Recently Answered Questions
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My son's testosterone levels are low. Please suggest.
Query: Hello doctor,My son is 24 years old and has an extremely low testosterone level, experiencing a lack of energy. The doctor referred him to an endocrinologist, who mentioned everything from a pituitary tumor to diabetes. He also had surgery for Wolff-Parkinson-White ten years ago. I realize most tumo... Read Full »
Answer: Hello,Welcome to icliniq.com.I understand your concern. It appears that your son has a pituitary tumor, which I am sure was observed on the pituitary MRI (magnetic resonance imaging) scan. It depends on the type of pituitary tumor; if it is a microprolactinoma, then it can be treated once the prolac... Read Full »
Is TRT the right treatment for low libido and poor quality erections?
Query: Hello doctor, I am 47 today. I went to my primary doctor three years ago with low libido and poor quality erections. Blood work came back as total testosterone 381 and A1c 6.9 %. Started exercising and lost weight and inches, 198 lbs to 178, 38-inch waist to 32. Symptoms still persisted. The doctor ... Read Full »
Answer: Hello, Welcome to icliniq.com. I have a couple of questions for you. Any history of infertility? Any depression? Any sleep apnea? Testosterone resistance is a phenomenon that occurs due to a genetic defect and would have caused problems with puberty and would not appear now in adulthood. Clomid (Cl... Read Full »
Is TRT useful for low testosterone and erectile dysfunction?
Query: Hello doctor, I am a 47-year-old man. I went to my primary doctor with low libido and poor-quality erections eight years ago. Blood work came back with total testosterone 381 ng/dL and A1c 6.9 %. I started exercising and lost weight from 198 lbs to 178 lbs and inches from 38 inches waist to 32 inche... Read Full »
Answer: Hello, Welcome to icliniq.com. I just read your query, and the following are answers to your queries: 1) I think testosterone resistance does present this way, and there is no harm in taking them. In fact, it is the definitive treatment for yourself if you are deficient in it. 2) Yes, you can ge... Read Full »
Query: Hello doctor,Does TRT reduce motile sperm count? Will hCG return to the pre-TRT level? My FSH and LH levels are very low, and my motile sperm count is zero. Previously it was 300 million pre-TRT. I have been taking 10 mg of Testosterone cypionate daily for 12 months. Although my testosterone levels... Read Full »
Answer: Hi,Welcome to icliniq.com.I have read your query, and I can understand your concern.I have read your reports (attachment removed to protect the patient’s identity). TRT (testosterone replacement therapy) taken for a long time may adversely affect sperm parameters. Your FSH (follicle-stimulating ho... Read Full »
I am facing erectile dysfunction issue. Please help.
Query: Hi doctor, I have a problem with erectile dysfunction. It is a problem relating to how I ejaculate. I can only ejaculate from lying face down and humping into my hands or the bed. It is a condition called 'traumatic masturbatory syndrome.' For some reason, I can not ejaculate with an erection. I can... Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hi,Welcome to icliniq.com.This could be a primary or secondary issue (newly developed). If it is primary, then the cause will be unknown, and management will be more difficult, but if it is newly developed, this is the functional issue due to compression of lumbar vertebral one and two. As that is a... Read Full »
Why is there an increase in PSA while taking testosterone replacement therapy?
Query: Hi doctor, My prostate-specific antigen (PSA) value has got increased by 30 % from 0.8 ng/mL to 1.1 ng/mL. I am in testosterone replacement therapy also. Please advice. Read Full »
Answer: Hi, Welcome to icliniq.com. The absolute PSA (prostate-specific antigen) level is in the range where it is not of much concern. But the rise in PSA is bothersome if it rises more than 0.75 ng/mL per year. For a young patient like you, even this rise in rate needs to be assessed. Testosterone repla... Read Full »
Will counseling help in solving my premature ejaculation problem?
Query: Hello doctor, I am 25 years old. I suffer from premature ejaculation. I have always had it in the sense if I am aroused, I ejaculate within the first 20 to 30 seconds and if I am not aroused, it can take longer, but still less than two minutes. It feels like I am always forcing myself to ejaculate,... Read Full »
Answer: Hi, Welcome to icliniq.com. Let me tell you that the symptoms described by you suggest that you have erectile dysfunction. In this situation, I suggest you Avanafil medication. Moreover, counseling also helpful for premature ejaculation. I recommend you do testosterone therapy (TRT). Avoid alcohol... Read Full »