Testosterone plays a crucial role in prostate development, growth, and function from puberty to adulthood. Testosterone and its byproduct, dihydrotestosterone (DHT), are thought to contribute to developing lower urinary tract symptoms (LUTS) from an enlarged prostate (BPH). However, BPH does not always correlate with LUTS – a man can have an enlarged prostate and not experience urinary problems, while some men with a small prostate do. Concerning prostate cancer, on the other hand, the exact role testosterone plays in the development and progression of the disease is controversial. Historically, physicians believed that higher testosterone levels may increase the risk of prostate cancer. Recent research suggests that the relationship is more nuanced. Studies have found that low testosterone levels may increase the risk of aggressive prostate cancer. In contrast, higher testosterone levels are associated with a higher risk of low-grade prostate cancer. In this presentation, I will discuss an updated view of the inseparable relationship between the prostate and testosterone and how to support a patient’s hormone levels best while sustaining prostate health.

Learning Objectives:

1. Describe the role of Testosterone and metabolites in prostate development.
2. Discuss misconceptions on the relationship between Testosterone and the prostate.
3. Discover how to maintain proper hormone levels while sustaining prostate health.