New findings regarding ED (Erectile Dysfunction) in men. We are learning more about what causes ED and how to treat it. One of the principle warnings coming out of the new research is that when men begin to experience ED symptoms, often in their 40’s but more usually in their 50’s, they should regard it not just as a concern about their sexual performance but also as an early warning about their risk for heart attack and stroke

This week we are beginning a new feature that we will revisit from time to time, we are looking at frequently asked questions. What do men want to know when they come to the office for the first time to see if they need to replace their testosterone? What concerns will they have about side effects and expectations?

In the coming weeks, we will also provide a list of frequently asked questions that women have when they first visit our offices.

Dr. Maupin and Brett discuss how to recognize different types of depression, and how medicine addresses these deficiencies.

Anti-depressants called SSRI’s, when they came out, were miracle drugs. They replaced MAOI’s and the Tricyclic antidepressants. These two types of antidepressants had too many side- effects and food related issues, many doctors refused to prescribe these miracle pills because they did not understand them or how they worked.

Then SSRI’s came out and doctors learned about their impact on the serotonin in your brain. The more serotonin you have in the synaptic cleft the less likely you are to be depres

We have many patients who come to us with what they are calling migraine headaches. Often, we find that they are having headaches, but not what we would call migraines. Sometimes we need to understand the difference between types of headaches and causes of those headaches. Listen to our podcast as we discuss what you need to know to understand what is going on in your head and your body.

Blood clots or DVTs can be caused by many things in both men and women. It is a well known fact that estrogen can “cause blood clots”, but is that always true? Since men get blood clots they are not always associated with estrogen (as men have very little), and only a very small percentage of women who take birth control pills or other estrogens get a blood clot so what is the real story?

“The United States Preventive Services Task Force (USPSTF) on May 8,2018 released a report with new recommendations regarding both PSA tests and digital screenings. It said that for men ages 55-69, the decision to undergo periodic PSA based screening for prostate cancer should be individualized.

Pheromones are the chemicals that are secreted from the “sweat” glands of adults. These undetectable odors are the scents that bring men and women, men and men or women and women together romantically. These chemicals are secreted from the areas under the arms, and the vulva and scrotum. Pheromones are also contained in saliva, urine and sweat. We make more of them when we exercise, so those men and women who exercise regularly make more of these odors that attract partners

Several articles have come to the fore in the last few months that focus on the risk of High body fat and Low Muscle Mass in the occurrence of Breast Cancer. Since the threat of estrogen replacement has been put to rest, women have been asking for the real risks of breast cancer.

Women who have gone through menopause and still have a uterus, experience the loss of estrogen. If they then decide to obtain estrogen replacement, they will begin to have bleeding again. For some women, this is enough of a reason not to seek estrogen replacement. They say that the best thing about menopause is not bleeding every month.