Latest / Intellectual Medicine
When Is Castration Worth Doing?
Facing a rising PSA can be unsettling. But is early castration really the answer?
In this episode, Dr. Stephen Petteruti walks through the harsh truth about androgen deprivation therapy (ADT), commonly known as medical castration. While often prescribed when PSA levels rise, he cautions that this drastic intervention is not without cost: loss of libido, cognitive decline, bone fractures, cardiovascular risks, and more.
Instead of rushing into ADT at the first sign of trouble, Dr. Stephen urges a symptom-driven approach. He blends evidence, philosophy, and real-world experience to help men…
The skinny
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