Zoom Logo

Monday 18th January 2021 12.55pm GMT start - Shared screen with speaker view
Asim shafique
10:21
early morning
ali butt
10:37
9 am
Lorna Stimpson
10:41
0900 am
ali butt
10:46
uk
Inamullah Khan
10:50
i think they mean testosterone
Lorna Stimpson
10:50
london
kavita narula
10:59
are they just answering the testosterone question
osada ramlochansingh
11:01
in response to menti lol
Karim Meeran
11:50
menti 9124443
Lorna Stimpson
19:54
mri scan
ali butt
20:09
mri scan
Kevin Baynes
21:08
Please answer the questions by joining Mentimeter.com
Zeenat Banu
24:23
is selective estrogen receptor modulator is licensed
Karim Meeran
24:50
not licenced, but off licence is OK
Zeenat Banu
25:22
thank you
Vinit Shah
27:03
WHat was the role of Clomiphene in this case?
Alex Bickerton
27:33
What proportion of users develop pituitary gonadal suppression?
Martine David
27:34
I read a paper several years ago that researchers had found tamoxifen in some "health supplements".
Nikoleta Papanikolaou
27:59
Do anabolic steroids always cause low testosterone? we have seen cases in clinic that serum testosterone is very high while using anabolics.
Hnin Yu Sanda
28:12
how long this anabolic steroid impact on sexual dysfunction
Ahmed Hanafy
28:14
If you give these patients testosterone replacement as temporary treatment. will that affect recovery potential
Zeenat Banu
28:27
what dose of clomiphene and how long we can use
awanish Shukla
29:15
is there any time line for the use of androgenic anabolic steroid to cause testicular atrophy
George Alias
29:39
How long would you consider giving clomiphene before switching to hCG?
Afsar Fatima
29:56
are there drugs for "anabolic steroid washout "too?
George Alias
30:02
Also how long do you need to give hCG?
ali butt
30:22
is there role of GNRH ANALOG
Htet Htet Aung
30:31
Long term use of anabolic steroid can cause adrenal insufficiency in other way?
Vinit Shah
30:48
Do SERMs also play a role in the oestrogenic feedback at the pituitary?
Srinivasa Kummaraganti
31:24
are there any urine biochemistry assays to test various anabolic steroids
Matthew Whitlock
35:14
What was the cause of the reduction in SHBG levels in this patient?
valmiki
36:54
do we use Letrozole instead of clomiphene in males?
Kasi Subbiah
36:58
With small testicular sizes after long term use, will there be a need to add FSH
abdul mateen
38:01
We can't hear clearly
abdul mateen
38:23
voice is very low
ALISON WREN
40:44
Not with normal calculated free and bioavailable testosterone, compensated for high SHBG. Suggest monitor with repeat
George Alias
40:44
No
christopher mcgettigan
40:48
no
Amna Malik
40:49
no
saeed
40:49
no
kavita narula
40:49
no
Muhammad Hassaan Pervez
40:50
no
Beenish Zaki
40:52
no
Muhammad Al-Dalla Ali
40:52
No
Afsar Fatima
40:53
may not
sara
40:55
no
Htet Htet Aung
40:57
No
Yen Nee Low
40:59
no
endo
41:01
no
Seechurn
41:14
is there any assay interference with testo measurement?
abdul mateen
41:19
calculate free test
Alex Bickerton
41:20
How reliable is the free testosterone calculation - I believe there is controversy internationally. How happy are we re the "normal" range?
Karim Meeran
42:44
why the high FSH?
Umar Raja
43:31
how about using nebido site for calculating free testosterone? what is the advantage of using vermeulen?
Abaidur Rehman
49:40
d
Amna Malik
49:51
e
saeed
49:55
e
Katherine Bishop
50:13
d
Lorna Stimpson
50:46
a
Abaidur Rehman
52:15
c
Muneer Ahmad
57:28
Are there factors which would indicate higher chance of success with MESENTERIC?
Muneer Ahmad
58:02
Are there factors which would indicate higher chance of success with mTESE?
George Alias
01:02:46
Is there NHS funding for mTESE ?
Kasi Subbiah
01:03:44
Wouldn't recombinant FSH be better than hCG and Clomiphene priming, before sperm extraction?
Fareha Bawa
01:03:45
If a patient develops pulmonary embolism while on testosterone replacement with normal hb & haematocrit, would you recommend stopping testosterone?
George Alias
01:06:29
Is there potential side effects of long term Clomiphene treatment for men with hypo hypo . apart from DVTs
Seema Sharma
01:10:14
not showing
Seema Sharma
01:10:17
on mentimeter
Lorna Stimpson
01:14:26
a
Lorna Stimpson
01:21:24
yes
Zeenat Banu
01:24:22
there is recent paper in lancet this month that testosterone reverts type 2diabetes
Zeenat Banu
01:24:28
https://www.thelancet.com/journals/landia/article/PIIS2213-8587(20)30367-3/fulltext#%20
Zeenat Banu
01:24:37
what r ur thoughts
abdul mateen
01:25:28
no
Lorna Stimpson
01:25:38
yes
Zeenat Banu
01:26:06
Yes with close monitoring of PSA
abdul mateen
01:26:17
consider patient wishes
ALISON WREN
01:27:57
Does everyone always do DRE pre starting testo. I know this is on guideline but wonder if everyone always really does this in practice
Zeenat Banu
01:29:38
regular venesection
Katherine Bishop
01:29:51
yeah venesection
Zeenat Banu
01:29:53
continue testosterone
Lorna Stimpson
01:30:23
a
Zeenat Banu
01:31:53
is there a role of ace inhibitors in polycythemic patients on testosterone to improve vasoconstriction
Gayani Samarasinghe
01:31:58
would you recommend to continue testosterone therapy in a patient with normal PSA and prostate enlargement/LUTS pending ur
Carolyn Jack
01:32:47
Are we concerned about lowering cardiac hepcidin with testosterone replacement, given its role in preventing release of iron from the heart?
Gayani Samarasinghe
01:33:00
would you recommend to continue testosterone therapy in a patient with prostate enlargement or LUTS and normal PSA?
Zainab Akram Yousif Yasear
01:34:28
how did you address case 2 symptoms ?
Katherine Bishop
01:34:37
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
Ahmed Hanafy
01:34:47
Does T replacement cause BPH or make it worse?
Umar Raja
01:35:52
How important is bioavailable testosterone or only calculated free testosterone is enough to guide regarding testosterone treatment for borderline total testosterone levels
Amna Malik
01:36:20
Does Testosterone repl ensures improvement in subjective symptoms-wat if it does not
Jeannie Todd
01:37:29
what about Prostate USS ?
Katherine Bishop
01:41:47
depends on dexa and fracture risk etc also?
Lorna Stimpson
01:42:10
d
Nazia Ayub
01:43:10
you can stop, but still have a risk ONJ
Katherine Bishop
01:54:22
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)
Lorna Stimpson
01:57:40
b
awanish Shukla
01:58:50
will the BTMs after recent fracture be liable
awanish Shukla
01:59:05
reliable
ALISON WREN
02:00:45
Is there lower absorption of oral alendronate in hard water vs soft water areas? If they have filtered water would this increase absorption
Afsar Fatima
02:04:44
how do we manage osteoporosis in post ONJ recovery
George Tharakan
02:05:51
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
Karim Meeran
02:07:38
QR code readers can be downloaded for free
Zeenat Banu
02:07:59
excellent talk
George Tharakan
02:08:05
thanks- that is very helpful- its a great speil that I’m going to steal for my patients
saeed
02:08:21
thanks, that’s excellent
Amna Malik
02:08:35
So Helpful as always!Thank you.
Zeenat Banu
02:11:29
would u suggest routine HIV testing in all patients with osteoporosis
Zeenat Banu
02:21:04
for high risk patients
Zeenat Banu
02:21:31
we need at least one criteria to continue beyond 5 years
Heloise Tarrant
02:22:04
Thank you very much
Katherine Bishop
02:22:13
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?
Elsheikh Mohammed Ali
02:22:25
thanks very much
Seema Sharma
02:22:44
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
Srinivasa Kummaraganti
02:22:45
do you repeat frax on alendronate for 5 yrs
meenakshi parsad
02:23:07
for 'steroids' on FRAX score, would you click 'yes' even if patient is on physiological steroid replacement for adrenal or pit failure?
Zeenat Banu
02:25:51
thank you so much as always
meenakshi parsad
02:25:54
Thank you
Neelam Khalid
02:25:56
Thanks for a great talk
Muhammad Al-Dalla Ali
02:26:32
Thanks very much
660913
02:26:36
thank you very practical talk
Nazia Ayub
02:26:38
thank you
SULTANA AZAM
02:26:41
Thanks!
Asim shafique
02:26:43
Thank you
Katherine Bishop
02:26:46
thank you so much. All talks were so so useful!
Amna Malik
02:26:47
Thanks..
Srinivasa Kummaraganti
02:26:54
Thank you all
Carolyn Jack
02:27:01
Thankyou to all
Muhammad Hariz Abdul Aziz
02:27:03
Thank you, Great sessions!
Muneer Ahmad
02:27:10
Thank you all
Afsar Fatima
02:27:10
great session ..thankyou all
Yin Yin
02:27:17
Thanks,,it was wonderful teaching session .
Nikoleta Papanikolaou
02:27:21
thank you everyone!
awanish Shukla
02:27:22
great session thank you !