Hormone Replacement Therapy Doctor Richard Schoor

How many male patients do you estimate that you have treated with testosterone therapy?

100s. I currently have over a hundred patients on Testopel—the testosterone pellet implantation medication—and have had terrific results.

What are your preferred delivery methods for prescription testosterone?

I believe that Testopel is the best form of testosterone replacement therapy. It enables men to live completely normal lives between implantations, produces therapeutic levels (neither too high nor too low), allows for easy compliance since between implantations men don’t have to do anything, and is not associated with transference (like gels and creams) nor does it come off in a pool (gels or creams). I do not do testosterone cypionate or enanthate injections and do not do testosterone replacement as part of an anti-aging or body building regimen.

Doctors sometimes develop different areas of expertise. Do you feel that HRT (Hormone Replacement Therapy) is one of these areas for you and your office?

Absolutely. I have a vast experience with it in addition to male reproductively endocrinology and male infertility.

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What do you monitor on a routine basis when a man goes on HRT?

Free and Total Testosterone , H/H, PSA every 6 months for the first year then once yearly. Upon iniPrior to starting men on therapy I obtain a PSA, total testosterone, and Estradiol level. I also get a CBC, an SMA7, SHBG (sex hormone binding globulin) at least once a year. Every three months I see the patient for follow-up and get a PSA, Total testosterone and an Estradiol. Prior to therapy and twice per year I examine the man’s prostate.

How do you handle men who clearly could benefit from HRT but do not have insurance? What options are available through your office?

Men without insurance can receive coupon cards for the various gels (Testim, Androgel and Axiron). Should they choose the Testopel system they must pay.

Do most insurance plans cover standard treatments in your office? (Feel free to explain some of the exceptions.)

Most insurances cover both the evaluation and the various treatment options for HRT. In fact, because Testopel does not require monthly prescriptions of prescription co-pays (which are needed for TRT prescriptions in NY), Testopel has become the best economical option for most patients in NY.

How do you monitor prostate issues and screening for men on HRT? Or do you let other physicians handle that? How does your office go beyond simple subscribing of PDE5 Inhibitor for Erectile Dysfunction? Do you have any other treatment strategies for men who are experiencing a loss of erectile strength?

PSA testing is done prior to starting men on TRT and on average 4 times per year while on the therapy. The testing is performed in my own office. Men do not need to take additional time off from work to go to a lab and have their blood drawn. Testing is performed on-site, point of care. Men can get the result in 12 minutes. For men with ED, my center evaluates men for underlying conditions that cause ED and work to ameliorate or complete those conditions when possible. PDE5 inhibitor therapy is one aspect to treatment but only one aspect. We also do “penile rehab.” This involves a combination of daily PDE5 inhibitors, vacuum erection device therapy, and on occasion penile self-injection (vasodilator) therapy.

Are there aspects of your practice or treatment strategies that you’d like to share that feel may make your practice "stand out from the crowd?"

My practice, Schoor Urology, is a state-of-the-art general and specialty urology practice located in Smithtown NY, on the North Shore of Suffolk County, NY. I practice academic level urology in a community setting and place excellent clinical outcomes and patient safety above all else. At Schoor Urology, I strive at all times to provide my patients with support, care, compassion, and education in a friendly, and professional environment. To that effect, I utilize:

I was also the first urologist in Long Island to perform Testopel and I remain the busiest Testopel implanter in Suffolk County.

Can you give a brief description of your medical certifications and licensing?

MD degree from University of Texas Medical Branch in Galveston 2000 and Urology residency training at LSU-Shreveport Louisiana 2005. Board Certified by American Board of Urology.

I am a graduate of the University of Pennsylvania Medical School with a Urology residency at Northwestern University Medical School, followed by advanced fellowship training in male reproductive medicine and microsurgery at University of Illinois at Chicago. I have published extensively on topics in male reproductive medicine and urinary infectious disease in peer review journals

Can you please list any contact information for men interested in reaching your office?

• For information contact:  Schoor Urology
• My blog:  Schoor Urology Blog
• Address: 285 Middle Country Rd, Suite 207 Smithtown NY 1178
• Office: (631) 326-6035
• Email: dr@drschoor.com