Justin J. Houman, MD

Justin J. Houman, MD Comprehensive Men’s Health clinic focused on improving men’s sexual performance, fertility optimization, and hormone management.⁣⁣
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03/01/2026

High estrogen can work against your testosterone.

Here are 3 signs your estrogen may be too high 👇

1️⃣ Mood swings & irritability
Elevated estrogen can affect emotional regulation.

2️⃣ Abdominal fat & gynecomastia
High estrogen shifts fat storage and can cause breast tissue growth.

3️⃣ Low libido
Estrogen is necessary—but too much can suppress desire.

If you’re experiencing these, check both testosterone and estrogen, not just one.
—Dr. Justin Houman

02/28/2026

Low libido even though your testosterone is “normal”?

Here are 3 overlooked causes 👇

1️⃣ High estrogen
Too much estrogen can blunt libido, even when testosterone looks fine.

2️⃣ Dopamine dysfunction
Excessive p**n use can desensitize dopamine pathways and reduce real-world desire.

3️⃣ Chronic stress
Stress raises cortisol, and libido is often the first thing to disappear.

Libido is hormonal and neurological.
—Dr. Justin Houman

02/27/2026

When should testicular pain be taken seriously?

1️⃣ Pain medications aren’t working
If anti-inflammatories don’t help, it’s time to get evaluated.

2️⃣ Pain after surgery or trauma
Any recent injury or pelvic surgery followed by testicular pain should be checked.

3️⃣ Pain that persists
Pain lasting days, weeks, or months can signal something more serious.

Early evaluation matters.
—Dr. Justin Houman

02/26/2026

Still having symptoms after a varicocelectomy? Here are three common reasons why 👇

1️⃣ Wrong surgical approach
Microsurgical varicocelectomy is the gold standard for treating varicoceles.

2️⃣ Missed veins
Small veins can be missed during surgery and may need to be addressed later.

3️⃣ Collateral veins
Veins like the gubernacular vein can continue to cause symptoms if untreated.

If symptoms persist, a second evaluation matters.

—Dr. Justin Houman

02/25/2026

Considering treatment for a varicocele? Not all options are equal.

Here’s why microsurgical varicocelectomy remains the gold standard over embolization:

1️⃣ Lower recurrence rates
Especially when performed by an experienced surgeon.

2️⃣ Better s***m & testosterone outcomes
Strong data shows greater improvements compared to embolization.

3️⃣ Fewer complications
No radiation, no coils, no migration risk, and near-zero hydrocele risk.

If you’re choosing between treatments, this distinction matters.

—Dr. Justin Houman

02/23/2026

Thinking about IVF? Before you take that step, make sure the male side has been fully evaluated.

Here are three things to do before IVF:

1️⃣ Semen analysis
Low s***m count or poor quality is often treatable.

2️⃣ Physical exam
Varicoceles and anatomical issues are common — and fixable.

3️⃣ Hormone testing
Testosterone, estrogen, LH, FSH all matter for s***m production.

A proper male evaluation can improve outcomes — and sometimes help couples avoid IVF altogether.

—Dr. Justin Houman

02/22/2026

Feel amazing on testosterone replacement therapy… then suddenly crash?

Here are three common reasons why this happens on TRT:

1️⃣ Peaks & troughs
Injection therapy can cause sharp rises followed by fast drops — those troughs are where crashes happen.

2️⃣ Estrogen conversion
Some testosterone converts to estrogen, which can counteract its benefits and trigger fatigue.

3️⃣ Dosing issues
Many men feel better with microdosing — smaller, more frequent doses to maintain a steady state.

—Dr. Justin Houman

02/20/2026

On testosterone replacement therapy but still having symptoms?

Here are three common reasons why TRT may not be working:

1️⃣ Wrong diagnosis
Low testosterone isn’t always the root cause. TRT doesn’t fix everything.

2️⃣ Excess estrogen conversion
Too much testosterone can convert to estrogen, worsening symptoms instead of improving them.

3️⃣ Sleep apnea
TRT can worsen sleep apnea in some men — leading to fatigue, brain fog, and low energy.

—Dr. Justin Houman

02/18/2026

A varicocele isn’t just “something you live with.”

Here are three reasons treating a varicocele matters:

1️⃣ Infertility
Varicoceles are a leading cause of male factor infertility. Repair can significantly improve s***m health.

2️⃣ Low testosterone
Varicoceles can impair testosterone production. Repair may help restore healthier levels.

3️⃣ Testicular pain
For many men, fixing the varicocele relieves chronic discomfort.

—Dr. Justin Houman

Feeling more irritable, tired, or disconnected than you used to?It might not be “just aging.”Irritable Male Syndrome des...
02/17/2026

Feeling more irritable, tired, or disconnected than you used to?
It might not be “just aging.”

Irritable Male Syndrome describes a real cluster of symptoms linked to gradual testosterone decline, often interacting with stress, sleep disruption, and lifestyle factors.

This isn’t a personality flaw—and it’s not all in your head.
Persistent changes in mood, energy, or libido are worth paying attention to.

When symptoms start affecting quality of life, a proper evaluation can help determine what’s actually driving the changes—and what to do next.
—Dr. Justin Houman

02/16/2026

🚨 Testicular pain isn’t always harmless.

Here are three types you should never ignore:

1️⃣ Severe, sharp pain
Especially if it’s sudden or associated with nausea — get evaluated immediately.

2️⃣ Constant, dull pain
Pain that lingers for weeks or months, even if it comes and goes, deserves attention.

3️⃣ Lumps, bumps, or swelling
Especially if paired with fever or urinary symptoms.

Earlier evaluation leads to better outcomes.
—Dr. Justin Houman

Address

Los Angeles, CA

Opening Hours

Monday 8:30am - 5pm
Tuesday 8:30am - 5pm
Wednesday 8:30am - 5pm
Thursday 8:30am - 5:05pm
Friday 8:30am - 5:05pm

Telephone

+13108549898

Website

https://www.amazon.com/shop/justin.houman.md/

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