Recently told my pain management doc about a few of my low T symptoms relating to sex, ( however I have almost all except weight gain)
He recommended I try DHEA for two to three weeks (slightly easier to achieve erection but difficult to maintain, still no sex drive etc) then gave me a script testing for Testosterone Free, Direct
LabCorp say Testosterone free, direct by serum dialysis(i believe) is low 5.5 pg/ml, nominal according to them is 8.1-25.1 pg/ml.
Tuesday I am to go to the pain management Dr for them to show me how to do the injections, I was given the option of him prescribing Gel/injections/ one other option I don’t remember, or going to see an endocronoligist. Figured why add another Dr since I don’t have Insurance!
Are there any other tests I should request before starting treatment like FSH, LH or E2?
I was told they would be weekly injections, and I am assuming testosterone cypionate but I don’t know for certain.
I am 6’1" 147lb always was give or take a little, no sex drive, hot flashes, difficulty getting/ even worse maintaining erection, trouble achieving orgasim, decreased pleasure from orgasim, and according to my friend I can be moody at times, occasionally I am anxious, hot flashes, atrophy, skeletal muscle pain, terrible insomnia, lack of motivation, and fatigue. I used to be laid back and not anxious but get edgy at times now a days.
I was in a no fault MVA in 1995 had low back surgery a few years later and prescribed escalating levels of various narcotics,
previously I assumed these were side effects of my current medications 100mg Morphine sulfate I take twice a day, and 1 - 2 30mg oxycodone every 4hrs as needed, ocassionally 1mg Kolonipin for sleep which doesn’t really help. Previously i thought one had to stop or lower the dose to achieve better sexual function
in order to cope for the last 9 months I had been lowering the IR oxy to have sex and/or waiting till the end of the last dose of the oxy just before it was time to take the time release morphine with various but sub optimal results.
I was unaware this could be treated untill I recently mentioned some of my symptoms to the Dr.
in short, SHOULD I REQUEST OTHERS TESTS before starting the TRT, what about HcG + AI in addition to TRT, and should I think about seeing an endocrinologist to get some sort of stabilized treatment plan then go back to the normal Pain management Dr for refills so I dont have to pay two Dr’s?
Any and all help is appreciated I have been reading everything I can about this since last Thr when I found out it was low from the DR and he recommended TRT.