Prostate Cancer and Men Robert G Carlson, MD

Prostate Cancer Myth:
Testosterone therapy causes prostate cancer
Absolutely not, in fact lower testosterone levels are associated with an increased incidence of Prostate cancer.
For over 60 years there has been an overwhelming fear that testosterone therapy for low testosterone levels will cause new cancers or hidden ones to grow. There is very little scientific data to support that philosophy but even in the face of numerous recent studies saying there is NO association, doctors are still telling their patients that testosterone therapy causes prostate cancer. Instead the opposite is true. Low blood levels of testosterone don’t protect against prostate cancer, but in fact lower testosterone levels are associated with increased incidence of prostate cancer.
A Journal of National Cancer Institute article in 2008, pooled 18 separate studies looking at the effect of testosterone therapy and prostate cancer. In over 9000 men studied, there was no relationship between testosterone therapy and Prostate cancer. NONE. The authors pleaded with the medical community to move past the long-believed, but unsupported view that testosterone therapy causes prostate cancer. IT DOES NOT CAUSE PROSTATE CANCER.
To summarize:
1) Low testosterone levels do not protect against prostate cancer, and in fact are associated with a higher incidence of prostate cancer.
2) High testosterone levels in men are not associated with an increased incidence of prostate cancer.
3) Treatment with testosterone therapy does not increase the incidence of prostate cancer, even in the men who are presumably at a higher risk.
4) If a man has metastatic prostate cancer (spread all over) and has been aggressively treated to lower testosterone levels, then careful management with testosterone therapy is recommended.
5) By restoring Testosterone levels to healthy levels, aging men should expect higher energy levels, memory improvement, improvement of depression, reduction of osteoporosis, and improvement in erectile dysfunction.
Robert G Carlson, MD, FACS

Progesterone and Men-Optimizing the Aging Male's Health

Progesterone – It’s Not Just for Girls!
Every day we see a new article dedicated to explaining how important progesterone is for women in the array of hormones that are key to good health and healthy aging. But what about men? Most men and women along with many doctors would be surprised to find that progesterone is very important to a man’s health!

Progesterone and Men- Robert Carlson, MD

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One of the more surprising things I’ve been seeing in my patients’ lab work lately is men with estrogen levels that are off the charts! Estrogen dominance in men is a recipe for disaster. When you have a progesterone deficiency and elevated estrogen levels, you will have difficulty voiding because estrogen causes an increase in the size of your prostate. Men with progesterone deficiency have an enlarged hard fibrous prostate. Estrogen also promotes the development of fibrous tissue within the prostate. The urethra which carries urine from the bladder, passes through this enlarged fibrous tissue and gets narrowed and subsequently blocked by the enlarged prostate. Numerous studies have identified the effects of elevated estrogen levels and an enlarged prostate. Sadly, most of the studies are missing the point! Researchers aren’t measuring progesterone levels. You can easily combat the problem and reduce estradiol levels up to 30% with the addition of 100 mg of progesterone at bedtime. Progesterone will reduce prostatic volume, weight, and the DNA content.