I'm 45, and had all the text book symptoms of low T, got tested by my Urologist at 8:30 a.m. and came back with 372 T level. He asked about morning wood and my libido and sent me on my way with a sample pack of Viagra and Cialis and said I was in the normal range.
I still felt like crap, so I decided to research things myself and ran across this site. After reading the stickies I decided to find a new doc. I went to my General Practitioner because I needed a referral to another Urologist. He also did a physical and drew blood and my T level came back 222. Again , within the normal range was the diagnosis. Their lab was 180-700. I explained my gas tank is empty and I need to fix this ,its effecting my quality of life.
Finally get a referral to Doc number 3, Explain my symptoms and he said we will do Labs to confirm and the DRE exam as well. Did the DRE exam and he explained my options for TRT and I chose injections once per week.
He injected first dose in office and wrote a prescription for Cypionate injecting 0.5cc of 2000 MG/10 ML. once per week. The only reason he started the injections without the labs was due to the 2 hour drive I had to make to see him.
Labs did come back with low T, 220 this time. PSA was good, FSH /LH also normal.
I have had 2 follow up appointments and new labs done once. After three months on TRT , I had a T level of 460. I felt better than before but it was a roller coaster ride with one injection per week. I asked about checking my estrogen levels but he would not test. I also asked about my testicles shrinking and taking a aromatase inhibitor. You don't need any of that he replied. I went armed with the injection protocol printed to solidify my case, I handed it to him and he still refused. After this visit I decided to follow KSMAN's advice and inject the same dosage but split into 2 injections per week for the last 2 months. The roller coaster is now gone and I feel good most of the time.
I'm set for my next follow up and Labs in Feb 2016. My libido has been dang near zero. Which is once again effecting my self esteem. So I decided to pay for my own labs.
I cant seem to get a prescription from my Dr for an AI. has anyone else had this same issue and if so how did you fix it.