2 days removed from my doctor appointment with one of the top endocrinologists in my region. She came highly recommended by my endo (who I feel wanted me out of his hair; can’t blame him)
Regardless, my appointment lasted 1.5hrs. It was basically this:
-my pituitary cyst is realistically not causing my testosterone problems and is probably just coincidence. I agree…except
why isn’t my body producing TRH/TSH or prolactin normally?? Her answer=IDK…
-My ED is in my head
-You have a complex thyroid problem but it appears to be fine since your labs are all in the normal range.
-Explained away all my symptoms as to other things (cold feet=cold room, constipation=bad diet, dehydration etc, no morning wood, fatigue=sleep apnea, low libido=mental problems)
-Despite having 4 labs that showed low testosterone and one lab taken when I was 12 with total testosterone at 24ng/dl(!), said that FT is more impt and since my FT was basically middle of range, my problem wasn’t due to low T. I didn’t help my situation by walking in with a massive beard.
-Shortening the T injection interval will result in polycythemia and enlarged prostate (?)
-If I’m taking Cialis and it works, what’s the problem?
-She rarely sees patients with TT>700 that aren’t on TRT.
She basically concluded (without specifically saying so) that I am a hypochondriac. By focusing on my problem, I make it worse. And you know what? I actually agree with her. I do! I think she’s right to some degree. I see so many guys panic and that makes themselves worse and I am probably one of them. However, I am single, thankfully, so the pressure to perform I felt with 3 other girls is off!
Regardless, I made myself a promise to feel better because I have ONE life and all of us have the obligation to ourselves to make sure we feel our best so we can focus on other things in life.
My conclusion/take away:
-I personally am avoiding medical/research hospitals. IMO, they have less flexibility to treat patients since all of the doctors are employed by the university, which requires them to be more conservative. Not their fault, but not going to get the “optimized treatment” I seek out. It’s like they use a shotgun vs a sniper rifle approach. They use “one size fits all”.
-The best referrals are usually patients with similar problems, not an esteemed colleague of the doctor haha! I noticed some subtle antipathy from this doctor that I would dare question my original endos professional opinion!
-Urologists are much more aggressive. In my one appt with a uro, I got Cialis. In 4 appts with my original endo, I got nowhere. I’m sticking to a uro for my T issues.
-Im going to overcome this BS regardless. This appt is just one bump in the road. On to the next doctor!
HAN-I can’t afford a trip to Philly.