Jenkins quick guide

Forms:

-Male history form (for everyone)

-Sexual function form (for ED, low T, Peyronie's, orgasmic dysfunction)

-Vasectomy form (for vasectomy)

-Fertility forms (for fertility evaluation)

ED:

Does not do viagra 50mg. Only viagra 100mg or cialis 20mg. Likes to do largest dose and titrate back if anything.
Cialis 5mg daily with viagra 50mg PRN (100mg tablet cut in half) for combo therapy
He still mentions intraurethral suppositories for educational purposes. He does not have a secret connect
Uses trimix for ICI, not alprostadil. This is available at the VA too (nonformulary)
Uses trimix for doppler studies. He performs his own dopplers

EVALUATING LOW T:

Dr. Jenkins likes to check peaks (24-48 hours after injection) versus Dr. Hellstrom likes to check for troughs (days 6 or 7)
Takes 7-10 days for the free testosterone lab to come back

Initial evaluation:

Labs to be done before 10am

LH
Free testosterone (ENSC) - this is a send out. DO NOT ORDER "TESTOSTERONE FREE PANEL"
Total testosterone - can be ENSC or in house
Estradiol
PSA (only baseline or if clinically indicated)
CBC w/o differential (he doesn't want the extra info)

Repeat evaluation (done every 6 months once stable):

LH
Estradiol
Free testosterone (ENSC) - send out lab. DO NOT ORDER "TESTOSTERONE FREE PANEL"
Total testosterone - can be ENSC or in house
CBC w/o differential (he doesn't want the extra info)

If not stable, recheck the above^ in 3-4 weeks

Treatment:

Because there are send out labs above, patients need follow up 2-3 weeks after labs are done. Please emphasize this to patients, otherwise they will come to clinic with not all labs back and have to be rescheduled.
Dr. Jenkins does not refill TRT if there is not a lab check within the last 6 months. If there are no labs back, he will give 1 month refill for patient to have labs done and follow up.
For testosterone cypionate, he likes twice weekly injections. He may be moving away from this to weekly subq. NEVER EVER EVERY TWO WEEKS.
Xyosted, he starts with 75mg/weekly doses

FERTILITY:

Initial labs:

FSH
LH
Free testosterone (ENSC) - this is a send out. DO NOT ORDER "TESTOSTERONE FREE PANEL"
Total testosterone - can be ENSC or in house
Estradiol
Semen analysis x2

Treatment: