Update 7/18 : New TRT Test level labs with ludicrous E2 result in last post .
32 years old. Was diagnosed with rectal cancer in January of 2013. At the time, life was normal. Felt great, plenty of libido lots of energy and no problems to speak of.
Before surgery I did 6 weeks of chemo and radiation. Since the tumor was really low it was almost impossible to shield my testicles from the radiation field. I was made aware that they would probably be affected in some way but the severity was uncertain.
In this 6 weeks I went from normal ( wanting sex, rock hard on command, plenty of get up and go ) to pretty much a lethargic state where I probably couldn’t get it up if you gathered the top 10 hottest women alive and locked me in a room with them.
There just isn’t any interest at all. When I look at a women it’s pretty much the same reaction I have mentally when I look at a dude. Absolutely nothing happens. Sometimes I can “will” myself to be interested but it’s nigh impossible.
Cialis has bridged the gap with my girlfriend (barely) but being 32 without BPH it’s impossible to get it covered (even though another health crisis caused it) and I can’t afford $500 a month out of pocket. Aetna just looks at my age and is like “nah, can’t do it”.
I have no energy AT ALL. I pretty much wake up exhausted and have spells throughout the day where I am so fatigued that I literally feel like I popped a triple dose of pain meds.
I finally broke down and told my oncologist to add a T check to my monthly labs ( he obliged ) and it came back with a TT of 220 and an FT of 55.
On their scale the 220 was 30 points below the very bottom of the range and the 55 on the FT was barely within normal. The test was done at 9am so realistically my daily average T is running something along the lines of 160 or so.
Labs : ( Current as of 7/18/14 )
Lipid Panel :
CHOLESTEROL, TOTAL 148 125-200 mg/dL
HDL CHOLESTEROL 45 > OR = 40 mg/dL
TRIGLYCERIDES 195 H <150 mg/dL
LDL CHOLESTEROL 64 <130 mg/dL (calc)
CHOL/HDLC RATIO 3.3 < OR = 5.0 (calc)
NON HDL CHOLESTEROL 103 mg/dL
Comprehensive Metabolic :
GLUCOSE 114 H 65-99 mg/dL
UREA NITROGEN (BUN) 13 7-25 mg/dL
CREATININE 0.91 0.60-1.35 mg/dL
eGFR NON-AFR. AMERICAN 111 > OR = 60 mL/min/l.73m2
eGFR AFRICAN AMERICAN 129 > OR 60 mL/min/l.73m2
SODIUM 139 135-146 mmol/L
POTASSIUM 3.8 3.5-5.3 mmOl/L
CHLORIDE 105 98-110 mmol/L
POTASSIUM 3.8 3.5-5.3 mmOl/L
CARBON DIOXIDE 22 19-30 mmOl/L
CALCIUM 9.4 8.6-10.3 mg/dL
PROTEIN, TOTAL 6.9 6.1-8.1 g/dL
ALBUMIN 4.5 3.6-5.1 g/dL
GLOBULIN 2.4 1.9-3.7 g/dL (calc)
ALBUMIN/GL-OBULIN RATIO 1.9 1.0-2.5 (calc)
BILIRUBIN, TOTAL 0.4 0.2-1.2 mg/dL
ALKALINE PHOSPHATASE 68 40-115
AST 20 10-40
ALT 27 9-46
TSH 0.69 0.40-4.50 mIU/L
WHITE BLOOD CELL COUNT 5.5 3.8-10.8 Thousand/uL
RED BLOOD CELL COUNT 5.37 4.20-5.80 Million/uL
HEMOGLOBIN 14.8 13.2-17.1 g/dL
HEMATOCRIT 44.2 38.5-50.0 %
MCV 82.5 80.0-100.0 fL
MCH 27.5 27.0-33.0 pg
MCHC 33.4 32.0-36.0 g/dL
RDW 14.6 ll.0~15.0 %
PLATELET COUNT 163 140-400 Thousand/uL
ABSOLUTE NEUTROPHILS 3927 1500-7800 cells/uL
ABSOLUTE LYMPHOCYTES 1117 850-3900 cells/uL
ABSOLUTE MONOCYTES 297 200-950 cells/uL
ABSOLUTE EOSINOPHILS 154 15-500 cells/uL
ABSOLUTE BASOPHILS 11 0-200 cells/UL
NEUTROPHILS 7l.4 %
LYMPHOCYTES 2O.3 %
Testosterone, FR & Total : Pre-TRT (awaiting updated results)
TESTOSTERONE, TOTAL, LC/MS/MS 220 L 250-1100 ng/dL
FREE TESTOSTERONE 55.1 35.0~155.0 pg/mL
QUESTASSURED 25-OH VIT D :
Vitamin D, 25-OH, Total 16 30-100 ng/mL
Vitamin D, 25-OH, D3 16 Not Established
Vitamin D, 25-OH, D2 <4 Not Established
Current Recap :
5/21/14 Started TRT (200mg/2weeks = 2x50mg/week) Starting T ( 220T / 55F )
6/14/14 Results peaked.
7/07/14 Results bottom out @ around where they started.
7/13/14 Ordered Female Hormone Panel to check E2, awaiting those results and new TRT Testosterone levels.
7/18/14 First TRT followup labs. T=1045
7/18/14 Female Hormone Panel = E2 level of 104.5! Starting adex when it arrives.