My visit to the urologist.

W

Want2FeelGood

New member
So after my Primary tells me we need to stop my TRT because my nuts of shrinking, I tell him he is stupid. We (I) decide to get a second opinion. I go to a "great" urologist. I ask the nurses up front just how much this guy knows about TRT. "Oh he has been there and done that, he has seen it all, he knows a great deal about HRT" the old nurse says to me.

Great, this should be easy then.

Uro tells me he doesn't know if HCG is "safe" or not, so he wont be prescribing it. I tell him fine, what about my estrogen levels that we have not checked yet? He tells me we can down my protocol to 75 mg a week. I look at him like I want to slap him (because I did). We discuss things. He tells me we should stop the TRT altogether. By this time I want to punch him. I tell him one shot every two weeks is dumb, and its just a hormonal roller coaster ride, ah something we finally agree on!

Uro rights doc a note and says - Testicular shrinkage is normal and expected. Need to check estradiol levels also. Put patient on 100mg once a week.

Sweet. All in all that little bit only cost me $200 of my hard earned money and a lot of flustration. Nice, so I just wasted all that time and money to have a guy tell another guy something he was already supposed to know! Sweet!

I tell you what guys, TRT has changed my life, but dear god is it a pain in the ass to actually get a halfway decent protocol from these "Doctors" in this part of the US. I gotta look for a anti aging clinic. This is not gonna work. No AI, No HCG, and constantly being threatened to have it all pulled from me as soon as I ask a question. Yeah no thanks. Anyone else having as much fun as me?
 
Lose this doc or use him till you find a better one. I've met my fair share that have no respect for TRT.
 
I don't know where to go really. Should I go to a anti-aging doc? All the ones around here are advertising the bio identical hormone replacement therapy. Is that the same? If you were me how would you go about finding a better doctor? I'm kind of stuck on what to do.
 
Unfortunately we all have to play the game to get a prescription for Pharma Test that we can til at the pharmacy. Just view it as a means to an end.
 
Want2FeelGood said:
I don't know where to go really. Should I go to a anti-aging doc? All the ones around here are advertising the bio identical hormone replacement therapy. Is that the same? If you were me how would you go about finding a better doctor? I'm kind of stuck on what to do.
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anti-aging or men's health clinics usually won't jerk you around. Bioidentical doesn't have much meaning for us guys, more targeted at women who want HRT based on estrogen rather than synthetic compounds.

It's often been suggested that asking a local compounding pharmacy for referrals is a good place to start.
 
Want2FeelGood said:
I don't know where to go really. Should I go to a anti-aging doc? All the ones around here are advertising the bio identical hormone replacement therapy. Is that the same? If you were me how would you go about finding a better doctor? I'm kind of stuck on what to do.
Click to expand...

If I were in your shoes, I'd find a good anti-aging doctor/clinic/practice so you'll have one less thing to stress about. Not all of them use bioidentical hormones and even if the do, it's still basically the same thing. Bioidenticals are just made from different sources like soy plants and horse urine...yes, horse urine.

Some clinics can get very pricey and others just seem a little bit shady, but there are certainly affordable ones out there. You just may have to travel a bit.
 
If you were ever to be pulled off TRT. You might be in for a rough ride. Your HPTA is suppressed. You will have very low T levels if discontinuing TRT and you might not even reach your pre TRT levels. Of course this all gets complicated even more with no HCG. The HCG backfills processes that are shut down with the exogenous T. No LH signal means balls will shrink, lower DHEA thus affecting adrenals etc....
Injecting T is only part of the picture to maintaining over all hormonal health.
 
I found a place! Woot Woot!:kiss:

There is a place about an hour from my house that deals only in Testosterone Replacement Therapy. They have over 5,000 current patients. They do AI's and HCG, as well as weekly shots (which is ok, just doing E3D because of no AI).

I just have to bring in my labs from pre trt, which I have btw. So... cheers!

Ill let everyone know how it goes.
 
Want2FeelGood said:
I found a place! Woot Woot!:kiss:

There is a place about an hour from my house that deals only in Testosterone Replacement Therapy. They have over 5,000 current patients. They do AI's and HCG, as well as weekly shots (which is ok, just doing E3D because of no AI).

I just have to bring in my labs from pre trt, which I have btw. So... cheers!

Ill let everyone know how it goes.
Click to expand...

Do they let you do your own injections? That would be a deal breaker if they don't.
 
Megatron28 said:
Do they let you do your own injections? That would be a deal breaker if they don't.
Click to expand...

No not at first, they said they want me to get dialed in first. Its a long tedious drive but I can manage for maybe a month. Its once a week. They gave me 500ui of HCG and 150mg test cyp on my visit today. The guy I talked to wasn't there so some women from florida was filling in, and she wouldn't give me a AI until she "reviewed my current levels".

That was kind of dumb but I know they do give out AI's. So im trading off easy treatment for good treatment. I don't know if its going to be a fair trade yet, but I defiantly want to find out.
 
Thats alot of stuff for shots in one day. I would take the HCG day before T shot. So what....they store you're HCG vial in a fridge there or they use the same one for all patients?
When are the next shots due?
 
Congrats on finding the new Doc, I wouldn't want to trek that hour to the Docs office every week, but I would definitely do what they required to get it kicked off.
 
Thanks. I'm not sure how they store the HCG, it was sitting on the table when I went into the patient room. I didn't notice a refrigerator but I'm sure there was some kind of storage in the other rooms. I cant believe they would store all that there, with the possibility of getting robbed, but whatever.

I'm hoping I will like the once a week as much as I do the twice a week. Seven days seems like I long time in between shots but as long as I don't feel a difference I don't care. Yeah they basically give you everything there that day, the HCG, Test, and AI, then give you another AI to take 3 days later.
 
Want2FeelGood said:
Thanks. I'm not sure how they store the HCG, it was sitting on the table when I went into the patient room. I didn't notice a refrigerator but I'm sure there was some kind of storage in the other rooms. I cant believe they would store all that there, with the possibility of getting robbed, but whatever.

I'm hoping I will like the once a week as much as I do the twice a week. Seven days seems like I long time in between shots but as long as I don't feel a difference I don't care. Yeah they basically give you everything there that day, the HCG, Test, and AI, then give you another AI to take 3 days later.
Click to expand...

Doesn't inspire confidence. If a multi-use vial is used for multiple patients (not preferred), then it should not be kept in a patient treatment area. The dose should be drawn up in a separate area.

Reference the practices published by the CDC on One and Only Campaign
 
remember that DHEA is also produced by your adrenals, not just your gonads. If you have a lot of issues regarding cortisol, it is a different ball game of treatment. Testosterone replacement is just one of the arsenals to treat your condition. However, our hormone system and glandular physiology are so tightly connected together that a lack of one, usually another part will pick up the slack. This will compound to more symptoms that we just thought as directed to one cause. It will be good as well if you can talk to a naturopath doctor who can help sort things for you, and to a biodentical hormone specialist to complement the other hormonal needs. I am not really a fan of synthetic hormones. More work for my liver to take the ester part of it, and release the testosterone component. Again, this is every individual's choices but it will be justified and all is pacified if we get information from credible sources who know our physiology very well.
 
I don't think that you're going to find anyone using no-ester testosterone in hormone treatment, you'd be injecting multiple times per day.
 
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