Too High Testosterone? Dr. Mistry Answers Listener Question on ED, Dutasteride, and Testosterone Therapy

Thanks for tuning in to the Armor Men’s Health Hour Podcast today, where we bring you the latest and greatest in urology care and the best urology humor out there.

In this segment, Dr. Mistry and Donna Lee answer a listener's question about the impact medication can have on testosterone levels. This 73 year old man was diagnosed with an enlarged prostate with urethral obstruction and placed on Dutasteride and Tamsulosin to shrink the prostate so a Rezum procedure could be performed. Shortly thereafter, he began having symptoms of low testosterone, and lab work confirmed he had a T level of 400 with no free testosterone. His urologist stopped the Dutasteride and began giving him 100 milligrams of Testosterone Cypionate weekly, which greatly improved his symptoms. But after 9 weeks of hormone therapy, his T level had jumped to over 1500 and he was immediately taken off the T injections. He wonders what caused his T level elevation and whether it would be safe to resume T therapy because it was very helpful. Dr. Mistry explains that medications like Dutasteride and Finasteride, often taken for hair growth, can definitely cause symptoms of ED as well as lowered sperm counts. Younger men or men trying to conceive should be aware of the risk of these side effects. In the case of our listener, it is likely that the sudden surge in his T levels may be a simple lab error, since diagnostic machines often fail and have to be recalibrated. Because hormone therapy was so beneficial in mitigating his symptoms, he should definitely find a urologist who is comfortable with prescribing testosterone for men's health and try again. If you or someone you love is experincing symptoms of ED or low testosterone after taking Dutasteride or Finasteride, please call us today and check out our podcast on what we call "post-Finasteride syndrome."

This episode previously aired on 9.11.21. Don’t forget to like, subscribe, and share us with a friend! As always, be well!

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Dr. Mistry is a board-certified urologist and has been treating patients in the Austin and Greater Williamson County area since he started his private practice in 2007.

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