagram: https://www.instagram.com/drjorgeyamamoto Facebook: https://www.facebook.com/drjorgeyamamoto Email: [email protected] Faça parte do meu grupo exclusivo do TELEGRAM: https://t.me/drjorgeyamamoto Podcasts semanais: https://spoti.fi/2Vrge84 TIKTOK: https://vm.tiktok.com/ZMJBUWWdG/ Todos os dias conteúdos especiais para você, colega médico, que deseja evoluir no tratamento do paciente usuário de EAA, vivendo exclusivamente de atendimentos particulares 🚀 🚨 Note que este NÃO é um post apológico e está TOTALMENTE de acordo com a RESOLUÇÃO CFM No 2.333, DE 30 DE MARÇO DE 2023. Este é um post orientador do quão importante é o conhecimento do médico em relação às reais indicações e contraindicações da prescrição e remanejo dos efeitos adversos do uso de EAA (Dr Jorge Yamamoto - CRMMG 77128) De acordo com Art. 8º da Resolução CFM 1974/11 de Publicidade do Código de Ética Médica, os vídeos têm somente caráter de prestar informações de fins estritamente educativos. ——————— #drjorgeyamamoto #testosterona #durateston ______________________________________________________________________________________________ 00:00 - Introdução e Explicação do Hematócrito Alto - Definição de hematócrito e sua medição em exames de sangue. 01:35 - Fatores que podem causar aumento do hematócrito. 02:27 - Relação do uso de Durateston com o aumento do hematócrito. 02:48 - Sugestões para lidar com o hematócrito alto, incluindo ajuste na hidratação e fracionamento da dose de testosterona. 05:46 - Início da Reposição Hormonal e Gravidez - Indicações para início da reposição hormonal em mulheres. A relação entre a gravidez e o início da reposição hormonal. 07:28 - Explicação sobre a Síndrome da Insuficiência Androgênica e a prescrição de testosterona para mulheres. 08:50 - Chances de não Restauração dos Níveis Hormonais após a TPC - Explicação sobre o eixo HPT e sua supressão durante o uso de testosterona exógena. 10:33 - Detalhes sobre a Terapia Pós-Ciclo (TPC) e os medicamentos utilizados. 12:20 - Discussão sobre a restauração dos níveis hormonais e da fertilidade após a TPC. 13:31 - Impacto do Uso de Durateston na Libido e Ereção - Consequências do uso de Durateston na função sexual masculina. 15:01 - Possíveis causas para a diminuição da libido e ereção após o uso de Durateston. 16:15 - Recomendações para avaliação e tratamento da disfunção sexual após o uso de Durateston. 16:30 - Conclusão e Convite para Acompanhar Conteúdos - Convite para seguir Dr. Jorge nas redes sociais e acessar seus cursos. Disponibilidade de consulta online para tratamento hormonal e metabólico. Encerramento e agradecimento.

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Subscribe and 🔔 to the BBC 👉 https://bit.ly/BBCYouTubeSub Watch the BBC first on iPlayer 👉 https://bbc.in/iPlayer-Home More about this episode: http://www.bbc.co.uk/programmes/b00qcgvr DK gets a job as a nude life model. Chloe and Matt decide to spice up their sex life. Ollie falls in love with the new French teacher, driving Jas mad with envy and into the arms of another man. #bbc All our TV channels and S4C are available to watch live through BBC iPlayer, although some programmes may not be available to stream online due to rights. If you would like to read more on what types of programmes are available to watch live, check the 'Are all programmes that are broadcast available on BBC iPlayer?' FAQ 👉 https://bbc.in/2m8ks6v.