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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Urology Consult Needed?
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<blockquote data-quote="DMc79" data-source="post: 12916" data-attributes="member: 2601"><p>In June of 2012 I started TRT. My T level, prior to TRT was in the 125ng/DL-250ng/DL range. Prior to TRT I suffered from ED, low libido, loss of pubic hair, low energy, and had trouble focusing at work. All of these symptoms disappeared after starting TRT. After several months of yo-yo T levels, we got the dosage and injection interval correct. At one time my T level was so high (>1500ng/DL) they could not measure it. I was having spontaneous erections (at age 56), and thought of sex constantly. That got corrected. I now inject every ten days, 0.8 ml. My last measured T level, at mid cycle, was 648ng/DL. Last year it was 540ng/DL.</p><p></p><p>One side effect of TRT that I am suffering from is polycythemia. My hematocrit level nine months after starting TRT had risen to 63. Over the next nine months I had a total of 2 gallons of whole blood removed using medical phlebotomy. My hematocrit levels are now normal, and since the beginning of 2014 I donate two units of RBC every 16 weeks, in order to keep it that way.</p><p></p><p>There is no history of prostate cancer in my family, but my father (age 88) suffers from an enlarged prostate.</p><p></p><p>My concern is that my PSA level rose dramatically this year. MY PSA speed more than doubled in the past year, and is >1.00ng/ml. I have had PSA measured annually, in November of every year, as part of my routine physical. My GP has not done a DRE since starting TRT, and states he feels DRE's are not needed and that PSA tests are enough as long as PSA is in the "normal" range (<4ng/ml). I have asked him to at the very least do a DRE and another PSA test to be sure the lab did not make an error, and so far he has rejected the suggestion.</p><p></p><p>My PSA test results (in ng/ml) are as follows:</p><p></p><p>11/09: 1.15</p><p>11/10: 0.79</p><p>11/11: 0.59</p><p>Initiation of TRT 06/12</p><p>11/12: 1.29</p><p>11/13: 1.01</p><p>11/14: 2.32</p><p></p><p>Do you feel that a Urology consult is in order? Would you recommend a bi-annual DRE and PSA screen, given my rising PSA Score?</p></blockquote><p></p>
[QUOTE="DMc79, post: 12916, member: 2601"] In June of 2012 I started TRT. My T level, prior to TRT was in the 125ng/DL-250ng/DL range. Prior to TRT I suffered from ED, low libido, loss of pubic hair, low energy, and had trouble focusing at work. All of these symptoms disappeared after starting TRT. After several months of yo-yo T levels, we got the dosage and injection interval correct. At one time my T level was so high (>1500ng/DL) they could not measure it. I was having spontaneous erections (at age 56), and thought of sex constantly. That got corrected. I now inject every ten days, 0.8 ml. My last measured T level, at mid cycle, was 648ng/DL. Last year it was 540ng/DL. One side effect of TRT that I am suffering from is polycythemia. My hematocrit level nine months after starting TRT had risen to 63. Over the next nine months I had a total of 2 gallons of whole blood removed using medical phlebotomy. My hematocrit levels are now normal, and since the beginning of 2014 I donate two units of RBC every 16 weeks, in order to keep it that way. There is no history of prostate cancer in my family, but my father (age 88) suffers from an enlarged prostate. My concern is that my PSA level rose dramatically this year. MY PSA speed more than doubled in the past year, and is >1.00ng/ml. I have had PSA measured annually, in November of every year, as part of my routine physical. My GP has not done a DRE since starting TRT, and states he feels DRE's are not needed and that PSA tests are enough as long as PSA is in the "normal" range (<4ng/ml). I have asked him to at the very least do a DRE and another PSA test to be sure the lab did not make an error, and so far he has rejected the suggestion. My PSA test results (in ng/ml) are as follows: 11/09: 1.15 11/10: 0.79 11/11: 0.59 Initiation of TRT 06/12 11/12: 1.29 11/13: 1.01 11/14: 2.32 Do you feel that a Urology consult is in order? Would you recommend a bi-annual DRE and PSA screen, given my rising PSA Score? [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Urology Consult Needed?
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