Testosterone Replacement In Prostate Cancer Remission | Mark Scholz MD | Alex Scholz | PCRI

Medical Oncologist Mark Scholz, MD gives a survey of testosterone replacement therapy (TRT) in the context of prostate cancer. Historically, some in the medical community have been hesitant to consider testosterone in patients with a history of prostate cancer out of fear of exacerbating the disease. However, for men in remission or on intermittent hormone therapy, testosterone is expected or assumed to return naturally; thus, there is no reason to assume that medically-supervised administration of TRT in a man whose testosterone does not recover naturally would have any unique prostate cancer risks that are not already assumed when a man discontinues hormone therapy.

0:06 What is testosterone replacement therapy (TRT)?

1:42 Does testosterone cause or grow prostate cancer?

3:48 What are the side effects of TRT?

4:56 Is it possible to build muscle while on hormone therapy for prostate cancer?

7:01 Can you explain the process of using TRT after hormone therapy for prostate cancer in men whose testosterone does not recover naturally?

9:01 How do you monitor whether a man's testosterone is recovering and whether it is safe to do TRT if it is not recovering naturally?

10:51 How much of a buffer is needed between the end of hormone therapy and when you would consider beginning TRT if a man's testosterone does not recover?

11:37 How does dosing work with TRT?

13:19 What is the difference between potency and libido and how is it relevant in this context?

14:37 Should all patients on hormone therapy be checking their testosterone to be sure that the therapy is working?

15:24 How do you monitor patients on TRT after hormone therapy? Are there any notable risks that you monitor for?

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