MD administered Testosterone treatments when over 40.

  • Posted by a hidden member.
    Log in to view his profile

    Feb 16, 2010 12:50 AM GMT
    Just curious if anyone on here has received testosterone treatments from thier MD.
    I am not having anykind of sexual disfunction, but all the other symptoms related to low testosterone. Most of the symptoms have happened in the past year after my 47th birthday.
    Would like to hear from others who may be or have received these treatments.
    Thanks!
  • Posted by a hidden member.
    Log in to view his profile

    Feb 16, 2010 1:21 AM GMT
    we prescribe testosterone regularly for our patients that are truly hypogonadic (i.e. testosterone level is below the lowest value of what is considered 'within normal limits', WNL). if a patient is within the normal range but on the low end and is symptomatic, we will prescribe it but the patient's insurance may not cover it.

    most symptoms of a low testosterone level are subjective. they include but are not limited to:
    - fatigue
    - low libido
    - depression or reduced sense of emotional well-being

    if you decide to supplement, monitor your hematocrit and PSA closely. if your hematocrit becomes elevated (we use 52.5% as threshold), you should get phlebotomized to ensure you don't have a stroke or other side effects associated with over-production of red blood cells by your bone marrow. your PSA level and digital rectal exams will identify if your prostate becomes inflamed secondary to the conversion of your testosterone into its active form, DHT.
  • Posted by a hidden member.
    Log in to view his profile

    Feb 16, 2010 1:27 AM GMT
    I was prescribed Testim topical gel treatments from my GP. I hated it, the awful smell and the disruption to my daily routine, since you can't shower for an hour before the application nor for 2 hours afterwards.

    I cut it short, and she's still looking at alternative approaches, which we discussed this very day. The side effects of low testosterone, which have begun in my case, include loss of bone mass and muscles, and weight gain, among numerous other problems.
  • Posted by a hidden member.
    Log in to view his profile

    Feb 16, 2010 1:36 AM GMT
    bone loss and reduction in muscle mass are fairly extreme manifestations of low testosterone, but it does happen... especially in HIV+ patients. they sometimes also benefit from supplementation with human growth hormone. rHGH should not be used without medical supervision as it has lots of not-so-benign side effects.

    if you didn't like Testim (our second-line therapy), Androgel is less offensive in terms of smell but it has to be left on the skin longer for appropriate absorption. we also prescribe weekly injections of testosterone cypionate or enanthate if the patient doesn't want to deal with daily gels or doesn't absorb them properly.
  • Posted by a hidden member.
    Log in to view his profile

    Feb 16, 2010 1:49 AM GMT
    rightasrain said...we also prescribe weekly injections of testosterone cypionate or enanthate if the patient doesn't want to deal with daily gels or doesn't absorb them properly.

    I told my doctor I might consider that, though it limits my schedule & travel. Apparently I'm not permitted to self-administer it. But daily topical gel is also a hassle. Until someone creates an oral treatment I may just be out of luck.
  • Posted by a hidden member.
    Log in to view his profile

    Feb 16, 2010 2:18 AM GMT
    I have an appointment tomorrow, all my other blood work looks great so there really is no other reason for the symptoms. Getting old sure does suck, especially when I thought I did and do everything right ie: diet, exercise etc.
    I appreciate your input !
  • Posted by a hidden member.
    Log in to view his profile

    Feb 16, 2010 2:25 AM GMT
    I have a compounded prescription and not only is it cheap, but, at a strength to do some good. $40/month.
  • Posted by a hidden member.
    Log in to view his profile

    Feb 16, 2010 2:49 AM GMT
    Red_Vespa said
    rightasrain said...we also prescribe weekly injections of testosterone cypionate or enanthate if the patient doesn't want to deal with daily gels or doesn't absorb them properly.

    I told my doctor I might consider that, though it limits my schedule & travel. Apparently I'm not permitted to self-administer it. But daily topical gel is also a hassle. Until someone creates an oral treatment I may just be out of luck.


    we teach any patient that wants to self-administer. easy enough. you should find a doctor who doesn't insist you come in for the injections so they can charge you an injection fee. there is minimal risk inherent in self-injection.
  • Posted by a hidden member.
    Log in to view his profile

    Feb 16, 2010 2:54 AM GMT
    chuckystud saidI have a compounded prescription and not only is it cheap, but, at a strength to do some good. $40/month.


    this is also a good choice for people who absorb Testim or Androgel poorly and don't want to use injections. you can get a compounding pharmacy to create any strength needed. the impact on bone marrow and prostate are increased though (in some people).
  • Posted by a hidden member.
    Log in to view his profile

    Feb 16, 2010 3:11 AM GMT
    rightasrain said
    Red_Vespa said
    rightasrain said...we also prescribe weekly injections of testosterone cypionate or enanthate if the patient doesn't want to deal with daily gels or doesn't absorb them properly.

    I told my doctor I might consider that, though it limits my schedule & travel. Apparently I'm not permitted to self-administer it. But daily topical gel is also a hassle. Until someone creates an oral treatment I may just be out of luck.


    we teach any patient that wants to self-administer. easy enough. you should find a doctor who doesn't insist you come in for the injections so they can charge you an injection fee. there is minimal risk inherent in self-injection.


    Yep...diabetics spend a life time injecting and don't get infections that often...
  • Posted by a hidden member.
    Log in to view his profile

    Feb 16, 2010 3:21 AM GMT
    I take two 5 gram packs of Androgel every morning. My blood work was showing low testosterone along with low thyroid. Between the thyroid meds and the androgel I was expecting a huge difference in my daily life. Never happened. My levels are in the normal range for both testosterone and thyroid but I still have fatigue, weight gain and mood fluctuations. I also lost quite a bit of hair. Sometimes I wonder what would happen if I just stopped all of it.
  • Posted by a hidden member.
    Log in to view his profile

    Feb 16, 2010 3:28 AM GMT
    gayfotoman saidI take two 5 gram packs of Androgel every morning. My blood work was showing low testosterone along with low thyroid. Between the thyroid meds and the androgel I was expecting a huge difference in my daily life. Never happened. My levels are in the normal range for both testosterone and thyroid but I still have fatigue, weight gain and mood fluctuations. I also lost quite a bit of hair. Sometimes I wonder what would happen if I just stopped all of it.


    more testosterone (and thyroid hormone) is definitely NOT a panacea for anything. i tell patients they may feel nothing. the hair loss may be a side effect of more DHT, which can result from more testosterone. DHT is the same form of testosterone that can cause your prostate to become enlarged over time. the drug finasteride (used to treat benign enlargement of the prostate and hair loss) is used because it prevents the conversion of testosterone to its active form (DHT). you might try finasteride as Propecia to help restore your hair. minoxidil (Rogaine) may also help!
  • PDaddy

    Posts: 6

    Feb 16, 2010 3:55 AM GMT
    Started on Androgel a little over a year ago - still working with the dosage to get it just right, but it's easy to use - just rub on your shoulders/upper arms after you shower. Feel tons better, more energy, more libido.

    Only downside is an outbreak of acne on my back - that's one of the reasons we've been adjusting the dosage to see if we can find a happy place for the whole body. Also been losing more hair, but I hadn't directly linked that?? Hm.

    Over all, definitely think it's worth it.
  • Posted by a hidden member.
    Log in to view his profile

    Feb 16, 2010 4:01 AM GMT
    rightasrain saidwe teach any patient that wants to self-administer. easy enough. you should find a doctor who doesn't insist you come in for the injections so they can charge you an injection fee. there is minimal risk inherent in self-injection.

    Well, I did manage to inject my partner with Lovenox at home daily following a surgery, I don't see why I couldn't do the same for myself.
  • Posted by a hidden member.
    Log in to view his profile

    Feb 16, 2010 4:45 AM GMT
    Red_Vespa said
    rightasrain saidwe teach any patient that wants to self-administer. easy enough. you should find a doctor who doesn't insist you come in for the injections so they can charge you an injection fee. there is minimal risk inherent in self-injection.

    Well, I did manage to inject my partner with Lovenox at home daily following a surgery, I don't see why I couldn't do the same for myself.


    you can! if you are low on testosterone, insist that you be given a prescription for testosterone cypionate (or enanthate.... google them to learn the difference). you'll also need needles and syringes. we prescribe 18-gauge needles with 3cc syringes for drawing up the testosterone and 23-gauge needles for injection. you will typically start by injecting 1cc (200mg) of testosterone each week. you may or may not feel 'better', but it's worth a shot.... pun intended.