Does Clomifene help with ED and urinary urgency?
Hello doctor,
I am a 36-year-old male. I have been having issues with ED, fatigue, irritability, and urinary urgency. I just felt like my nether regions are lacking in nutrition. Penis feels abnormally limp and dead a lot, and have trouble maintaining erections during sex. Also, I am leaking urine after I urinate, and have to do it without warning. I went to a urologist and got my levels tested, testosterone was 360, and free test 13.5. He said might be good to try Clomifene in order to raise T levels, and I was wondering, would one have to be on it for life?
It seems like the side effect profile is not nonexistent, I do not want to go on TRT, and seems dicey to mess with hormones for too long. Can the Clomid permanently switch my T levels to normal? What is the goal? Have a hard time getting an answer from my doctor. Also, is it possible to get T levels to normal functional level through more exercise, etc,.? I could definitely stand to exercise more, though I am not fat. Also, my blood pressure has been high at 146. I eat pretty healthily. Trying to find the best way forward? Cialis has helped ED and erases urinary symptoms, but it gives me a lot of testicle pain, and I figure it is not good to be on that forever either, but instead treat the root causes. I also had minor gynecomastia in right breast since puberty.
25 Apr 2024 - 1 min read
Should the doctor prescribe any treatment for osteopenia?
Hello doctor,
I am concerned about my moderately-high calcium levels. I am in my late thirties, in excellent shape and play competitive sports. I am very careful about maintaining a clean diet. Over the past four years, I have had elevated glucose (a1c 6.3) and elevated serum calcium (fluctuating between 9.6 and 10.3). My latest serum calcium was 9.6, but I had a 294 mg 24-hour urine calcium level. My parathyroid and thyroid levels have always been in the normal range. Last year, I had a DEXA scan that showed clear signs of osteopenia. My doctor has not prescribed any treatment beyond Metformin. Is this sound advice? I am concerned that I am at risk for osteoporosis and kidney stones.
24 Apr 2024 - 1 min read
Medicine to reduce female androgen, besides Spironolactone?
Hello doctor,
I have an excess level of androgen as a female and have been taking the medication called Spironolactone, for the past few years. But with this medication, I only see minimal improvement in lowering my androgen level. Do you have some suggestions for supplements or medications that could either take along with the Spironolactone or instead of the Spironolactone?
23 Apr 2024 - 1 min read
Is Thyroxine effective for under-functioning thyroid?
Hello doctor,
I am a 46-year-old female, and I am pre-menopausal. My present weight is 120 lbs, and my height is 5.1 feet. Eight years ago, I have been diagnosed with under-functioning of my thyroid and since then I have been taking the medication, Thyroup. I started this medication at 25 mcg. But, as the dosage was unable to keep my TSH level within normal limits, doctors increased the dosage. Gradually, the dosage increased from 25 mcg daily to 150 mcg daily. I got my blood tested yesterday and again I found that TSH was still high. I do not know if the dosage is still to be increased or changed or something else has to be done. I feel there are hormonal disturbances at this age. I feel I have pain in my legs and heels. I experience symptoms of indigestion and difficult to control my weight. I have stomach ache very often, more particularly when I eat a banana, whether half-ripe or ripe. I also have stiffness in my shoulders. I request you to advise me in this regard.
23 Apr 2024 - 1 min read
Can hot flashes be caused due to taking Progyluton?
Hi doctor,
I have POF with FSH 101. I am taking Progyluton from three months but I still feel hot flashes and breast pain after starting brown tablets and these become worse in pill-free days. Am I taking right dose of hormones?
23 Apr 2024 - 1 min read
Endocrinology