Prostate Cancer, Testosterone and PSA: What's Actually Going On?

With Dr. Abraham Morgentaler and Dr. Marianne Brandon Listen to the podcast on all of your favorite platforms: Apple: https://podcasts.apple.com/ec/podcast/the-sex-doctors/id1761813985?l=en-GB Spotify: https://open.spotify.com/show/0apSFzquJXKoOGnmI6ndgT?si=e5a1e482c7ca46c7 Find us on: Instagram: https://www.instagram.com/thesexdoctors?utm_source=ig_web_button_share_sheet&igsh=ZDNlZDc0MzIxNw== Facebook: https://www.facebook.com/thesexdoctors YouTube: https://www.youtube.com/@thesexdoctorspod TikTok: https://www.tiktok.com/@thesexdoctor LinkedIn (Dr. Abraham): https://www.linkedin.com/in/abraham-morgentaler-md-81628b6 LinkedIn (Dr. Marianne): https://www.linkedin.com/in/mariannebrandon-59224513 X (Dr. Abraham): https://x.com/DrMorgentaler X (Dr. Marianne): https://x.com/drbrandon In this episode, Dr. Brandon & Dr. Morgentaler talk about Gleason 6 prostate cancer, PSA, testosterone therapy, DHT and estrogen, sexual side effects from medications like finasteride, and the lack of solid evidence for ivermectin as a prostate cancer treatment. 00:00 Welcome and Listener Case – A 65-year-old man with Gleason 6 prostate cancer asks about TRT, PSA changes, sexual symptoms, and his current medication regimen. 02:06 Gleason Score Explained – Dr. Morgentaler breaks down how Gleason scores work and why 3+3 equals the lowest current prostate cancer grade. 04:28 Is Gleason 6 Really Cancer – They discuss why Gleason 6 is considered very low risk and why some experts question whether it should still be labeled cancer. 07:11 TRT Safety and Medication Stack – They review testosterone, anastrozole, finasteride, and how hormone balance may affect both prostate monitoring and sexual function. 11:44 DHT Finasteride and Sexual Side Effects – Dr. Morgentaler explains DHT, questions the value of serum DHT testing, and highlights finasteride's possible sexual side effects. 15:24 Ivermectin PSA Myths and Wrap Up – They address the lack of solid evidence for ivermectin and explain why PSA changes on or off testosterone do not automatically reflect cancer growth. #prostatecancer #testosteronetherapy #sexualhealth