I will quickly outline my problem before I run through my treatment:
I had a vericocelle embolized a few years ago but had suffered depression, sexual problems and sleeping trouble (23yo) and I asked my doctor to do a testosterone test. At this point I had already tried the 'natural' ways of raising T so zinc, I was working out a lot (but not getting anywhere), clean diet and even tried not masturbating. The test I did was at the height of all of this and came back 14nmol/L (12-32). The doc put me on a private script for andro-derm patches. I felt brilliant from about the 2nd week, but on moving states (and GPs) I was unable to secure another prescription. I had also developed severe rashed from the patches. I got more tests done after coming off (worst week of my life) and they were 11.4 and 10.4, free test 336pmol.L and 256 (260-740) and I went to an endo thinking that would be enough to put me on test replacement, but he said my levels were normal and any symptom relief was likely a placebo affect. I found an anti aging doctor who put me on a 10% testosterone cream, and again, felt awesome for a few weeks (after the 1 or 2 weeks warming up period) then crashed on about the 4th-5th week. I had tests done at this point and my test was at 40.3 free 1270, and estrogen was 268pmol/L (up from 60pmol/L pre-treatment). We cut the dosage in half, and this brought the test down to 19 and 573 free, with estogen down to 115. I felt ok at this point (but nowhere near as good as my peak). Fast forward 2 months, I got a new batch of test cream which felt watery and not as creamy as the original batch (this is compounding). I started to feel really shit after about 30 days and went back. My latest results (on the new cream) were 10.8 and 317 (back to square 1) with my estrogen still at 120. I asked for androderm patches (knowing they would have a consistent strength) and he agreed (but claimed it was likely just I didn't time the blood test right even though I wnet an hour after I applied).
At this point he tried putting me on these weird ginseng extracts and multiple over the counter vitamins to the total of hundreds per month (the one downside to aa doctors), so I lost faith in him a bit but luckily I had booked in to see the 'best' endo in my area 6 months earlier with my gp (as a contingency he wasn't sure about this anti aging guy). The lady was very understanding and when confronted with my weight loss and improved cognitive abilities she agreed to treat me for a year while I'm at uni with the possibility of a HPA restart (or whatever they are) at the end and more testing. By this point I was feeling good on the patches, my levels felt strong again, but the rash was horrible so she put me on testogel. I haven't got bloods on the testo gel but I feel awful again and this seems to have coincided with changing to the gel.
My main question is, what should I be doing moving forward? Should I be asking about estogen and the ratio that I ended up with? Should I go on an anti-aromatase drug (it's australia they don't reallyl ike giving these out)? I am going in for a blood test this week and should see my GP a week or so after that, I will probably book into see the endo again soon, I just want to know what to ask for. The endo was happy I wasn't on injections as she thought they shut down your balls more so that might not be an option (it's what I'd like though because I've heard it aromatises less than transdermal). Anyone in a similar place any help is welcome. I also asked about clomid (there are som enew studies on younger males with good results) but I was worried about long term affects and it is impossible to get prescribed in aus without fertility problems (I have none). Thanks gentlemen.
Extra info:
DHEAS have varies from 9-11 umol/L on and off treatments. SHBG has been varying between 13 and 17 (12-57) (so that is also low I guess). Before starting treatment I was 95kg and overweight. I am now 86kg with more muscle, but a bit more to lose. Diet and excersize is good, I work out most days + indoor soccer 3x a week, achieved slow weight loss throughout year (mostly in 'peak' times). Depression is more or less gone and sleeping is ok now but the sex drive is zero and erections are 'doughy'. Sex drive and erections good at peak times. Body aches and muscle aches have improved but at this point they are still there, as well as really sweaty palms.
I had a vericocelle embolized a few years ago but had suffered depression, sexual problems and sleeping trouble (23yo) and I asked my doctor to do a testosterone test. At this point I had already tried the 'natural' ways of raising T so zinc, I was working out a lot (but not getting anywhere), clean diet and even tried not masturbating. The test I did was at the height of all of this and came back 14nmol/L (12-32). The doc put me on a private script for andro-derm patches. I felt brilliant from about the 2nd week, but on moving states (and GPs) I was unable to secure another prescription. I had also developed severe rashed from the patches. I got more tests done after coming off (worst week of my life) and they were 11.4 and 10.4, free test 336pmol.L and 256 (260-740) and I went to an endo thinking that would be enough to put me on test replacement, but he said my levels were normal and any symptom relief was likely a placebo affect. I found an anti aging doctor who put me on a 10% testosterone cream, and again, felt awesome for a few weeks (after the 1 or 2 weeks warming up period) then crashed on about the 4th-5th week. I had tests done at this point and my test was at 40.3 free 1270, and estrogen was 268pmol/L (up from 60pmol/L pre-treatment). We cut the dosage in half, and this brought the test down to 19 and 573 free, with estogen down to 115. I felt ok at this point (but nowhere near as good as my peak). Fast forward 2 months, I got a new batch of test cream which felt watery and not as creamy as the original batch (this is compounding). I started to feel really shit after about 30 days and went back. My latest results (on the new cream) were 10.8 and 317 (back to square 1) with my estrogen still at 120. I asked for androderm patches (knowing they would have a consistent strength) and he agreed (but claimed it was likely just I didn't time the blood test right even though I wnet an hour after I applied).
At this point he tried putting me on these weird ginseng extracts and multiple over the counter vitamins to the total of hundreds per month (the one downside to aa doctors), so I lost faith in him a bit but luckily I had booked in to see the 'best' endo in my area 6 months earlier with my gp (as a contingency he wasn't sure about this anti aging guy). The lady was very understanding and when confronted with my weight loss and improved cognitive abilities she agreed to treat me for a year while I'm at uni with the possibility of a HPA restart (or whatever they are) at the end and more testing. By this point I was feeling good on the patches, my levels felt strong again, but the rash was horrible so she put me on testogel. I haven't got bloods on the testo gel but I feel awful again and this seems to have coincided with changing to the gel.
My main question is, what should I be doing moving forward? Should I be asking about estogen and the ratio that I ended up with? Should I go on an anti-aromatase drug (it's australia they don't reallyl ike giving these out)? I am going in for a blood test this week and should see my GP a week or so after that, I will probably book into see the endo again soon, I just want to know what to ask for. The endo was happy I wasn't on injections as she thought they shut down your balls more so that might not be an option (it's what I'd like though because I've heard it aromatises less than transdermal). Anyone in a similar place any help is welcome. I also asked about clomid (there are som enew studies on younger males with good results) but I was worried about long term affects and it is impossible to get prescribed in aus without fertility problems (I have none). Thanks gentlemen.
Extra info:
DHEAS have varies from 9-11 umol/L on and off treatments. SHBG has been varying between 13 and 17 (12-57) (so that is also low I guess). Before starting treatment I was 95kg and overweight. I am now 86kg with more muscle, but a bit more to lose. Diet and excersize is good, I work out most days + indoor soccer 3x a week, achieved slow weight loss throughout year (mostly in 'peak' times). Depression is more or less gone and sleeping is ok now but the sex drive is zero and erections are 'doughy'. Sex drive and erections good at peak times. Body aches and muscle aches have improved but at this point they are still there, as well as really sweaty palms.
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