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Endocrinology

Expert answers from Endocrinology physicians on health concerns and treatment options

Questions & Answers

128 articles

Q

What strategies or treatments can help improve low motivation potentially linked to low testosterone?

Making healthy lifestyle choices and, when needed, testosterone replacement therapy are strategies that may help improve low motivation when it is linked to low testosterone.

Q

Which medications are known to cause enlarged breasts in men, and how does testosterone play a role?

Some medications, including anti-androgens, certain cardiovascular and psychiatric drugs, and even rare cases with medications like methylphenidate, can lead to enlarged breasts in men by disrupting the balance between testosterone and estrogen. Lower levels or blocked effects of testosterone can allow estrogen to stimulate breast tissue growth.

Q

Why do hot flashes often occur at night, and how can they be managed?

Hot flashes often happen at night because our body’s temperature control becomes more sensitive during sleep, and they can be managed with lifestyle adjustments and sometimes medications.

Q

Why might testicles shrink with age or due to hormonal treatments like TRT?

Testicles can shrink naturally with age and may also get smaller with hormonal treatments like TRT because the body reduces its own testosterone production.

Q

Why might TRT cause testicles to shrink, and how can this side effect be managed?

When a man uses testosterone replacement therapy (TRT), the extra testosterone sends a signal to the brain that reduces the natural hormone signals, so the testicles shrink because they produce less testosterone. This side effect can be managed by adjusting the therapy or adding treatments like hCG to help keep the testicles active.

Q

At what age does menopause-related brain fog typically begin?

Menopause-related brain fog often begins during perimenopause, typically when women are in their mid-40s to early 50s.

Q

How does menopause contribute to the development of brain fog?

Menopause can lead to brain fog because changes in hormones, especially estrogen, affect brain functions like memory and clear thinking. Other factors like sleep issues and mood swings during menopause may also add to feeling mentally cloudy.

Q

Can a specific disease cause the pain in the soles of the feet?

Diabetes and gout are common diseases that can lead to pain in the soles of the feet.

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