early morning

9 am

0900 am

uk

i think they mean testosterone

london

are they just answering the testosterone question

in response to menti lol

menti 9124443

mri scan

mri scan

Please answer the questions by joining Mentimeter.com

is selective estrogen receptor modulator is licensed

not licenced, but off licence is OK

thank you

WHat was the role of Clomiphene in this case?

What proportion of users develop pituitary gonadal suppression?

I read a paper several years ago that researchers had found tamoxifen in some "health supplements".

Do anabolic steroids always cause low testosterone? we have seen cases in clinic that serum testosterone is very high while using anabolics.

how long this anabolic steroid impact on sexual dysfunction

If you give these patients testosterone replacement as temporary treatment. will that affect recovery potential

what dose of clomiphene and how long we can use

is there any time line for the use of androgenic anabolic steroid to cause testicular atrophy

How long would you consider giving clomiphene before switching to hCG?

are there drugs for "anabolic steroid washout "too?

Also how long do you need to give hCG?

is there role of GNRH ANALOG

Long term use of anabolic steroid can cause adrenal insufficiency in other way?

Do SERMs also play a role in the oestrogenic feedback at the pituitary?

are there any urine biochemistry assays to test various anabolic steroids

What was the cause of the reduction in SHBG levels in this patient?

do we use Letrozole instead of clomiphene in males?

With small testicular sizes after long term use, will there be a need to add FSH

We can't hear clearly

voice is very low

Not with normal calculated free and bioavailable testosterone, compensated for high SHBG. Suggest monitor with repeat

No

no

no

no

no

no

no

No

may not

no

No

no

no

is there any assay interference with testo measurement?

calculate free test

How reliable is the free testosterone calculation - I believe there is controversy internationally. How happy are we re the "normal" range?

why the high FSH?

how about using nebido site for calculating free testosterone? what is the advantage of using vermeulen?

d

e

e

d

a

c

Are there factors which would indicate higher chance of success with MESENTERIC?

Are there factors which would indicate higher chance of success with mTESE?

Is there NHS funding for mTESE ?

Wouldn't recombinant FSH be better than hCG and Clomiphene priming, before sperm extraction?

If a patient develops pulmonary embolism while on testosterone replacement with normal hb & haematocrit, would you recommend stopping testosterone?

Is there potential side effects of long term Clomiphene treatment for men with hypo hypo . apart from DVTs

not showing

on mentimeter

a

yes

there is recent paper in lancet this month that testosterone reverts type 2diabetes

https://www.thelancet.com/journals/landia/article/PIIS2213-8587(20)30367-3/fulltext#%20

what r ur thoughts

no

yes

Yes with close monitoring of PSA

consider patient wishes

Does everyone always do DRE pre starting testo. I know this is on guideline but wonder if everyone always really does this in practice

regular venesection

yeah venesection

continue testosterone

a

is there a role of ace inhibitors in polycythemic patients on testosterone to improve vasoconstriction

would you recommend to continue testosterone therapy in a patient with normal PSA and prostate enlargement/LUTS pending ur

Are we concerned about lowering cardiac hepcidin with testosterone replacement, given its role in preventing release of iron from the heart?

would you recommend to continue testosterone therapy in a patient with prostate enlargement or LUTS and normal PSA?

how did you address case 2 symptoms ?

Alison the feeling in our area (NW) when we discussed DRE was that no one does it because it's not seen as senstivie test. someone was going to audit, but I think COVID interupted

Does T replacement cause BPH or make it worse?

How important is bioavailable testosterone or only calculated free testosterone is enough to guide regarding testosterone treatment for borderline total testosterone levels

Does Testosterone repl ensures improvement in subjective symptoms-wat if it does not

what about Prostate USS ?

depends on dexa and fracture risk etc also?

d

you can stop, but still have a risk ONJ

what do you do if patient hasn't seen a dentist for decades, and refuses to see one, but needs bone protection? (I've had a few of these)

b

will the BTMs after recent fracture be liable

reliable

Is there lower absorption of oral alendronate in hard water vs soft water areas? If they have filtered water would this increase absorption

how do we manage osteoporosis in post ONJ recovery

its difficult for the patients not to consider it a failure if they fracture on a treatment. Do you have any advice if patients ask for additional treatment despite not meeting criteria for treatment failure

QR code readers can be downloaded for free

excellent talk

thanks- that is very helpful- its a great speil that I’m going to steal for my patients

thanks, that’s excellent

So Helpful as always!Thank you.

would u suggest routine HIV testing in all patients with osteoporosis

for high risk patients

we need at least one criteria to continue beyond 5 years

Thank you very much

do you need a dexa for all fracture NOF or vertebra, given they will likely be high risk, and then will also be advised to continue at 5 years?

thanks very much

Had inputted my email address slightly incorrectly (.con instead of .com) on survey but it already submitted is it alright if I email my correct address

do you repeat frax on alendronate for 5 yrs

for 'steroids' on FRAX score, would you click 'yes' even if patient is on physiological steroid replacement for adrenal or pit failure?

thank you so much as always

Thank you

Thanks for a great talk

Thanks very much

thank you very practical talk

thank you

Thanks!

Thank you

thank you so much. All talks were so so useful!

Thanks..

Thank you all

Thankyou to all

Thank you, Great sessions!

Thank you all

great session ..thankyou all

Thanks,,it was wonderful teaching session .

thank you everyone!

great session thank you !