g56whiz saidThanks MMTM.
I've had similar results and even with therapy my testosterone level is about 50 pts below the low end of norm.
I dropped Androgel briefly (it IS a bit costly and insurance doesn't seem especially generous for "elective" meds) and had the same reaction. Pinched the pennies tighter to go back on.
Axiron is offering a free 30 day trial which was the reason for my query. Also applying under arm seems more sensible. Better than Androgel's rub a dub and avoiding a shower (or contact with another living body LOL) for 5 hours especially since I've the luxury of being in control of my daily schedule and can get to the gym when I'm most motivated which can be any anywhere from 5AM to 5PM. MD also glossed over a weekly inject-able as being not where he wanted to go. I think he's concerned about abuse. Since I do a daily (or rather nightly g/l test, that my not be too inconvenient for me.
Still open to input guys.
There are pros and cons to HRT - the biggest IMO being the "for life" part, I'm not a fan of being dependent on something "external" like medication in order to feel - heck, be - myself!
If you are low (at 50ng/dl below low end? :-( ) I'd say you absolutely want to go on something.
I used Androgel for ~ 6 years until I realized it wasn't working anymore. While on the gel, my TT was <150ng/dl! Gah! I had the same experience you did - I was functional from 5am-5pm, but then around 7pm it was past bedtime. In my early 30s.
Considered Axrion but after having issues with Androgel I switched to therapeutic dosage of injectable. For me it's far and away better than topical. I have to admit there were 2-3 rough months as I got used to it and worked out the dosing, but it was worth the hot flashes and panic attacks I had a few times!
Oh, injectable is dirt cheap too, even without insurance.
One nice thing about Axrion (and other topicals) is that it mimics your natural (or what should be natural) testosterone spike in the morning. Injections keep you high all the time. From what I've learned about hormones in the last few years, there are almost intangible, hard to pin down benefits to the body's natural rhythms.
I doubt your Dr. is worried about abuse; I mean, unless you go out on your own and buy some underground juice you're only going to be using what they prescribe. And you could do that anyway. My experience with a few primary care doctors is that their training is dated and they try and stay in territory they are comfortable with.
I hope this helps!