EP 597: Scared To Try Testosterone? Why You Can't Go Wrong With The Right T Treatment!

In this episode, Dr. Mistry and Donna Lee answer listener questions about ED and testosterone therapy. If you're struggling in the bedroom, it's important to know if you have ED, low libido, or a combination of both. No matter the answer, Dr. Mistry argues that testosterone can be an important tool in helping you regain sexual function and desire. Tune in to learn why there's not such thing as a "normal" testosterone level, what happens to your sperm count when you take supplements, and why NAU Urology Specialists is the best, most affordable testosterone clinic in town. 

Voted top Men's Health Podcast, Sex Therapy Podcast, and Prostate Cancer Podcast by FeedSpot

Dr. Mistry is a board-certified urologist and has been treating patients in the Austin and Greater Williamson County area since he started his private practice in 2007.

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Transcript

Speaker 1 0:07

Welcome to the armor men's health show with Dr. Mystery and Donna Lee .

Speaker 2 0:12

Welcome to the armor men's health hour . This is Dr . Mystery, your host board certified urologist men's health expert here with my co-host Donna Lee .

Speaker 3 0:19

That's right . Mitch armor . Men's health hour, but now it's the armor men's health show

Speaker 2 0:23

Show

Speaker 3 0:24

Because why we're a podcast

Speaker 2 0:25

Because we're a show now. That's right. So, anyway, thank you for joining us. Um , this is a show that we love to give you guys every week. We talk about a number of men's health topics, a lot of these topics cross over to women's issues as well. And I will tell you that a lot of the patients that come tell me mm-hmm <affirmative> that come see us tell me that their wife lives in the show.

Speaker 3 0:42

<laugh> yeah, I

Speaker 2 0:43

Bet. And she , and they're the one that sent the guy.

Speaker 3 0:45

Yeah . Smart.

Speaker 2 0:46

And I think it's funny because,

Speaker 3 0:47

So we should do the show for the wives

Speaker 2 0:48

Because men are so frequently not wanting to seek care for certain things and especially some real sensitive things . Funny looking penis, there's

Speaker 3 0:55

Something up , put

Speaker 2 0:56

Away the walls don't go, right? Something you put in your penis for years, low testosterone. Mm-hmm <affirmative> low libido because especially low libido, like, you know, a man never wants to admit his desire to have sex with his wife is lower than it used to be. Because the natural assumption

Speaker 3 1:11

Is because his wife put on a few pounds

Speaker 2 1:12

Or something, right? Like, like,

Speaker 3 1:14

Like me,

Speaker 2 1:15

Like , like sometimes that's why your libido's low because Michael too many pounds

Speaker 3 1:20

Low. Exactly . Because Michael's too fast . I gained weight. Therefore , my libido as

Speaker 2 1:23

Well. And that, that is true. Self-esteem men that get bigger or fatter or balder or whatever, they don't feel as sexy. Libido is such a ingrained topic in us as men. It's actually caveman level stuff. Okay . So once your libidos down, that means that like you're , you know, honey and gathering days are over. And that's why love that. We luckily love that have so many therapies that we can do for libido. But my point is that it's an embarrassing talk to talk about. Men are often amazed how freely and openly they can talk about that stuff with us. We've had men cry openly. Oh . Because of like, you know , for once they can like talk about things like their buried penis or their lack of sex drive or their premature or something that they,

Speaker 3 1:59

Or the menstruation menstruation cycle.

Speaker 2 2:01

That is not what they're talking about.

Speaker 3 2:03

They

Speaker 2 2:03

Have that it is a different world today. <laugh> it is a different

Speaker 3 2:06

Today . They're have babies, you know,

Speaker 2 2:07

Men are having babies in

Speaker 3 2:08

That's race . That's right . Saw that on TikTok , get off

Speaker 2 2:09

Your TikTok . And by the way, you should join us on TikTok . That's right.

Speaker 3 2:13

Have a

Speaker 2 2:13

TikTok . We have five videos on TikTok .

Speaker 3 2:15

Well, we have armor men's health TikTok , and then we have Dr . Mystery who thinks he's the TikTok on TikTok , but he's actually the mystery doc on TikTok because there's already a Dick dog on TikTok .

Speaker 2 2:25

I don't know . He doesn't look that young. So maybe we'll be able to get that

Speaker 3 2:27

Name later. You're definitely funnier. So

Speaker 2 2:29

Check it out. Very good. Very good. So

Speaker 3 2:31

Speaking of libido though, I think a myth, a common myth is that if you have testosterone levels levels that are super high, your libido just instantly raises is just higher and more prevalent. Is that true? I think that's

Speaker 2 2:42

A great question and a great point, but that , that the answer's no libido is driven by many different things, not just your testosterone level , that plays a role. Your overall health can play a role, your ability to get an erection. I talk about this all the time. I don't play golf because I I'm terrible. I'm terrible at golf mm-hmm <affirmative> so my desire to play golf is zero. So if I had severe erectile dysfunction, you just wouldn't wanna , my desire to play golf would be

Speaker 3 3:01

Very , you still wouldn't wanna play golf

Speaker 2 3:02

<laugh> I still wouldn't play golf. You know what I'm saying ? Because , because , because why I get why I get out there and, and , and , and miss it, you know, right. When somebody has both low libido and severe ed, we try to fix the ed first. Mm-hmm <affirmative> because unless they get some confidence, they're not gonna get any, you know , they're giving the libido back. A , some people think that that kind of psychological ed is only for young people. Mm-hmm <affirmative> , but that's not true. Even if you've been in a relationship with your wife for 40 years, you're not able to get an erection somewhere in her mind. She's like, Hmm . Maybe he's not attracted to me anymore.

Speaker 3 3:29

Or she's like, thank God.

Speaker 2 3:31

That is not what they do . I'm exhausted. Only even married for three years. Like you

Speaker 3 3:34

He's grand babies. You're exhausted.

Speaker 2 3:36

<laugh> we love your questions. Donna, you got a question

Speaker 3 3:39

For us. I do. I have a good testosterone question. Uh , this one came in very recently, Dr . Mystery. About a year ago, I had blood work for testosterone levels. The results came back and I had levels in the low to normal in the low 300 S I was told by the doctor. I don't need any additional testosterone. Also when I was younger, I wanted to increase my penis size. So I did vacuum pumping. Part of the program was wearing a tight band. We've talked about that quite a bit. I wound up falling asleep and woke to a blue, dark blue color. I imagine of his penis, right? Not the semen <laugh> I was like, he had a dark blue sea

Speaker 2 4:10

Or the rubber band.

Speaker 3 4:11

All right . Oh , there that too. I lost a little feeling. And now sometimes I have no issues getting an , he said election, but he bit erection. While other times

Speaker 2 4:18

Maybe he's running for office

Speaker 3 4:20

<laugh> politician,

Speaker 2 4:21

Ted Cruz . Thank you for your

Speaker 3 4:22

Lever . <laugh> well , other times nothing works. Not even Viagra. I tried watching porn and that helped to get me erect. I wanna know. Is there something I can do to increase my testosterone and help with erectile dysfunction? Which sounds like those are two different things.

Speaker 2 4:34

It's a great question. So the first thing I want to talk about is testosterone level. And what does that mean without going too much into why they developed a normal range? Just take it from me. The range is so wide that it's really meant to like give people an idea of what a normal range is, but right . Whether you

Speaker 3 4:50

Normal

Speaker 2 4:50

For you, for you yeah . Is different. And so we're very much, very big fans in our clinic taking somebody almost at any level of testosterone mm-hmm <affirmative> and trying supplementation. Because even people that were in the, what we would consider mid or high range, mm-hmm <affirmative> sometimes they need to live higher. And so you might say, well, well , Dr . Mystery, you're being that that's not great. That's not great medicine. You shouldn't be like pushing people above the , the quote unquote high highest level. The only reason that I would be worried is if it's causing you side effects, mm-hmm <affirmative> are you having blood pressure issues are you're having higher blood counts is you estrogen level, not going great. Mm-hmm <affirmative> are you having a side effect from testosterone supplementation? And we check it so thoroughly mm-hmm <affirmative> . I assure you that in our clinic, you will never be better medically managed for your testosterone than you will with our clinic. Right? Because we are , we are, we are hypersensitive about keeping you outta trouble and

Speaker 3 5:36

You're board certified urologists.

Speaker 2 5:37

But more than that, that , because I've met so many board certified urologists that are boring when it comes to their treatment of testosterone, because it's not exciting. It's not exciting. They don't

Speaker 3 5:45

Like it.

Speaker 2 5:45

Testosterone management takes, you know, 0.1% of our surgical brain <laugh> so, but just because it takes up so little effort to do it properly, mm-hmm <affirmative> sometimes people ignore it and don't do it well at all. Right. But we do it so well. We have 6,000 patients right now in our clinic that are onto active testosterone therapy. Mm-hmm <affirmative> a lot of 'em come in with low normal levels. But if you have low libido brain fog, you have ed, you have, you know, abnormal weight gain . You have all the things that we would put in the context of a low testosterone level. Let's try it 12 weeks. That's all we do it for. And it's cheap. Oh my God . I could charge more. I wish I could charge more, but I can't because I'm morally, I just don't wanna do that.

Speaker 3 6:24

One of our compounding pharmacists, it's almost $65 for three months for,

Speaker 2 6:28

For , almost for almost a hundred dollars. Mm-hmm <affirmative> you can try testosterone for three weeks, for three months. Mm-hmm <affirmative> and if you don't get better, we stop it change . And we guess what, move on and try something different. Right? Then if you need brain fog stuff, we work on brain fog stuff. We want energy stuff. We work on energy stuff, we separate it. But if, if we think testosterone is the primary central focal prism of, of issues, then, then we can, we , you know, we, we would like to, to try that first mm-hmm <affirmative> um, and then if you do have side effects, we can manage so many of them with other things that we do. The second thing is , um, what do we do about ed? And what do we do about somebody who may have had a previous penile trauma? So , uh, a delayed or prolonged use of a , uh, a VA , a constriction ring, whether it be for recreational purposes, like people use rings or wedding rings in some cases <laugh> , uh, and , uh, things of that nature. It's a whole podcast. You will certainly reduce the blood supply to the skin mm-hmm <affirmative> , which can reduce the nerves that live in the skin. You could have killed off nerves in the skin. Oh . And so this patient certainly could have killed it. And so there are times in which his brain is fully horny and he can get an erection mm-hmm <affirmative>. And there are times in which he's not fully horny and he needs more stimulation , which is why the porn, the porn words . And that's why it'll go off and on whether use the Viagra or not. So, although, you know, our time on the show is always too short to go through everything. Right? Number one, if you're using Viagra or Cialis and it's not working, make sure you're taking it right. Number one, Viagra has been on an empty stomach an hour before intercourse, Cialis , 20 milligrams, four hours before intercourse or five milligrams every day . And if you're not taking it that way, if you're eating before you take the Viagra , it's not working then guess what? That steak just took your Viagra

Speaker 3 8:21

<laugh>.

Speaker 2 8:23

Okay . And so , um,

Speaker 3 8:25

So that was an expensive date where you

Speaker 2 8:26

Didn't get , that was expensive date and you got nothing. You got nothing. So, so make sure you take it right. Viagra really in my practice is more of a morning pill. Mm-hmm <affirmative> so those of you men, lucky enough to have a wife that'll have sex with you in the morning, which is the best time to have sex. You just kind of like take that Viagra.

Speaker 3 8:40

There's that <laugh>, that's where we differ. I morning Michael's night and we don't meet that's part of our libi

Speaker 2 8:46

Problem. Michael, do it in the morning, dummy. <laugh> this the best time you could take a shower right after, right? Like it , it just moves into your day. Right.

Speaker 3 8:54

<laugh> okay.

Speaker 2 8:55

Anyway. And so, so the point is, is that you , um, uh, if the virus is working sometimes and not working other times, make sure you're timing it. Right? Mm-hmm <affirmative>. And then , uh, finally we have something in our office called the P shot or PPA shot , or the P P shot is a shot where we take your, like the , the , what we call, we take , uh, a PLA platelet, rich component of your blood mm-hmm <affirmative> and we spin it down and inject it right into your penis to try to improve sensitivity right there in the office. And I can't think of a person more suited for PRP shots than a man who has potential nerve damage from a constriction rate . Mm . So he is perfect for that. And I think that that would go a long way to help him. Mm-hmm <affirmative> also, if he's trying to have intercourse and having trouble keeping erection, they make these awesome rings that are not too tight. Mm-hmm <affirmative> but have a little vibrator on him . Oh, so the it's very vibrator. Now that the , the manufacturer thinks the vibrators for the woman. Oh , jokes on them. <laugh>

Speaker 3 9:50

It's for the

Speaker 2 9:51

Guy it's for the guy with lowered penile sensation. Well,

Speaker 3 9:53

I've never heard of that.

Speaker 2 9:55

Donna. Let's follow up on our second part of this testosterone little , uh, little discussion.

Speaker 3 9:59

Go ahead. All right . We have another question. Dr . Mystery. I have low testosterone at 200 and I'm 51, my younger wife and I are trying to have a baby, but my libido is sufficiently low as to curb my appetite for sex. And even if I pretend I want it, she can tell I'm not turned on and is put off uhoh . Most of all, the TRT destroyed my sperm. So that is not an option. We've been trying NA Testo and it's effective to increase my testosterone 400 to 500. Um , but it doesn't really seem to improve my libido. I'm not as depressed while I take it, but I wouldn't say that it gives me any drive either. I'm not sure what to do. If I take TRT, I can can't make a baby unless we free stuff. And if I don't take it, nobody feels like making a

Speaker 2 10:39

Baby. Well, sir, <laugh> number one. This is the worst advertisement for marrying younger wife that I've ever heard , because the whole point was marrying. The younger wife was that we're gonna be having sex like bunnies all the time. God darn it .

Speaker 3 10:52

That's a life struggle. You guys have, right. You married the 20 year old. Then you gotta have sex all the time. And you're 50. And you're like, dang , I'm tired, man .

Speaker 2 10:59

So is this a relative libido issue or is this a actual libido issue? That's one thing that you have to figure out, because if you are really, you know, with a 20 year old who has a very strong libido, and you're trying to keep up, that may be a little different. Now, libido and erections are different. So sometimes you just don't want to have sex with her because you don't wanna have sex with her. And sometimes you can't get an erection because you're 50 years old and those are different issues. So one of the things that we can do is give you great erections, okay ? With medications or shock wave therapy or testosterone replacement or whatever, all the things that have, have helped you addressing your erectile dysfunction is a different issue. But if you are truly someone who's mature and knows what you're talking about and are like, listen, my libido is low mm-hmm <affirmative> . Then we might want to think about alternatives to testosterone, that help with libido. And there are several off-label drugs that we use that are approved for women's libido. One of them is called Addie the other one, and that's , uh, a medicine called Florin mm-hmm <affirmative> . Then we also have a drug called VII . Both of those and VII , I think for you would be a spectacular drug because number one, your wife wants to make sure you're turned on and this drug will make sure you're turned on

Speaker 3 12:06

Because of blood flow. It causes more blood

Speaker 2 12:08

Flow. Remember the VII , it works on your brain neurochemistry. Oh , really? Vastly enhance . You would know because you won't take the injections.

Speaker 3 12:16

No, I'm scared.

Speaker 2 12:17

We keep giving you the injections.

Speaker 3 12:18

I got it for free. No scared. <laugh>

Speaker 2 12:21

You got it for free.

Speaker 3 12:22

I'm like a hundred bucks. And I go ,

Speaker 2 12:23

Somebody should accidentally knock into you and give you that injection every day at six o'clock and Michael come out with smiles. You know how many courses he's gonna buy zero, because he's gonna be too tired to look at the internet or

Speaker 3 12:33

Watches

Speaker 2 12:34

Or watches. Oh boy . And so vital . He might be a great drug for this particular person, which is a different issue than his testosterone replacement. What I'm hearing from him is this <laugh> when he was on testosterone, he's tired. He was knocking out of the park and his wife wanted to have a baby and testosterone. When you take it externally testosterone mm-hmm <affirmative> it makes your Lido drop. Huh ? I'm sorry. It makes your test . It makes your sperm count. Drop. It makes your sperm Vido go up and your sperm count drop.

Speaker 3 12:58

Gotcha .

Speaker 2 12:59

Okay . So then certainly somebody tried ch Clomophine on him unless he sees Dr . Somebody who loves

Speaker 3 13:04

Testo don't oh ,

Speaker 2 13:06

Okay . NA Testo does not affect your sperm count as much. And that doctor's very good. So if you see, so

Speaker 3 13:10

The nasal one. Yeah. The nasal testosterone, NA

Speaker 2 13:13

Gotta use it two or three times a week. But when the commercials where they use it, it always looks like the guy , like a cocaine act . They like stick it in there . Like they're rubbing their nose the whole time.

Speaker 3 13:23

And the white powder is not the Testo.

Speaker 2 13:25

No, no <laugh> but , but , but if you're using cocaine in the office, you can just say, oh, my nose is running because of mine in the Testo

Speaker 3 13:31

Or you have , yeah. You have raging sex or doing ,

Speaker 2 13:34

We are not going to get sponsored by Nao

Speaker 3 13:36

<laugh> or cocaine

Speaker 2 13:38

CLO , which is an oral medication that won't affect your testosterone, your , your , your , your sperm. Count. What I tell guys like, this are this, you already hit the jackpot. You're married to a 20 year old

Speaker 3 13:46

Stop. We don't even know how old she is. He just said

Speaker 2 13:49

Younger one , just pay for the in vitro fertilization and just store some sperm. Get back on the testosterone and start hitting it outta the park. Okay . Like that's an 18 grand. You think Texas fertility center, our preferred IVF clinic. Mm-hmm <affirmative> , I'm telling you <laugh> and I , and I will say that your life will be better. Now, if you don't wanna do that than this, let's stick you on Chlo morphine for three months, three months, mm-hmm <affirmative> get your sperm, count up . Let's get our pregnant. And then let's get you back on the regular stuff, because the problem is she's gonna want multiple children because then you're gonna be stuck in the same boat where your libido's low , because you're not on testosterone.

Speaker 3 14:23

Right.

Speaker 2 14:24

But she wants it to be real.

Speaker 3 14:28

This is reminding me of that big Lu commercial

Speaker 2 14:30

It's it's a cycle. You know what I'm saying? Like , like, like at some point I think that people don't realize that you do have a medical condition that needs to be treated with medication <laugh> . So <laugh> why is your blood pressure always high around me? Don't you like me? <laugh> you know, like you would never say that, right? Like , like a wife, wouldn't say that I would , your cholesterol's high again. Is that because you don't love me? No ,

Speaker 3 14:49

It's me

Speaker 2 14:50

At home. You know? Know, but

Speaker 3 14:51

That's how I talk to Michael

Speaker 2 14:52

<laugh> but

Speaker 3 14:53

It is triglycerides spiked because you're angry with me. I know

Speaker 2 14:56

It, but he's trying to kill him. So <laugh> ,

Speaker 3 14:58

He's

Speaker 2 14:58

Got , he's trying to give himself another article.

Speaker 3 14:59

He got a new heart.

Speaker 2 15:00

He got a new heart. So my point is like low libido in this particular case is a medical issue. That gets requires medication. Yeah. It's not you all the time.

Speaker 3 15:10

Okay.

Speaker 2 15:11

It's not always you, you know what I'm saying? Right. Sometimes you just need the meds

Speaker 3 15:15

Maybe.

Speaker 2 15:15

So, I mean, he married his queen, his trophy wife. Perfect. Like let's enjoy himself. He's probably never gonna listen to the show again. I's true . I'm insulting all . And then his wife's probably gonna , or he is laughing really , really upset. <laugh>

Speaker 3 15:25

Yeah. Well, she just cut him off and listening to the show, but he loves the show.

Speaker 2 15:28

<laugh> but I'm just saying like , you know, like, if , if , if you're, if , if you're , if you're going for a second round, then sometimes you gotta pay a little bit more. <laugh> that's all I'm gonna say. <laugh> and IVF might be that second round. I see it all the time. Yeah . This guy's coming in. They're jacked. They look great. They're 55 years old. They've got wonderful heads of hair coming in their Porsche, coming in with a young wife. Yeah. Dog . I can't get you up. I can't <laugh> my wife wants to have a baby <laugh> excuse me . And I need my say of my testosterone . I'm like, yeah, it's gonna cost you $15,000 and it's gonna be worth it. <laugh> so

Speaker 3 16:05

Shut

Speaker 2 16:06

Up, shut up. Give three months. Let's get some sperm in your jacket. Let's store it. Let's get IVF. And let's get back on your testosterone. Oh boy. I mean, it sounds harsh and it's not , I'm not trying to like under undersell . It mm-hmm <affirmative> but this is a , this is , this is like, like a , like a manufactured situation. Right? You wanna feel great <laugh> you wanna feel great in your fifties, testosterone.

Speaker 3 16:27

You see this a lot.

Speaker 2 16:28

Testosterone's the way to do it. Yeah . And now you feel so great that you went out to the bar again. <laugh> that's right. You found another wife. Mm-hmm <affirmative> now you're stuck. That's right. So enjoy it. Enjoy your time. This is first world problems. <laugh>

Speaker 3 16:41

Exactly. I have a quick story. So we're talking about strippers and I used to hang out with this guy named Brooks and he was just the best guy, but he always hung out with strippers

Speaker 2 16:47

Brooks, custom homes.

Speaker 3 16:49

Oh, exactly. That guy. No, but different Brooks. But the , then this, our mutual friend sat down next to me. And he was like, assuming I was a stripper because I was hanging out with Brooks. And so he was

Speaker 2 16:57

Even how small your breasts were back then?

Speaker 3 16:59

Yes . Before the big boobs. So he didn't know I was a standup comedian. So the guy sits next to me and he's like, so is Donna Lee your stage name? And I was like, yeah, it is my stage name. <laugh> . And he's like, well, aren't you a little older than the other girls to be in this. And I was like, well, you know, sometimes you have a dream, right? <laugh> your mystery's choking on air. So long story short, he was like, well, how do you tell your family that you're doing this? He's still thinking I'm a stripper. And I'm still thinking, he knows on standup comedian. I said, well , you see me on TV? I said, my, I invited my family to come see me. And they sat right at the phone of the stage and they laugh hysterically. It was fabulous.

Speaker 2 17:36

They're my biggest fans. That's

Speaker 3 17:38

Right. I even practice in front of my kid. Anyway, you can reach out to us at armor men's health.com. That's our website armor men's health.com.

Speaker 2 17:46

The armor men's health hour

Speaker 1 17:47

Is brought to you by urology specialist for questions, or to schedule an appointment, please call 5 1 2 2 3 8 0 7 6 2 or online at armor men's health.com .