“Another group that we refer to quite commonly and work closely with are Endocrinologists. Several reasons for this. One: Endocrinologists see a lot of diabetics and they usually see the diabetics who have the most severe problem. So it’s not at all uncommon that their men with diabetes that they see are going to have erectile dysfunction, and so it’s a natural referral. And not only do they have erectile dysfunction, men with diabetes tend to have the more severe type of erectile dysfunction, so that the pills often are not satisfactory and they end up needing injections or surgery or other things. So, that’s one area.

The other area that we actually get that we see quite a bit with Endocrinology is the area of low testosterone. Because even though my Endocrinology colleagues are quite good at treating low testosterone, sometimes they are so consumed with everything else they have to do that they’ll send patients. And the most common patients I see who maybe have undetected low testosterone are the diabetics who come and who are not responding well to therapy. We may pick up that their testosterone is low and with some of these men, when you treat it, they can actually get a better response to managing their blood sugar.

So, certainly we get a lot of referrals in from Endocrinology, but there are also a lot of referrals out. So, for instance, we pick up a lot of men that maybe have thyroid problems that need a very thorough workup and those I would send out to Endocrinology.

Some of the more complex Endocrine cases that we may see are younger men. Prolactin is another one of the things that we can see elevated that maybe comes from what’s called the pituitary gland that can trigger erectile dysfunction. Those I would send in to my Endocrinology colleagues who specialize in this area.

So it’s another good example of a two-way referral pattern, but also an important interaction in order for men to ultimately get the best care. It’s another group that we work very closely with.”