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Phoenix Family Medical Clinic
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Men's Health

What is hormone replacement therapy (HRT)?

Phoenix Family Medical Clinic offers bio-identical hormone replacement therapy for men and women. This preventive medical HRT is not limited to women; men also face decrease in DHEA and testosterone with dramatic symptoms including erectile dysfunction and loss of interest in sexual activity.

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BMI is a useful measure of overweight and obesity. It is calculated from your height and weight. BMI is an estimate of body fat and a good gauge of your risk for diseases that can occur with more body fat. The higher your BMI, the higher your risk for certain diseases such as heart disease, high blood pressure, type 2 diabetes, gallstones, breathing problems, and certain cancers.

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At Phoenix Family Medical Clinic, our medical providers are "licensed" by the DOT as "Medical Examiners" that can certify the Medical Examiner's certificate.

For commercial motor vehicle (CMV) drivers, the most important safety feature is YOU – the driver! Each time you turn the key, you are responsible for your own safety, as well as the safety of all the people who share the road with you. The physical examination you take for your medical certificate confirms that you are healthy enough to safely perform the demanding job of a CMV driver and keep our Nation's roads safe.

A Department of Transportation (DOT) physical examination is conducted by a licensed "medical examiner". The term includes, but is not limited to, doctors of medicine (MD), doctors of osteopathy (DO), physician assistants (PA), advanced practice nurses (APN), and doctors of chiropractic (DC).

A DOT physical exam is valid for up to 24 months. The medical examiner may also issue a medical examiner's certificate for less than 24 months when it is desirable to monitor a condition, such as high blood pressure.

If the medical examiner at Phoenix Family Medical Clinic finds that the person he/she examined is physically qualified to drive a commercial motor vehicle (CMV), the medical examiner will furnish one copy of the results to the person who was examined and complete a Medical Examiner's Certificate.

Please call our offices to make an appointment to get your DOT Certificate completed.

Erectile dysfunction (ED) or impotence is sexual dysfunction characterized by the inability to develop or maintain an erection of the penis during sexual performance. The providers at Phoenix Family Medical Clinic diagnose and treat patients with Erectile Dysfunction through a variety of programs.

A penile erection is the hydraulic effect of blood entering and being retained in sponge-like bodies within the penis. The process is often initiated as a result of sexual arousal, when signals are transmitted from the brain to nerves in the penis. The most important organic causes are cardiovascular disease and diabetes, neurological problems, hormonal insufficiencies and drug side effects.

As it may be awkward sometimes to talk with your doctor about erectile dysfunction, our providers will allay your fears and give you the space to be comfortable discussing it with our providers. Problems getting or keeping an erection can be a sign of a health condition that needs treatment, such as heart disease or poorly controlled diabetes. Treating an underlying problem may be enough to reverse your erectile dysfunction.

After initial consultation and lab tests, the provider may decide to prescribe oral treatments like Viagra, Cialis or Levitra, if they are safe for use by the patient.

Medications for erectile dysfunction might not work or might be dangerous if you:

  • Take nitrate drugs — commonly prescribed for chest pain (angina) — such as nitroglycerin (Nitro-Dur, Nitrostat, others), isosorbide mononitrate (Monoket) or isosorbide dinitrate (Dilatrate-SR, Isordil)
  • Take blood-thinning (anticoagulant) medications, alpha blockers, antibiotics, anti-seizure medications or anti-arrhythmic heart medications
  • Have heart disease or heart failure
  • Have had a stroke
  • Have uncontrolled low blood pressure (hypotension) or uncontrolled high blood pressure (hypertension)
  • Have eye problems, such as retinitis pigmentosa, or a family history of certain eye problems
  • Have severe liver disease
  • Have kidney disease that requires dialysis

Some men might also choose another treatment option to avoid the side effects caused by certain oral medications.

Other types of medications

Nonoral medications for erectile dysfunction include:

  • Alprostadil self-injection. With this method, you use a fine needle to inject alprostadil (Caverject, Edex) or a combination of medications that includes alprostadil into the side of your penis. Each injection generally produces an erection that lasts about an hour. Because the needle used is very fine, pain from the injection site is usually minor. Side effects can include bleeding from the injection, prolonged erection and formation of scar-like (fibrous) tissue at the injection site.
  • Alprostadil penis suppository. Alprostadil intraurethral (Muse) therapy involves placing a tiny alprostadil suppository in your penis. You use a special applicator to insert the suppository into the tube that carries urine from your bladder (the urethra). An erection usually starts within 10 minutes and lasts between 30 and 60 minutes. Side effects can include pain and minor bleeding in the urethra.
  • Testosterone replacement preparations. Some men have erectile dysfunction caused by low levels of the hormone testosterone. In this case, testosterone replacement therapy might be recommended. Testosterone replacement therapy can be delivered via injection, patch, gel, gum and cheek (buccal cavity), or oral medication. Talk to your doctor about your personal preference and the possible side effects.

Please be sure to discuss in details the duration of your problem and what remedies you have tried so far with our providers. Your providers at Phoenix Family Medical Clinic are here to help treat this disease with utmost concern for your self esteem, safety and privacy. The providers will also discuss any side effects that may be associated with the meds prescribed to you for erectile dysfunction.

Hypertension, also referred to as high blood pressure, is a condition in which the arteries have persistently elevated blood pressure. Every time the human heart beats, it pumps blood to the whole body through the arteries. The physicians at Phoenix Family Medical Clinic offer treatment and diagnosis plans for patients suffering from hypertension. Through the integration of medicines and life style changes, hypertension can be controlled and eliminated.

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Many men believe that bio-identical hormone replacement therapy (BHRT) is designed only for women who undergo menopause, perimenopause or related hormonal imbalance. The truth is that men also undergo hormonal decline as they age called Andropause. At Phoenix Family Medical Clinic, we treat men with low testosterone using natural hormone replacement therapy.

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Phoenix Family Medical Clinic recommends annual exams for all men. There are several preventive medical tests that can be performed which you need to stay healthy. Medical tests and screenings can find diseases early, when they’re easiest to treat. Making these tests part of an annual physical exam is an excellent way to stay healthy. To schedule your annual exam or if you have any questions about preventive medical tests contact our office at 602-773-5600 or 480-751-1900.

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If you don’t know what your prostate is or what it does, you’re certainly not alone: most men don’t. But you really should. More than 30 million men suffer from prostate conditions that negatively affect their quality of life.

The providers at Phoenix Family Medical Clinic recommend an annual prostrate screening for men over the age of 50.

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