Andropause Mastery

Evaluation and treatment of testosterone deficiency Part 1

9 Topics | 9 Quizzes

Hypogonadism: The Basics

Quiz 1: Hypogonadism: The Basics

PADAM – Partial Androgen deficiency in the Adult Male: Dx & Causes

Quiz 2: PADAM – Partial Androgen Deficiency in the Adult Male: Dx & Causes

Prescription medications that affect the endocrine system

Quiz 3: Prescription medications that affect the endocrine system

Evaluations: Initial Medical History for Men

Quiz 4: Evaluations: Initial Medical History for Men

Evaluations: Lab Testing

Quiz 5: Evaluations: Lab Testing

Treatments: Clomiphene, hCG, and ways to lower elevated prolactin

Quiz 6: Treatments: Clomiphene, hCG, and ways to lower elevated prolactin

Attention to Estrogen Levels in Males

Quiz 7: Attention to Estrogen Levels in Males

Paying Attention to SHBG

Quiz 8: Paying Attention to SHBG

Testosterone Replenishment Options

Quiz 9: Testosterone Replenishment Options

Evaluation and treatment of testosterone deficiency Part 2

3 Topics | 3 Quizzes

Case Histories Part 1: Clomiphene & hCG Stim testing, and prolactinoma

Quiz 10: Case Histories Part 1: Clomiphene & hCG Stim Testing, and Prolactinoma

Case Histories Part 2: Elevated SHBG, Aromatase Inhibitors, and Hormone Rx for the obese

Quiz 11: Case Histories Part 2: Elevated SHBG, Aromatase Inhibitors, and Hormone Rx for the obese

Sexual dysfunction: Libido, ED and Orgasmic Response

Quiz 12: Sexual dysfunction: Libido, ED and Orgasmic Response

Evaluation and treatment of testosterone deficiency Part 3

4 Topics | 4 Quizzes

Testosterone Nomogram, Working High and Low SHBG, and Danazol

Quiz 13: Testosterone Nomogram, Working High and Low SHBG, and Danazol

Human Chorionic Gonadotropin (hCG)

Quiz 14: Human Chorionic Gonadotropin (hCG)

Introduction to Estrogen and Aromatase Inhibitors

Quiz 15: Introduction to Estrogen and Aromatase Inhibitors

More on Aromatase Inhibitors. Boosting HPT Axis: Clomiphene. Prolactin.

Quiz 16: More on Aromatase Inhibitors. Boosting HPT Axis: Clomiphene, Prolactin

PDE-5 Inhibitors

5 Topics | 5 Quizzes

The Major Anti-aging Breakthroughs of the PDE-5 Inhibitors: Overview

Quiz 17: The Major Anti-aging Breakthroughs of the PDE-5 Inhibitors: Overview

PDE-5 Inhibitors: Benefit for Treatment of Diabetes and Cardiovascular Disease

Quiz 18: PDE-5 Inhibitors: Benefit for Treatment of Diabetes and Cardiovascular Disease

PDE-5 Inhibitors: Benefit for Treatment of Cancer

Quiz 19: PDE-5 Inhibitors: Benefit for Treatment of Cancer

PDE-5 Inhibitors: Benefit for Treatment CNS and Alzheimer’s Disease

Quiz 20: PDE-5 Inhibitors: Benefit for Treatment CNS and Alzheimer’s Disease

PDE-5 Inhibitors: Additional Observations & Summary of Benefits

Quiz 21: PDE-5 Inhibitors: Additional Observations & Summary of Benefits

Monday Morning Medicine: Part 1

4 Topics | 4 Quizzes

Monday Morning Medicine: Overview of testing and treating men: Basic Workup

Quiz 22: Monday Morning Medicine: Overview of testing and treating men: Basic Workup

Monday Morning Medicine: Stimulation testing

Quiz 23: Monday Morning Medicine: Stimulation testing

Monday Morning Medicine: Injectable Testosterone

Quiz 24: Monday Morning Medicine: Injectable Testosterone

Monday Morning Medicine: Topical Testosterone

Quiz 25: Monday Morning Medicine: Topical Testosterone

Monday Morning Medicine: Part 2

1 Topic | 1 Quiz

Monday Morning Medicine: PDE-5 Inhibitors

Quiz 26: Monday Morning Medicine: PDE-5 Inhibitors

Monday Morning Medicine: Part 3

3 Topics | 3 Quizzes

Monday Morning Medicine: Therapeutics Synergistic with PDE-5 Inhibitors

Quiz 27: Monday Morning Medicine: Therapeutics Synergistic with PDE-5 Inhibitors

Monday Morning Medicine: The estrogen issue in men

Quiz 28: Monday Morning Medicine: The estrogen issue in men

Practical applications: Use of Danazol for elevated SHBG

Quiz 29: Practical applications: Use of Danazol for elevated SHBG

2 Topics | 2 Quizzes

Thyroid basics and practical applications

Quiz 30: Thyroid basics and practical applications

Thyroid continued: Selenium, Iodine, and a pearl re T3 low dose to stop hair loss

Quiz 31: Thyroid continued: Selenium, Iodine, and a pearl re T3 low dose to stop hair loss

Cardiovascular and other results of Testosterone Rx

3 Topics | 3 Quizzes

Testosterone and Risk for Cardiovascular Diseases

Quiz 32: Testosterone and Risk for Cardiovascular Diseases

Additional factors related to Hormones and Cardiovascular Diseases

Quiz 33: Additional Factors Related to Hormones and Cardiovascular Diseases

So what are the objective results of treatment with testosterone?

Quiz 34: So what are the objective results of treatment with testosterone?

Quiz 4: Evaluations: Initial Medical History for Men

Andropause Mastery Evaluation and treatment of testosterone deficiency Part 1 Evaluations: Initial Medical History for Men Quiz 4: Evaluations: Initial Medical History for Men

Note: Read each question carefully and choose the best answer among the choices.

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Question 1 of 7

1. Question
In evaluating men, which of the following is NOT correct?
- If “Mental changes” predominate, depression may be a co-factor that requires separate treatment
- If "Sexual problems" predominate, look for drugs or other conditions at the core of the problem
- If “Physical symptoms” alone, consider other causes
- If "Laboratory abnormalities" predominate, address these first
Correct

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Question 2 of 7

2. Question
Which one of the following is NOT a mental/emotional symptom of testosterone deficiency?
- Pervasive sense of fatigue, wake up tired, “brain fag”
- Feeling depressed or negative
- Feeling stressed or “burned out”
- Feeling irritable or angry more often
- Feeling of acceptance of stress and life adversities
- Anxiety or increased nervousness or “panic attacks”
- Forgetful, poor memory
- Inability to concentrate or maintain focus
- Decreased mental sharpness
- Decreased assertiveness
- Loss of motivation or initiative to start new projects or old hobbies
- Becoming a “couch potato”
- Feeling that work, relationships, past pleasures have lost significance
Correct

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Question 3 of 7

3. Question
As it relates to male sexual function, which one of the following is NOT a symptom of testosterone deficiency?
- Decreased early morning erections
- Diminished libido
- Difficulty achieving an erection
- Decreased fullness or turgidity
- Decreased ability to maintain full erection after penetration
- Diminished strength of orgasm
- Decreased volume of ejaculate
- Loss of sensation of the penis
- Increased premature ejaculation
- Good response to Viagra, Levitra or Cialis
- Use of other methods for achieving erections (pump, injections)
Correct

Incorrect
Question 4 of 7

4. Question
What is NOT a physical change associated with testosterone deficiency?
- Feeling sore all over, aches in muscles or joints
- Frequent neck or back pain
- Decreased strength and/or stamina
- Bladder and pelvic discomfort or pain
- Decrease in muscle size, fullness, tone – increased “flabbiness”
- Decreased athletic performance, agility, quickness
- Increased stiffness or decreased flexibility, mobility
- Harder to recover from heavy exercise or workout
- Diminished effects from workouts – strength, tone, muscle mass
- Increased tendency for strains, pulled muscles
- Shortness of breath at lower levels of exertion
- Lack of competive drive in sports
Correct

Incorrect
Question 5 of 7

5. Question
What is NOT a urologic change associated with testosterone deficiency?
- Enlarged prostate (BPH)
- Urinary frequency, reduced flow, dribbling or leakage
- Nighttime urination
- Non-medical treatments – Saw Palmetto or combination
- Medical treatment: Proscar, Propecia, Avodart, Flomax
- Prostatitis
- Increased PSA
- Prostate treatment for BPH
- Shrinkage of prostate gland size
- Prostate cancer
- Varicocele
- Hydrocele
- Hernia
- Infertility issues
Correct

Incorrect
Question 6 of 7

6. Question
What is NOT a physical change and/or symptom associated with testosterone deficiency?
- Heart palpitations with rapid and/or irregular pulse
- Weight gain or loss
- Increasing central weight – “beer belly”
- Increase in breast fat
- Lightheadedness, dizziness, ringing in the ears
- Headaches or recent onset of migraine type headaches
- Leg cramps or swollen ankles
- Sleep problems, sleep apnea, night sweats or “hot flashes”
- Emphysema or asthma
- Chronic inflammatory disease, colitis, rheumatoid arthritis
- Varicose veins, hemorrhoids or varicocele
- Arthritis in shoulders, hands, hips, knees or feet
- Loss of body hair or decreased beard growth rate
Correct

Incorrect
Question 7 of 7

7. Question
What is NOT a metabolic change associated with testosterone deficiency?
- Increased cholesterol, triglycerides or decreased HDL
- Renal compromise as seen in elevated BUN and creatinine
- Higher blood sugar or the onset of adult type 2 diabetes
- High blood pressure
- Shortness of breath with exercise, exertion or climbing stairs
- Racing heart, extra beats, atrial fibrillation
- Development of chest pains, heart problems or blocked arteries
- Past heart attack, bypass surgery or stent
- Past stroke or TIA (mini-stroke)
- Thyroid problems
- Adrenal gland problems
Correct

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