Update: Feb 10th
Well, I decided to go to a compounding pharmacy. The Rx has been filled, but I don't like the price. I was told that my insurance company had rejected it and that I would have to pay retail price. This started on Wednesday....I've been on the phone with a dozen different people since then trying to figure out WHY men are being discriminated against.
When I check the forumarly book for covered medications, I found only SEVEN for male hormones, while there are over 150 for women. All of the men's meds are astronomically priced, while the 50% of the women's meds have NO co-payment, 40% had a $3 co-pay and only 10% had a $40 co-pay.
Talk about SEXIST!!!! I'm really pissed...and I'm NOT done yet. I am NOT going to take this lying down!!
The insurance company now has until Monday to give me a final decision on the compounded medication. IF they do NOT approve it...the shit is going to hit the fan!!
The likely answer to your question is the andropause is not taken as seriously as it should by the medical profession. I've called endocrinologists offices and the medical receptionists don't even know what it is. It still isn't in the dictionary, at the least the online one. Many doctors are going through it and denying it. In short, it's the ignorant social attitudes (despite doctors denying it) that hormones are a female thing, that anything hormonal with men is only about erections, and that it's not that bad for men.
If you are alive and human, you're going to go through menopause or andropause. It's different in how and how much it impacts each individual. Hardly noticeable at all for some guys. Devastating to others, and all shades in between. Testosterone controls not just libido and sexual performance, but building and maintaining muscle, bones, energy level, memory, mental acuity and clarity, AND mood, and mental and emotional wellness. Doctors call it the "feel good" hormone because we need it to feel well, to feel motivated, vital, and to feel good. Otherwise, it can cause mood changes, depression, irritability, apathy and disinterest in all areas of life, rendering some men seriously unwell. Some men only feel this slightly. If not treated, low T sometimes can be the precursor of a list of serious and some deadly diseases, including diabetes, Alzheimer's disease, and other conditions.
Taking testosterone in a form and dosage that is right for you works for many guys. However, it isn't that simple, as no hormone works alone. It's not uncommon for adropausal men to have high estrogen, which is equally serious, and making the testosterone even lower. It's more than this, too. The key is a hormonal balance, which includes lots of hormones interacting with each other. Few doctors know about this, including endocrinologists. There are doctors who have had the updated extra education and know just what to do, with wonderful results. They are hard to find, and often expensive, or most insurance doesn't cover, or you have to pay in full by yourself upfront even if your insurance covers it. Such doctors often use better testing (saliva, urine) than simple Quest blood tests, and try to use bio-identical hormones from an accredited compounding pharmacy.
Incidentally, in a seminar about andropause I attended, the doctor who treated andropause said Androgel does not work on at least 20+ percent of the male population.
I'm overloaded with this issue because I'm one of the guys who is suffering from most symptoms to an extreme. I had to research it, but I'm not a doctor and don't want to be. I just need a good one who understands what I wrote about. I'm on Medicare, so that cuts me out of the doctors in the know about the intricacies and conditions of hormonal imbalance related to andropause, and who use bioidentical hormones. If anyone has any ideas how someone on Medicare can get a knowledgeable doctor to treat my low T and Andropause, or knows of one specifically, please let me know. I live in Connecticut. Thanks so say the least.