The Men's Center

The Men's Center Men's health the way it should be.

Dr. Denny Kubinski is a board-certified urologist with 20+ years exp

Testosterone
Erectile & Sexual Dysfunction
Men’s health & longevity
Vasectomies
Medical weight management
Prostate issues & cancer
Functional strength

How did we get here? I have been a practicing urologist for more than 20 years now - as a resident, in private practice,...
08/25/2026

How did we get here?

I have been a practicing urologist for more than 20 years now - as a resident, in private practice, in hospital-owned practice, and now at The Men's Center.

Regardless of the setting, the quality of the medical care has always depended primarily upon one variable. The people taking care of the patients.

Their expertise. Training, experience, subject matter knowledge.

Their mission. Honesty, integrity, empathy, evidence- informed care. Putting patients first.

The qualities that could make or break the reputation of the physician. Patients would decline the two week wait to see Doctor A to see his partner in 6 weeks. It wasn't the clinic - the decor, furniture, free snacks, or TV that atrracted patients - it was the doctor.

The doctor who was going to be writing the prescriptions or doing the surgery was never a secret. It was easy to find out their name, specialty, and where they trained.

Reputations were built over years by online reviews and word-of-mouth.

People knew the names of their doctors.

But in the direct care world, particularly in men's health and wellness, something unexpected and just weird has happened.

Many clinics, particularly franchises, have not only stopped volunteering information about the doctor in charge, they have actually made it very difficult to find. Vague references about physician-led care are made, but any homage to transparency stops there.

I recently had a patient come in for a second opinion regarding his PSA. He was previously seen at a local franchise men's health clinic. I had some questions regarding PSA trend and his testosterone therapy - important for continuity of care. I wanted to reach out directly to the doctor who had been responsible for his care - the normal physician to physician conversation that has historically been easy and a critical part of providing subspecialty care.

I couldn't find him. Not on the website, not by Google search. Nothing.

Equally telltale, the patient had no idea who the doctor was, even though he was getting prescribed testosterone. Could not provide a name. Turns out he had never met a doctor.

This is a thing now. Not a great trend.

Did your doctor tell you that your testosterone is "normal" just because your level is within the reference range, despi...
08/25/2026

Did your doctor tell you that your testosterone is "normal" just because your level is within the reference range, despite your symptoms?

Here is why that is neither scientific nor clinically accurate.

Most people, including some doctors, probably don't really understand how the reference range for testosterone is derived, and often inaccurately refer to it as the "normal" range. But unlike some reference ranges such as those for cholesterol or PSA (which are doctor recommended numbers), the testosterone reference range is simply derived from a sample of the population. When a population is sampled randomly, the results typically take the shape of a bell curve.

This is when it gets really unscientific. We then reverse engineer the reference range with the intention that 95% of men's levels fall between the low end and the high end of the range. The reference range is derived by finding the average testosterone level - which is the top of the bell curve - and going 2 standard deviations in each direction to define the range. By statistical definition, 95% of men sampled fall within two standard deviations of the mean. But there is nothing in science that says that 95% of men are hormonally normal. .

In fact, our population is increasingly less healthy than we used to be. This means that each time the cohort is re-sampled, the bell curve moves to the left. This means that no matter how much testosterone levels are declining as we become less healthy, we just continue to move the goalposts and myopically refer to 95% of men as "normal." This makes no sense at all.

This picture is from a discussion I had with a patient who had a free testosterone in the 5th percentile for his age and had profound symptoms, but was told by his P*P that his testosterone was fine. It was not.

At The Men's Center, we take the time to really educate patients - how they compare to peers, how to interpret symptoms, and risks and benefits of all of the approaches to optimize testosterone levels.

This is men's health.

08/22/2026

Why is this true? Because you can know everything that is currently known about many peptides and still not know what is needed to be an expert.

Because the truth of the matter is that for many peptides expert level information does not exist yet. Clinical trials comparing them to placebo are the only ways to achieve expert level information.

You cannot know what is not known.

You can guess. Some people will be better at this than others, no doubt. You can draw on your anecdotal experience but that is far from dependable or scientific.
I actually don't think always that's a bad thing per se as long as the evidence and lack thereof is portrayed honestly.

I see a lot of influencers claiming that they know peptide protocols - and for a small fee they will tell you. Save your money. There cannot be optimal protocols without clinical evidence demonstrating that they are better than another guy's..

I'm not bashing peptides. I believe in many of them. But anybody who claims to be an expert on many of the popular peptides doesn't know enough to understand how little they actually know (see Dunning-Kruger effect.)

The most refreshing and reassuring answer a doctor could give to unanswerable questions about some peptides would be "we just don't know the answer to that yet" - this implies both self-awareness and honesty.

There are no real experts yet. No matter what the billboard says.

08/21/2026

I can't get enough of my daughter. Literally everything she does is adorable...

08/18/2026

How do you know if you are at a testosterone mill rather than a men's health clinic?

1. At most testosterone mills you will not see a doctor, and sometimes won't be told who the doctor in charge is. His specialty and credentials may not be volunteered. The minimal clinic need is somebody who can legally write prescriptions for testosterone. This is usually a nurse practitioner or physician assistant. State law requires physician "oversight", so these clinics often employ a Medical Director who is required to be in the office for only a few hours per month. This is a side gig for him. Topics such as testosterone therapy, s*xual health, and prostate health very often fall outside the scope of the medical director's expertise. At a testosterone mill, the medical director plays a compliance role but minimal to no clinical role.

2. At many testosterone mills, laboratory workup is limited to a testosterone level. This suggests that the goal of the clinic is to justify testosterone therapy rather than to evaluate underlying causes of symptoms or other potential medical problems that may be contributing to symptoms.

3. Your further relationship to the clinic is contingent upon purchasing a testosterone plan or similar.

4. Protocols are designed by a corporate office rather than the office clinician.

5. Complications related to testosterone use including infertility rising PSA fall outside the scope of the clinic and those patients are generally referred out to a urologist.

How do you know you are at a men's health clinic rather than a testosterone mill?

Real expertise, no sales pitches, no quotas, a comprehensive work-up to evaluate your health rather than to tee up a sale, unrushed appointment with an actual medical doctor. Real conversations rather than scripts. Your goals, not ours.

08/17/2026

Guys, remember the days when testosterone therapy was simply associated with increasing your s*x drive, looking better at the beach, or hitting 70 home runs in a season?

Well the evidence continues to mount that low testosterone has a number of risks outside of the bedroom or the weight room.

I've done posts before talking about how low testosterone is actually associated with higher risk of both metabolic and cardiovascular disease, not to mention cognitive disease and impaired mental health.

And this June there was a landmark article published in Lancet demonstrating that low testosterone was also associated with a higher risk of both being diagnosed with and dying from cancer.

This was a meta-analysis looking at 10 previous studies with over 24,000 men followed for over 270,000 person years.

There were a lot of interesting findings in this study but among them there was a finding that men with testosterone in the lowest quintile compared to their cohort were more likely to die from cancer than men with normal testosterone.

This is an association that certainly deserves more attention. It doesn't mean that low testosterone CAUSES cancer, as low testosterone can certainly just be a marker of overall poor health. This is the correlation versus causation question.

In any event, this paper just adds to the growing body of evidence that a healthy testosterone level is associated with living longer, healthier, and happier lives.

08/13/2026

What does it mean when I'm seeing five or six patients a day rather than 30 to 35?

I am way happier and much more fulfilled with my job. Because I have the time to make a difference.

And the patients have an experience that I would never be able to provide in conventional healthcare. Detailed explanation of a full set of labs and in-depth conversation about cardiovascular health and metabolic health. A thorough explanation of interpretation of testosterone levels and how to improve them. Open discussion of s*xual health. Strategies for weight management. Face-to-face. Unrushed. Focused on health, happiness, and longevity.

Come and check us out.

*xualhealth.

Our optional TMC Membership Program has generated a lot of excitement, and for good reason. It is designed to provide gr...
08/13/2026

Our optional TMC Membership Program has generated a lot of excitement, and for good reason. It is designed to provide great value to patients who use us for a variety of services as a go-to men's health resource.

In addition to unrivaled expertise and access, our members get a free yearly comprehensive visit with labs, free daily oral ED medications, and deep discounts on everything that we do (which is everything related to keeping men happy and healthy.)

For many men the savings are considerable and instant. There are no contracts and our membership can be canceled anytime.

There is nothing else like it and no place like The Men's Center!

You do not have to be a member to be a patient with us at The Men's Center.

Come and check us out!

Address

1100 Queensborough Boulevard Suite 102
Mount Pleasant, SC
29464

Opening Hours

Monday 8am - 4pm
Tuesday 8am - 4pm
Wednesday 8am - 4pm
Thursday 8am - 4pm
Friday 8am - 12pm

Telephone

+18436254273

Website

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