MEN’S HEALTH PERFORMANCE PROGRA

 

A comprehensive, unique physician-led approach to male health

 

Why this program exists

 

Changes in performance and confidence can affect every part of a man’s life — relationships, self-esteem, health, and emotional wellbeing. Most men struggle silently, and most healthcare systems offer rushed visits and incomplete solutions.

 

At Andover Internal Medicine, men receive a complete, private, medically supervised program designed to address the true causes of performance issues — physical, psychological, metabolic, and relationship-driven.

 

This is discreet, respectful, and effective program that restores function and confidence.

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What This Program Includes Prostate Evaluation

Understanding PSA, Repeat PSA Testing, the Prostate Health Index (PHI), and Prostate MRI

 

Men’s health—particularly prostate health—deserves careful, unhurried, and individualized attention. Too often, men are exposed to either under-evaluation or over-reaction, both of which can lead to unnecessary anxiety, testing, or procedures.

 

My approach to prostate evaluation is grounded in thoughtful risk assessment, longitudinal follow-up, and modern diagnostics used judiciously. The goal is not simply to “screen,” but to help men understand what their results actually mean, what does not require intervention, and when further evaluation is truly warranted.

 

By combining repeat PSA testing, advanced blood markers such as the Prostate Health Index (PHI), and selective imaging when appropriate, I aim to provide men with clarity, confidence, and a rational path forward—reserving referral to urology for situations where it adds clear diagnostic or therapeutic value.

Why a Single PSA Value Is Often Misleading

 

A single PSA measurement is rarely sufficient to determine prostate cancer risk.

 

PSA levels can rise for many benign and temporary reasons, including:

  • Benign prostatic hyperplasia (BPH)

  • Prostatitis or recent infection

  • Recent ejaculation

  • Urinary retention

  • Recent cycling or perineal pressure

  • Instrumentation or digital rectal exam

 

For this reason, isolated PSA elevations frequently lead to unnecessary anxiety and referrals if not interpreted carefully and in context.

The Role of Repeat PSA Testing

 

Trend Matters More Than a Number

 

Rather than reacting to a single value, I emphasize:

  • Repeat PSA testing under standardized conditions

  • PSA trends over time

  • Clinical context, including age, prostate size, symptoms, and individual risk factors

 

A repeat PSA may show:

  • Normalization, suggesting a transient or benign cause

  • Stability, supporting conservative observation

  • Persistent or rising elevation, prompting more refined risk assessment

 

This stepwise approach often avoids unnecessary imaging or biopsy while preserving safety and vigilance.

What Is the Prostate Health Index (PHI)?

 

The Prostate Health Index (PHI) is a second-line blood test designed to improve prostate cancer risk stratification when PSA is elevated or equivocal.

 

Rather than measuring PSA alone, PHI integrates:

  • Total PSA

  • Free PSA

  • [-2]proPSA (a PSA isoform more strongly associated with prostate cancer)

 

These values are combined into a single score that better predicts the likelihood of clinically significant prostate cancer than PSA alone.

Why PHI Is So Valuable

 

PHI helps answer a crucial question:

 

“Is this PSA elevation likely benign, or does it suggest a higher-risk pattern that warrants further evaluation?”

 

Compared with PSA alone, PHI:

  • Improves specificity for clinically meaningful prostate cancer

  • Reduces unnecessary biopsies

  • Helps identify patients who truly benefit from further imaging or urologic referral

  • Provides clearer guidance when PSA results fall into a diagnostic “gray zone”

 

Importantly, PHI is not a cancer diagnosis—it is a risk-stratification tool, used thoughtfully alongside repeat PSA testing and clinical judgment.

The Role of Prostate MRI

 

Multiparametric prostate MRI is used selectively, not reflexively.

 

When blood-based risk assessment suggests higher concern, MRI can:

  • Provide detailed, non-invasive evaluation of prostate anatomy

  • Identify suspicious lesions that warrant further evaluation

  • Help avoid unnecessary biopsy in low-risk situations

  • Support targeted referral to urology when appropriate

How PSA, PHI, and MRI Work Together

 

My approach is deliberately sequential:

  1. Initial PSA evaluation

  2. Repeat PSA testing when appropriate to confirm persistence or trend

  3. PHI testing if PSA remains elevated or ambiguous

  4. Selective prostate MRI only when blood testing suggests higher risk

  5. Targeted referral to urology for definitive diagnostic or therapeutic procedures when truly indicated

 

This layered strategy:

  • Avoids reflexive biopsy

  • Reduces over-diagnosis and over-treatment

  • Preserves early detection of clinically significant disease

What This Means for Patients

 

For most men, this approach provides:

  • Fewer unnecessary procedures

  • Clear explanations rather than alarmist messaging

  • Personalized decision-making instead of one-size-fits-all screening

  • Confidence that escalation of care is intentional, evidence-based, and appropriate

 

Why this program exists- Male Performance Effects Quality of Life

 

Changes in performance and confidence can affect every part of a man’s life — relationships, self-esteem, health, and emotional wellbeing. Most men struggle silently, and most healthcare systems offer rushed visits and incomplete solutions.

 

At Andover Internal Medicine, men receive a complete, private, medically supervised program designed to address the true causes of performance issues — physical, psychological, metabolic, and relationship-driven.

 

This is discreet, respectful, and effective program that restores function and confidence.

 

1. Comprehensive Evaluation

  • Full medical, metabolic, hormonal, and cardiovascular assessment

  • Review of psychological contributors such as stress, anxiety, and pressure

  • Evaluation for premature ejaculation (PE), erectile dysfunction (ED), and low libido

  • Sleep assessment (OSA as a major contributor to sexual dysfunction)

  • Medication and overall health optimization

 

We treat the problem at the source and the symptom, recognizing how closely intertwined these are.

2. Medication Optimization (PDE-5 Therapy)

  • Personalized dosing and selection of PDE-5 inhibitor

  • Agents chosen for reliable performance and minimal tachyphylaxis

  • Safety monitoring and blood pressure assessment

  • Integrated use with behavioral strategies and device therapy

 

Proper medication selection dramatically improves reliability and confidence.

3. Device-Based Performance Therapy

 

A powerful, underutilized treatment when properly taught.

  • In-office instruction with a trained clinician (discreet, professional)

  • Correct to ensure safety, comfort, and effectiveness

  • Improved performance consistency

  • Confidence-building through reliable physical results

    with physician-approved, prescribed devices

VE devices are physician-directed medical therapies provided when clinically appropriate. Instruction and follow-up are key to ensure effective and safe use.

 

Most men use these incorrectly; proper instruction is the difference between repeated frustration, embarrassment and success.

4. Performance & Behavioral Coaching

  • Techniques to reduce performance anxiety

  • Guidance that restores confidence and predictability

  • Support tailored to patient’s relationship dynamics

 

This type of lack of confidence and performance anxiety is treatable. No more feeling, “here is another fail, or I am so humiliated, or I should just give up”.

5. Hormonal & Metabolic Optimization (As Needed)

  • Prostate and testosterone evaluation and treatment when clinically indicated

  • Weight loss and fitness integration

  • Cardiovascular risk assessment

  • Sleep optimization (OSA, circadian rhythm, fatigue)

 

Performance is deeply linked to metabolic health, sleep, and hormones.

This treatment does not involve squeeze, numbing medications, injections or pellets.

6. Discreet Follow-Up & Long-Term Support

  • Regular check-ins to ensure progress

  • Adjustment of medications or device technique

  • Private, discreet, and confidential at every step

  • Respectful, nonjudgmental environment

 

Men do best with ongoing support — not one-time prescriptions.

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What Men Experience

 

In professional language you can safely use:

  • Improved reliability

  • Greater control

  • Strong confidence

  • Renewed relationship

  • Restoration of normal function

  • Reduced fear of performance failure

  • The feeling of “being themselves again”

 

This program is designed to give men back function and control — quietly, effectively, and without judgment.

✅ PRICING FOR MEMBERS

Men’s Health – Member Pricing

Prostate Module included at all tiers

ED module

$45/month

Includes meds + VE device at wholesale + follow-up

PE module

$45/month

Includes nurse session + meds

Performance Optimization (ED + PE)

$75/month

Includes BOTH modules + bi-monthly follow-up

Men’s Health – Non-Member Pricing

 

 Initial Men’s Health Consultation: Both prostate and ED (45 min)

  $295

  Required for all non-members

ED module (non-member)

  $125/month

  Includes meds + effective VE device

PE module (non-member)

  $125/month    

  Includes all training + meds

Performance Optimization (ED + PE)

  $199/month

  Bundled option

 

 

 

Hitting a wall is common. Staying there is not inevitable.