Boosters for Grumpy Men.
Dr Andrew Rynne.

You know what they are like. Sitting around all day and falling asleep in the chair. Big paunch and little muscle. Not enough energy to prune the roses or go for a walk however short. Maybe, mildly depressed and definitely grumpy. No libido and plenty of erectile dysfunction. Now, does any of this ring true with you?

Men like this, sixty-five years old and older are sometimes put on antidepressants. This, in my view anyway, can be a big mistake. In fact, antidepressants like the SSRI’s can actually make matters worse and certainly further depress sexuality.

Here’s what you might consider instead, or ask your doctor to consider instead. Could it be that you are suffering from TDS or the Testosterone Deficiency Syndrome? It’s just a though. However, let me give you an immediate word or warning here. Do not let the doctor send a sample of your blood to a laboratory for hormone assay. Why? Because that is no longer the correct way to diagnose TDS. Hormonal assays tell you nothing and tend to obfuscate more than illuminate matters. Furthermore, if they are “normal” they can be an excuse for inaction.

Today the way to diagnose TDS is by way of a therapeutic trial. It is actually quite simple. It is not at all complicated. Score yourself on a standard questionnaire known as the ADAM test. You can download this from the Interned. Go on a trial of testosterone replacement therapy for six weeks. Score yourself again on the ADAM questionnaire. Have your symptoms improved or have they not improved? If they have not improved then perhaps testosterone replacement therapy is not for you.

Now, that is not exactly rocket science is it. Well, maybe not. But it is quite extraordinary how many people like to make a song and dance about simple things. You do need to ensure that your PSA (prostate specific antigen) is stable before starting on TRT. At least that is considered best practise for the moment though the emphasis on this too is changing.

Just a few words about benign prostatic hypertrophy or BPH. Most people know the symptoms of this common man’s complaint but here they are anyway:
• Frequency of urination.
• Difficulty in starting or finishing the stream.
• Getting up at night to pass water.
• Burning pain on passing water.
• Acute retention or total stoppage. This is what you do not want to happen.

And here is a little tip for grumpy old men who may already be on what are called ‘alpha-blockers’ for benign prostatic hypertrophy or BPH as it is called – Flomax or tamsulosin is an example. These medicines do work quite well in relieving the symptoms of BPH. But did you know what works equally well? A recent study has shown that tadalafil or Cialis 20mg taken daily is as effective in relieving the symptoms of BPH as are the alpha-blockers.

Now, we know that tadalafil has a beneficial effect on erectile dysfunction and equally we know that tamsulosin has no such effect on ED. The question is then, which would you prefer to take? I know which one I would prefer to be on.

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Author's Bio: 

Dr. Andrew Rynne is a General Practitioner with a special interest in men’s health but most particularly men’s sexual health. He has over fifteen years experience in treating men with sexual dysfunction --- erectile dysfunction and or low sex drive in the older man. He is medical director of an Internet driven medical practise at http:// He was the first doctor in Ireland to perform a vasectomy under local anaesthesia in 1974.

He is registered in the UK with the General Medical Council and in Ireland with the Irish Medical Council. He is a Member of the Irish College of General Practise and a 1968 graduate of The Royal College of Surgeons in Dublin. He spent the first seven years of his professional life in Ontario Canada where he ran a very busy general practise and was appointed County Coroner for Perth County Ontario.

In 1983 Rynne was fined £500.00. for selling a packet of condoms contrary to the provisions of the then Irish Family Planning Act. This was a deliberate act of civil disobedience designed to highlight the ludicrous laws that then governed the sale and distribution of contraception in Ireland. Following this case the laws were immediately liberated.

In 1985 Dr. Rynne founded Clane General Hospital in Co. Kildare. Today Clane Hospital is a thriving health care in-patient facility catering for all the major medical and surgical disciplines and specialising in In-Vitro Fertilisation under the guidance of The Bornhall Clinic in London, the birth place of IVF treatments. Dr. Rynne is a Board Member of Clane General Hospital which now employs over 200 people.

Author of three books --- Smoking Is Your Decision, Abortion -- The Irish Question and more recently a memoir The Vasectomy Doctor, Rynne was the subject of a RTE documentary in 2006 based on this memoir.

Contact Dr Rynne:
Office: 00 353 45 893885.
Home: 00 353 45 860114.
Mobile: 00 353 87 2559024.
Address: The Woods Surgery,
Co. Kildare. IRELAND.