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How old are you, and how long do you believe you’ve been dealing with hypogonadism?

For what it’s worth, we see greater success with creams here at EM, by a large margin, than we do with gels. Compounded creams have brought a good number of men success. You aren’t the first to find yourself walking in the valley of medical ignorance and arrogance. Time and again...so frustrating.

The late Dr. John Crisler used to say, “Start low and go slow.” It is always easier, and typically more comfortable for the patient, if he and his doctor adjust upward from reasonable/modest starting points. One can grow impatint. But in the end, I firmly believe one reaches the goal with more...

What’s worrying is that your doctor didn’t realize he had ordered the incorrect estradiol test. Typically, the standard e2 lab test reports inflated values when used by men. But...sometimes it doesn’t. It’s simply unreliable. I would not initiate a course of anastrozole, particularly .5mg of...

The question, I fear, is how many urologists are familiar with this test and are open to ordering it?

You measured your estradiol with the incorrect lab test (reference ranges are giveaway signs). You want to use the sensitive, LC, MS/MS, lab test. It is the only one that men can rely on. Your serum was measured with the women’s test. And...that’s a significant dose of anastrozole in light of an...

It’s all too easy to think that because something happens while on a TRT protocol, that it must be linked to some element of that protocol. But conjunction doesn’t always equate with causation - there could be a host of reasons, stress (as Systemlord notes) being one of them, that you don’t want...

MDxHealth Signs Partnership with LifeLabs to Make SelectMDx Available in Canada LifeLabs has partnered with MDXHEALTH to make the SelectMDX prostate screening test available in Canada for the first time. Just as Dynacare teamed with LabCorp to bring sensitive estradiol testing to Canada...

This happened many years ago, in the Dark Ages of androgen replacement. He was, without a doubt, hypogonadal and still was dealing with the loss of libido following restoration of something approaching therapeutic testosterone levels. I know for a certainty that cabergoline helped significantly...

A good, background, interview Nelson conducted last summer on Natesto. New Testosterone Nasal Gel (Natesto) Data- Video Interview with Dr Ramasamy

A prolactin reading of 22.0 essentially wiped out my father’s libido. A small dose of cabergoline restored it. Recognizing that each of us is different, I’d not dismiss your prolactin value quite as quickly as your doctors seem to.

As Systemlord notes, a compounding pharmacy can whip up anastrozole to a patient’s specifications. Ask your doctor to write a prescription for a modest dose and tread lightly.

What conversations have you and your doctor had in regard to either your donating blood or her ordering a therapeutic phlebotomy? That’s typically how such issues are managed. I, too, live in Canada and know that my doctor orders a therapeutic phlebotomy as a matter of course for patients...

Dr. Adam Millar is an endocrinologist at Mount Sinai with a solid reputation in this area. He will want your free testosterone value submitted when your doctor makes the referral (it should have be n ordered as part of your initial screening). I don’t know Dr. Millar, I have heard him speak...

Have you found success with your current protocol?

Dedy Medical, site sponsor providing care for many of our members, also treats (more and more) women. The consultation is via telephone, any degree of self-consciousness may be minimized as it is not a face-to-face encounter. At the very least, call them and discuss what is involved in becoming...

Vince almost always picks up when he's flagged as I just did. I know that he did not run prop for an extended period of time, but he had other issues that presented at the same time. I recall how startled I was when he reported carpal tunnel sorts of issues.

I believe my friend @Vince Carter has had a similar experience.

Some have reported success in lowering their hct with daily injections, but it is not a given by any means. Again, run a fast and cheap lab test, a CBC, to confirm you're actually dealing with elevated hematocrit before adjusting your protocol.

Have used testosterone alone, on and off, a number of times over five years. As I have noted before, hcg does nothing for me beyond testicle size, but I return to it at my doctor’s urging. Enanthate alone has been successful when that is all I’ve used.

Welcome to Excelmale. We’re glad you joined, and particularly glad the information here helped you sort out problems related to your protocol. We hope you’ll be an active member.

Pull a CBC via www.discountedlabs.com. You’ll know for certain if you have HCT problems. A phlebotomy is the standard way to lower elevated hematocrit - either a simple blood donation or with an order from your doctor for a therapeutic phlebotomy.

First of all, we don't laugh at anyone's issues here at Excelmale. This is one of the most open men's forums on the internet. All of us are dealing with something. This just became a.problem? How long on TRT? What is your protocol?

If you had surgical intervention to deal with gynecomastia, weren't the glands excised at the time of surgery? Even if not, you're going to be monitoring your estradiol on an ongoing basis. It's something that can be addressed if it becomes an issue.

We hope you'll become an active member.

Everyone here started their protocol with a certain amount of expectation and/or anxiety. In a very short period of time you’ll be completely comfortable.

Based on the reference ranges, you're likely measuring your e2 with the incorrect estradiol test. That range looks suspiciously like those associated with the standard/women's test. The results when men turn to that test are unreliable. Explain to your doctor that he needs to order the...

@Blackhawk captures the situation nicely with this post. Let's all tread respectfully.

Having a doctor who is open to suggestion and willing to think broadly is also a critical factor.

There are abundant threads on the use of an AI as part of a TRT protocol here at Exclemale. I think it’s fair to state that Nelson, as early as 2014, was questioning the over-prescribing of anastrozole as detrimental. My own doctor argues that an AI should be introduced when clinical...

Where do your levels sit? You referenced estrogen - has your estradiol been measured with the sensitive, LC, MS/MS, lab test? What are your total and free testosterone values? You write that you are taking “trt and thyroid meds” - what are the details of your protocol? Has prolactin been...