Re: New to low t and androderm

[Guest guest]

Hi Bob,

You should feel some noticable results in about 3 weeks, YMMV.

Can you post hormone test results, with the ranges?

AndroGel or any supplemental testosterone will eventually make you sterile.

You might want to have some sperm frozen, or try a stimulation therapy which

can stimulate natural T production while preserving fertililty. IMO your doc

should have discussed this with you prior to starting you on AndroGel. Did

your doc have an opinion on whether your hypogonadism was primary or

secondary?

Bruce

>

>

> Hi,

> I gave myself a 48th birthday present and went to the doctor. As

> part of a blood screen I was found with low end of range for t and

> was prescribed androderm (the bigger dose)and have used for 5 days.

> What should I expect? I feel better. Libido still low. Not as

> lethargic (I'm overweight)but can walk 2 hrs and talk while doing it.

> Never had kids..never tried..does androderm have any impact on sperm?

> thanks

> bob

[Guest guest]

Hi Bob,

IMO the most important thing you can do right now is to find a doctor who

treats male hypogonadism as a regular part of his/her practice, who has

successfully treated a lot of men. One would think that specialties in

endocrinology or urology would mean competence in treating hypogonadism.

That is simply not the case. I went through a GP and two endocrinologists

before I finally found a doc who knew what he was doing. BTW my first TRT

was with Androderm, and my GP knew enough to make sure I didn't want

more kids before he prescribed it.

If your doc is good, she should have done the following after your initial test:

1. Ordered a second round of tests, including: total T, free T, DHEA-S,

Estradiol, FSH, LH, Prolactin and SHBG.

2. Determined whether your hypogonadism is primary or secondary, using an

hCG stimulation test (or similar).

3. Because TRT will affect test results, they should have been done before

starting Androderm.

4. A pituitary tumor (unlikely but possible) should be ruled out. This involves

an MRI.

In a perfect world you wouldn't need to know the above. Hormone therapy

wouldn't be confusing. You wouldn't have to know any of the terms or

abbreviations. You wouldn't need to consult a group like this. Your doc would

already have done the above, be knowledgeable and skilled, providing sound

clinical treatment.

Let us know if if you want some of the tips we've discovered about finding a

good hypogonadism doc.

Best,

Bruce