A little background first: 40 year old with typical symptoms of fatigue, foggy head and low sex drive-Around Nov 2009 at physical exam mentioned symptoms to doctor #1 and he tested for total T and came up to 331 ng/dl (range 249-836). Doc says gotta be below 175 before he's worried and here's a script for viagra.
Early March 2010 had to see doctor #2 at same practice for bronchitis as doctor #1 had full schedule. Mentioned to doctor #2 about my other symptoms and T lab results. He says lets test again because it can fluctuate. Results were 171 ng/dl (range 249-836) and tells me to choose gel or injections. Chose the injections which would be 200 mg test cyp every other week administered in office during certain hours on two days of the week.
Retested three months later (June) with result of 424 ng/dl (range 249-836). I at that time convinced doctor #2 to prescribe weekly 100 mg injections. Continued with injections throughout summer of 2010 despite the hassle of having to be in their office weekly as i work out of town.
In the fall, i asked to switch to androgel then back to shots for personal convenience reasons. Was to be retested in December but never was. In December i missed the last three straight weeks of injections due to work schedule and felt horrible.
2011-I wised up and saw doctor #3 in the town i work in. Said he liked his patients to be over 500 ng/dl. Did convince him to check E2 as well.
Results from 01/06:
T = 68 ng/dl (249-836)
E2 = 17.0 pg/ml (7.6-42.6)
Starting from this low point with weekly injections 0f 100 mg test cyp i could literally feel everything that i have read in the stickies and posts taking place in regards to T and E2. Felt the sweet spots come (energetic and morning wood, etc.) then go away only to have the same old symptoms just not to the same degree. Then retested:
Results from 02/18:
T = 474 ng/dl (249-686)
E2 = 46.6 pg/ml (7.6-42.6)
Free T = 10.7 (6.8-21.5) convinced the lab nurse to add this
Doctor #3 then wanted to cut me back (despite being below his 500 preferred level) to biweekly injections of 100 mg (yes 100 mg biweekly). Said hes afraid of overshooting the range. I wanted something to work on the E2 rising. Seemed to avoid that. Agreed to continue weekly 100 mg injections for a month and retest.
Results from 04/01:
T = 502 ng/dl (249-686)
E2 = 50.0 pg/ml (7.6-42.6)
Free T = 14.9 (6.8-21.5)
If anyone can give me your thoughts on these latest results and advice in how to approach the E2 issue with the doctor it would be appreciated. I see him tomorrow and would really like to get the E2 issue resolved. Then i will approach the self injection method-just dont want to ask for too much out of his norm all at once.
thanks in advance