So I am having trouble deciding whether to do this or not. After reading the sticky on this my Urologist is most likely in the category referred to not knowing anything about TRT and I am only getting to talk to the PA now that he recommended the TRT. I originally was referred there by my GP for a varicocele and in doing blood tests they found low T and high Prolactin. At that point they scheduled an MRI (possible pituitary adenoma) and prescribed AndroGel, but I got worried and called and doc agreed to postpone until MRI. MRI was all good and nothing else the doc wanted to do besides starting my TRT and checking back in 5 weeks.
I have read that varicocele surgery could boost T and bring back to a better level so I'd prefer to get that fixed. Should I push my Urologist to refer me to his colleague that he said would perform a micro-surgical varicocelectomy if I insisted? Or should I get more blood info and ask for alternative treatment?
Here's all of my info:
I did have a blood test I am trying to get form an old doctor, I was 26, my T was 330 on scale 300-1000.
Current Levels (still have to get actual test from doc to post real #s)
T 281 on scale 249-836
Prolactin 17.4 on scale 4-15.2 (doc said could indicates pituitary issue, hence the MRI)
CBC-White 3.6 on scale 4-10.5
CBC-Red 5.59 on scale 4.1-5.6
Hemoglobin 17 on scale 12.5-17
I am 34 years old, 6', 195lb, 34" waist. I have thick facial hair and moderate but thick body hair. I tend to carry all of my fat on my belly, chest and face, it's at about 18% and even at my lowest I could only get down to 13-14%. My symptoms of low T are energy levels, low libido, mild ED (maintaining not getting but morning wood is less frequent), and little muscle mass (hard gainer). I do also have testicular pain sometimes after workouts, most likely related to the varicocele.
Training regimen was Starting strength. Currently on a recovery workout 3x strength, 2xHIIT due to arm injury limiting lifting weight.
I eat 5-6 small meals/day, currently ~3600 calories, with a cheat day on Sat. where I still eat a lot and don't worry about fat/carbs. I was doing a little less food with about 3/4 GOMAD, that has been the only time I have seen any muscle gain and I got about 22-23lb of muscle.