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Frequently Asked Questions

Q: Does Viagra have the same actions as testosterone?

A: It is testosterone that is the normal basis of sexual desire in both men and women. So if it is low, so is the desire for sex. Viagra is not a testosterone replacement therapy and it is prescribed to help maintain erections. It does not treat the whole man. Other symptoms such as reduced mental and physical energy, irritability and sweating may also impact your sex life. And these symptoms may also be caused by a decline in your testosterone level. So talk to your doctor about choosing the strategy that’s right for you to improve your sexual well-being.

Q: I am already taking so many medications for this and that. Should I learn to age gracefully without taking any more medicines?

A: It took many years for women to accept hormone replacement therapy. Estrogens are known to offer postmenopausal women many physical benefits, improve their psychological well-being, and therefore their overall quality of life, going full charge to the end.

Q: I am 72 years old. Am I too old to start testosterone therapy?

A: No patient is too old to start testosterone therapy if it is clearly indicated. As for any medication, testosterone should be taken under a physician’s care, with regular appropriate follow-up evaluations.

Q: Does having to take testosterone mean I’m somehow less ’manly’?

A: Not at all. In fact, even the most "macho" men can develop this condition.

Q: Doesn’t testosterone make men aggressive and hostile?

A: Because of reports of the abuse of anabolic steroids by athletes, testosterone has suffered a negative public image. The perception is that testosterone is responsible for undesirable male traits such as aggression and hypersexuality. And some people have developed a fear that it will "bring out the beast in men". These, of course, are myths. They stem from results of testosterone being used by men with normal testosterone levels who took testosterone at doses which were much higher than supplementation doses that are used in men going through Andropause.

Q: I have been diagnosed with prostate cancer. Can I take testosterone?

A: No. In men who have an existing cancer of the prostate testosterone can promote its growth. This is why testosterone replacement is not recommended for men with prostate cancer.

Q: I have an enlarged prostate. Can I take testosterone?

A: The prostate slowly enlarges as men age. And in some men, testosterone can cause this process to speed up. However, in most studies, no growth was found - even after long-term testosterone replacement. Consequently, some men with enlarged prostates can qualify for testosterone therapy, but others do not. Only a physician can make the decision of whether you qualify. If you do take testosterone replacement your physician will monitor the health of your prostate with regular (PSA) blood tests and physical examinations.


Books Available:

  1. Maximizing Manhood: Beating the Male Menopause by Dr. Malcolm Carruthers, Thorsons Publishing, Feb. 1998
  2. Understanding Men’s Passages: Discovering the New Map of Men’s Lives by Gail Sheehy, Random House, April 1998
  3. The testosterone Solution: Increase your energy and vigour with male hormone therapy. Aubrey Hill, MD, Prima Publishing, 1997
  4. Male Menopause: it’s real and it’s preventable. Chapter 4 (Part 2) from the book Sex for Life, David Saul, MD, Apple Publishing Co Ltd., 1999