I am relatively new here and I am hoping not to get the Slingshot to Mars by the "He-man Woman Haters Club"
I am one of those faithful wives who has been suffering with Low T along with my husband for a long time now.
We have been together for 22 years and married for 18 years (as of yesterday) We know his T levels started dropping about 2 years into the relationship but we are not sure why. It took us until July of 2011 to even convince a doctor to test for that at all.
That test came back around 230 and we were referred to an Endo.
They couldn't get us in to see him for 3 more months. He ordered a lot of bloodwork to try and determine if it was primary or secondary We waited 3 more months to see him to get these results. At this appointment he stated that it was primary hypogonadism. But while being on the low side at 209 he said hubby was still within the normal range.
I argued with him at that point because I had never seen any scale where this was in the normal range. I cried and pleaded with him to at least let us try HRT.
He finally gave in and said we could do a 6 month trial of Axiron and sent us on our way. We were so excited because we thought it would make a difference. It even seemed to make a little bit of difference for the first few weeks.
When we saw the Doc in six months he did another total T test and said the number was 4-something (this one I cant remember) but around 450. To hell with the fact that we had no symptom relief. Wrote another script for Axiron and sent us on our way.
FFW to now. We have moved to a different state and needed a new doctor. We found a Urologist in the next state and drove 150 miles to see him last Friday. He seemed interested in getting to the heart of the issue. I will post test results below. But he encouraged us to see one of his colleagues and a good friend of his who is actually only about 20 minutes from us. We have an appointment with him for this Friday.
The doc in the next state called with the lab results and said we definitely need to change the delivery method right away and wanted to see us back this week if we were not able to get in with the doctor here. He would recommend Testopel.
Here are the results of the most recent tests (on axiron 2 accuations per day)
testosterone, serum 248 348-1197 ng/dL
sex horm binding glob, serum 16.7 16.5-55.9 nmol/L
estradiol 23.3 7.6-42.6 pg/mL
prostate specific ag, serum 0.8 0.0-4.0 ng/mL
hematocrit 42.5 37.5-51.0 %
hemoglobin 14.3 12.6-17.7
My questions are should we start off with testopel since it is a straight dose and cant be adjusted until the next round of implants or would it be better to go with injections until we find the right dosage?
I know the E2 is normal right now but isn't it already too high in relation to the Testosterone?
I don't really know much about the SHBG but I did notice it is on the very low side of the scale. Is that good or bad?
Also what might be a good starting dose to look for with the testopel or the injections?
Thanks in advance,
PS My hat is off to MS. Anonymous11. You go girl!!!
You asked a lot of q's, which is great btw, but I'll probably only answer about half of them so hit me up again for what I have left out.
First of all, the Axiron is just not working. Sometimes it works; sometime it doesn't - that's just the way it is with the topicals. If he really wants to stick with a topical, ask your doc about compounding:http://www.peaktestosterone.com/Compounding_Testosterone
Pellets are a fine choice. Urologists have to do this as far as I know. They are very convenient in the sense that you just get pellets once every 3 or so months. You start out pretty high and dip down about 50% I believe after about 3 months. That's a rough #: talk to your doc for the exact figures.
I've got some info on it that you can read if you'd like:http://www.peaktestosterone.com/Testosterone_Pellets
This guy here, LowerT51, loved pellets and was our Testopel spokesperson for awhile:http://www.peaktestosterone.com/Interview_Testopel_Testosterone_Pelletshttps://www.peaktestosterone.com/forum/index.php?topic=478.0
I say that tongue-in-cheek as he was just a regular Joe like all of us here. However, I point out his story because the procedure for pellets can be a little painful and, from what I've heard, it depends somewhat on your body weight. If you're thin, it's going to hurt a little more possibly. I bring this up, because LowerT51 lost quite a bit of weight and had the procedure again and told me that it was quite painful this time, verifying what I had heard. He was actually thinking of going to injections or some other delivery method.
Injections are another great alternative and I want to bring up one choice that you are probably unaware of: Nebido. It is an long-lasting ester that require an injection only every 6 weeks or 2 months or so, so it also is very convenient and much less painful from what I have heard.
One last thing: pellets are a fine choice, but realize that your urologist has a vested interest more than likely. Why? It is an actual procedure for which he gets pretty big reimbursement from the insurance company if he can get approval. Some docs actually use private companies to talk with the insurance companies and see if they can get reimbursement as it is new and higher dollar, etc.
Imo getting your estradiol regularly monitored and managed is very important. This can make or break the success of the HRT for many men.
NOTE: I can't advise you whether or not to go on HRT, that's between you guys and your physician of course. But use the above as discussion points with him/her so you can decide what is best for your situation.