Women Want Strong Men

Welcome to the Women Want Strong Men podcast. I’m your host Amy Stuttle. I believe it takes a strong man to appreciate a strong woman and I’m here t…
Feb 16th, 2022 | 32:13

Unmasking the truth about Testosterone and Prostate Cancer

There is no relationship between a man's testosterone level and his risk of developing prostate cancer. Studies have shown that testosterone therapy doesn't increase the risk of prostate cancer or make it more severe in men who have already been diagnosed.

Today’s guest Dr. David Yablonsky and I discuss why the medical establishment has had a false assumption that testosterone replacement therapy increases a man’s risk of prostate cancer. We also deep dive not only in to his clinical experience but also his personal experience with prostate cancer.

Links supporting discussion: 

Testosterone treatment in hypogonadal men: prostate-specific antigen level and risk of prostate cancer

Prevalence of prostate cancer among hypogonadal men with prostate-specific antigen levels of 4.0 ng/mL or less

The ratio of serum testosterone-to-prostate specific antigen predicts prostate cancer in hypogonadal men

Recurrence of prostate cancer in patients receiving testosterone supplementation for hypogonadism

Prostate-specific antigen changes and prostate cancer in hypogonadal men treated with testosterone replacement therapy

Mayo Clinic Fundamental Concepts Regarding Testosterone Deficiency and Treatment

Testosterone, testosterone therapy and prostate cancer

Shifting the paradigm of testosterone and prostate cancer: the saturation model and the limits of androgen-dependent growth

Testosterone therapy in men with prostate cancer: literature review, clinical experience, and recommendations

Urology Times T Therapy Safe

Prediction of Prostate Cancer for Patients Receiving Finasteride: Results From the Prostate Cancer Prevention Trial

PSA Fact Sheet

Key Statistics for Prostate Cancer
Does obesity affect the accuracy of prostate-specific antigen (PSA) for predicting prostate cancer among men undergoing prostate biopsy

How does obesity affect PSA?

Being Overweight Can Affect Prostate Cancer Aggressiveness

Dr. Catalona PSA Archive

Check out Victory Men’s Health and connect on Facebook, Twitter, Youtube, and Instagram.

The information discussed in this podcast is not designed to diagnose, treat, prevent or cure any condition and it is for informational purposes only. 

Podcast: Women Want Strong Men

Episode: Unmasking the truth about Testosterone and Prostate Cancer

 

Amy’s guest today is Dr. David Yablonsky, medical director at Victory Men’s Health, who joins the podcast to unmask the truth about testosterone and prostate cancer.

 

They jumped right in starting with where did this fear about testosterone and prostate cancer come from. Dr. Yablonsky explained that this myth came about in the 1940’s from a 3 person study published by Dr. Huggins. Huggins had written that three men had received T injections. But results were given for only two men. And one of these men had already been castrated. This meant that there were results for only a single man who Dr. Huggins had based his “enhanced growth” conclusion on, using a test that has since been abandoned because it provides such erratic results!

 

Next, Amy and Dr. Yablonsky explain the saturation model that Harvard physician, Dr. Morgentaler has presented on all across the world.  This model shows that a man with a testosterone level greater than 250ng/dl already has their prostate receptors completely saturated therefore giving a man testosterone and having their testosterone levels rise above 250ng/dl does not contribute in any way to the growth of the prostate cancer.  They have even done studies bringing the testosterone levels up to supraphysiologic levels of 3000ng/dl with no change in the prostate.  The cancer is insensitive to changes in the testosterone concentrations at higher levels.

 

Amy and Dr. Yablonsky then move into patient scenarios and Dr. Yablonsky’s own personal journey with prostate cancer and why he made the decision he did to have a radical prostatectomy.  A common and almost certain side effect of a radical prostatectomy is erectile dysfunction so they review treatment options for men that have undergone this same surgery.  They discuss treatment options such as shockwave therapy, trimix, penis pumps and the use of a daily Cialis and other PDE5’s such as Viagra (sildenafil).

 

In conclusion the relationship of testosterone to prostate cancer has undergone a significant reevaluation, and all recent evidence has reinforced the position that testosterone therapy is safe for the prostate.  With so much information to discuss on this topic they set the stage for a Part 2.

Links supporting discussion: 

Testosterone treatment in hypogonadal men: prostate-specific antigen level and risk of prostate cancer

Prevalence of prostate cancer among hypogonadal men with prostate-specific antigen levels of 4.0 ng/mL or less

The ratio of serum testosterone-to-prostate specific antigen predicts prostate cancer in hypogonadal men

Recurrence of prostate cancer in patients receiving testosterone supplementation for hypogonadism

Prostate-specific antigen changes and prostate cancer in hypogonadal men treated with testosterone replacement therapy

Mayo Clinic Fundamental Concepts Regarding Testosterone Deficiency and Treatment

Testosterone, testosterone therapy and prostate cancer

Shifting the paradigm of testosterone and prostate cancer: the saturation model and the limits of androgen-dependent growth

Testosterone therapy in men with prostate cancer: literature review, clinical experience, and recommendations

Urology Times T Therapy Safe

Prediction of Prostate Cancer for Patients Receiving Finasteride: Results From the Prostate Cancer Prevention Trial

PSA Fact Sheet

Key Statistics for Prostate Cancer
Does obesity affect the accuracy of prostate-specific antigen (PSA) for predicting prostate cancer among men undergoing prostate biopsy

How does obesity affect PSA?

Being Overweight Can Affect Prostate Cancer Aggressiveness

Dr. Catalona PSA Archive

Check out Victory Men’s Health and connect on Facebook, Twitter, Youtube, and Instagram.

The information discussed in this podcast is not designed to diagnose, treat, prevent or cure any condition and it is for informational purposes only.