First thing's first Q: I read your article about all of the benefits of testosterone and would like to try it. What are the steps I need to take from here? Dr. Wright: First, you should have your testosterone levels tested to see if you even need to begin a bio-identical testosterone replacement program. If your testosterone levels are low, and you decide to take testosterone (that's real, bio-identical testosterone, not a patentable version) make sure to have your PSA level checked before you start, and then check it again in three to four months. If it rises more than a little in that time, you may have uncovered a pre-existing prostate cancer, so check with your doctor or a urologist right away, and stop using testosterone until you've fully investigated the situation. Remember: testosterone doesn't cause prostate cancer (if it did, young men would have the highest rates), but it does increase the growth rate of a cancer that's already there. But don't settle for "plain" PSA measurement; there are more advanced and more accurate measurements. At present I prefer the "cPSA" (complexed PSA) test; your doctor may prefer another. And, of course, it's important to work with a physician skilled and knowledgeable in bio- identical hormone replacement who can help you with all of the testing you need as well as determining the best dose for your individual needs. To locate such a physician in your area, contact the American College for Advancement in Medicine at (800)532-3688 or visit www.acam.org. | 
