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Dr. Abraham Morgentaler

๐Ÿ‘ค Speaker
944 total appearances

Appearances Over Time

Podcast Appearances

BackTable Urology
Ep. 188 Testosterone Therapy Today: Clinical Advances and Safety with Dr. Abraham Morgentaler

The first real advance in terms of the new technologies branded things was a patch, testosterone patch. It wasn't very successful. You needed to apply it to the scrotum. And so you had to shave your scrotum. And it didn't stick very well because people get sweaty down there.

BackTable Urology
Ep. 188 Testosterone Therapy Today: Clinical Advances and Safety with Dr. Abraham Morgentaler

The first real advance in terms of the new technologies branded things was a patch, testosterone patch. It wasn't very successful. You needed to apply it to the scrotum. And so you had to shave your scrotum. And it didn't stick very well because people get sweaty down there.

BackTable Urology
Ep. 188 Testosterone Therapy Today: Clinical Advances and Safety with Dr. Abraham Morgentaler

So, you know, I have a nurse who had been with me for now for 20, 25 years, and it was his job to teach people how to shave their scrotum and how to apply the patch. Not a great part of his day necessarily, but so that didn't work. Then there was a patch you could apply to the chest. And then really the first new popular treatment was the gels. Androgel was the first.

BackTable Urology
Ep. 188 Testosterone Therapy Today: Clinical Advances and Safety with Dr. Abraham Morgentaler

So, you know, I have a nurse who had been with me for now for 20, 25 years, and it was his job to teach people how to shave their scrotum and how to apply the patch. Not a great part of his day necessarily, but so that didn't work. Then there was a patch you could apply to the chest. And then really the first new popular treatment was the gels. Androgel was the first.

BackTable Urology
Ep. 188 Testosterone Therapy Today: Clinical Advances and Safety with Dr. Abraham Morgentaler

So, you know, I have a nurse who had been with me for now for 20, 25 years, and it was his job to teach people how to shave their scrotum and how to apply the patch. Not a great part of his day necessarily, but so that didn't work. Then there was a patch you could apply to the chest. And then really the first new popular treatment was the gels. Androgel was the first.

BackTable Urology
Ep. 188 Testosterone Therapy Today: Clinical Advances and Safety with Dr. Abraham Morgentaler

followed by another gel called Testim. They're now all generics. And then later in about 2008 came the pellets. And urologists tend to use a lot of pellets. They're good. Interestingly, pellets were one of the first forms of testosterone, was available after testosterone was synthesized in the 1930s.

BackTable Urology
Ep. 188 Testosterone Therapy Today: Clinical Advances and Safety with Dr. Abraham Morgentaler

followed by another gel called Testim. They're now all generics. And then later in about 2008 came the pellets. And urologists tend to use a lot of pellets. They're good. Interestingly, pellets were one of the first forms of testosterone, was available after testosterone was synthesized in the 1930s.

BackTable Urology
Ep. 188 Testosterone Therapy Today: Clinical Advances and Safety with Dr. Abraham Morgentaler

followed by another gel called Testim. They're now all generics. And then later in about 2008 came the pellets. And urologists tend to use a lot of pellets. They're good. Interestingly, pellets were one of the first forms of testosterone, was available after testosterone was synthesized in the 1930s.

BackTable Urology
Ep. 188 Testosterone Therapy Today: Clinical Advances and Safety with Dr. Abraham Morgentaler

And it turned out that there was a pellet called Testopel that was approved by the FDA in the 1970s, but it wasn't marketed. I didn't even know that it existed until a company brought it to the attention of some urologists at the Sexual Medicine Society meeting in, I think it was 2008. It's called Testopel, and it turned out to be very good.

BackTable Urology
Ep. 188 Testosterone Therapy Today: Clinical Advances and Safety with Dr. Abraham Morgentaler

And it turned out that there was a pellet called Testopel that was approved by the FDA in the 1970s, but it wasn't marketed. I didn't even know that it existed until a company brought it to the attention of some urologists at the Sexual Medicine Society meeting in, I think it was 2008. It's called Testopel, and it turned out to be very good.

BackTable Urology
Ep. 188 Testosterone Therapy Today: Clinical Advances and Safety with Dr. Abraham Morgentaler

And it turned out that there was a pellet called Testopel that was approved by the FDA in the 1970s, but it wasn't marketed. I didn't even know that it existed until a company brought it to the attention of some urologists at the Sexual Medicine Society meeting in, I think it was 2008. It's called Testopel, and it turned out to be very good.

BackTable Urology
Ep. 188 Testosterone Therapy Today: Clinical Advances and Safety with Dr. Abraham Morgentaler

So, you know, subsequently we had long-acting injectables like testosterone and decanoate. Then we have the self-injectors, testosterone and anthate that you inject into the fat of the abdomen, zyasted. And now we have three oral testosterone that are safe, that have been approved over the last several years. And it'll be interesting to see what happens with market share and how doctors use those.

BackTable Urology
Ep. 188 Testosterone Therapy Today: Clinical Advances and Safety with Dr. Abraham Morgentaler

So, you know, subsequently we had long-acting injectables like testosterone and decanoate. Then we have the self-injectors, testosterone and anthate that you inject into the fat of the abdomen, zyasted. And now we have three oral testosterone that are safe, that have been approved over the last several years. And it'll be interesting to see what happens with market share and how doctors use those.

BackTable Urology
Ep. 188 Testosterone Therapy Today: Clinical Advances and Safety with Dr. Abraham Morgentaler

So, you know, subsequently we had long-acting injectables like testosterone and decanoate. Then we have the self-injectors, testosterone and anthate that you inject into the fat of the abdomen, zyasted. And now we have three oral testosterone that are safe, that have been approved over the last several years. And it'll be interesting to see what happens with market share and how doctors use those.

BackTable Urology
Ep. 188 Testosterone Therapy Today: Clinical Advances and Safety with Dr. Abraham Morgentaler

So we're lucky that we have all these different, we have a lot of choices, right? And I was always interested in trying the new treatments. I wanted experience with them. I wanted to see if they would work, how well they worked, who they would work in. And in the end, really, I tried as best as I can to match patient with treatment.

BackTable Urology
Ep. 188 Testosterone Therapy Today: Clinical Advances and Safety with Dr. Abraham Morgentaler

So we're lucky that we have all these different, we have a lot of choices, right? And I was always interested in trying the new treatments. I wanted experience with them. I wanted to see if they would work, how well they worked, who they would work in. And in the end, really, I tried as best as I can to match patient with treatment.

BackTable Urology
Ep. 188 Testosterone Therapy Today: Clinical Advances and Safety with Dr. Abraham Morgentaler

So we're lucky that we have all these different, we have a lot of choices, right? And I was always interested in trying the new treatments. I wanted experience with them. I wanted to see if they would work, how well they worked, who they would work in. And in the end, really, I tried as best as I can to match patient with treatment.

BackTable Urology
Ep. 188 Testosterone Therapy Today: Clinical Advances and Safety with Dr. Abraham Morgentaler

So in urology, there's a lot of kind of macho stuff that, oh, injections are the way to go. We get high levels, the patients are happy, it's inexpensive. But you know, there's a lot of patients that don't want to do injections. It's an amazing statistic, but in a couple of studies, the percentage of men who are still doing injections...

BackTable Urology
Ep. 188 Testosterone Therapy Today: Clinical Advances and Safety with Dr. Abraham Morgentaler

So in urology, there's a lot of kind of macho stuff that, oh, injections are the way to go. We get high levels, the patients are happy, it's inexpensive. But you know, there's a lot of patients that don't want to do injections. It's an amazing statistic, but in a couple of studies, the percentage of men who are still doing injections...

BackTable Urology
Ep. 188 Testosterone Therapy Today: Clinical Advances and Safety with Dr. Abraham Morgentaler

So in urology, there's a lot of kind of macho stuff that, oh, injections are the way to go. We get high levels, the patients are happy, it's inexpensive. But you know, there's a lot of patients that don't want to do injections. It's an amazing statistic, but in a couple of studies, the percentage of men who are still doing injections...