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A huge thank you for this information. I had a Urolift 3+ years ago. It has been helpful but not a cure and there's the possibility a 2nd procedure may be needed. The newer procedures sound much less physically traumatic than the Urolift.

I'm 79 and I've been on TRT for 11 yrs. My PCP has warned me about cardio risk and my urologist has reassured me that, for me, stopping TRT is a greater CV risk than continuing TRT. Doing my own research, the work of Dr. Abraham Morgentaler is very informative. He focuses on the health of the...

You're absolutely right. I've recently learned that not only does TRT not increase CV event risk, as my urologist told me last week, taking me off TRT after many years and at my age would significantly increase the risk of a CV event. Even though my health is excellent, I'm aware that I've...

.5ml Cypionate IM weekly. I have had no issues, only positive benefits.

I've been on TRT 9 years and Metformin 4-5 years and total T has been very stable, with no noticeable change. It may be, in part, that the Metformin dose is relatively low, 250mg 3x per day.

Huge thanks for posting this interview. I just turned 79, been on TRT for 10 years and it has been a life-changer for me and I give TRT credit for the very high quality of life I have and have had these last 10 years. At the moment, I'm dealing with a new PCP (1 year) who thinks I should come...

I've had multiple cystoscopes from different urologists. The experience has ranged from "OMG, the pain is too much!" to "Ummm, that wasn't so bad". Always, the cysto's have been with lidocaine. My personal experience has been that it very much depends on the urologist and whatever the small...

Flomax did help before the procedure but there were days and weeks when I was miserable. I would try to keep the dose at .4 mg but often had to double the dose, but at .8mg there were side effects. My BPH symptoms seemed to cycle for unknown reasons, some days, weeks were OK, others were not OK...

My doc is "OK" with the results but it is possible that he was hoping for somewhat better results. For me, it is a definite improvement. Before the procedure, urination was difficult, slow, no stream. It was very common for me to have a strong urge to pee and being almost unable to initiate...

I had a Urolift in Feb., about a 20 minute procedure, 6 "staples", fairly uncomfortable, about the level of a root canal. Went home w/o a catheter. The first week was difficult, painful urination, but the procedure has provided moderate relief. I usually start to pee within 10 seconds, with a...

Thanks, I'll try 23 & 25's. I'm hoping to spring back before 2 weeks but I know it takes time, that 1 shot won't get me back to where I was. Should be great game tomorrow, A&M vs. Ark.

Just did 1st self-injection, 4 months & 2 weeks after the last pellet insertion, and after a long and frustrating process. My total T was 414 two weeks ago and it took another 2 weeks for everything to fall in place. I assume I'm low 300's now. Been very sluggish the last 10 days, physically...

Unfortunately, I won't be surprised by bad attitudes and protocols, but have to check this option, then the Doc. in Dallas. It could be the road I have to take to Defy. At least I can now recognize a poorly designed protocol. Yes, I do have a bad after-taste from 2+ years on pellets and more...

Received response today from primary-care doctor about my concerns on E2 levels and not wanting to continue with the urologist who wants to continue pellets. Doc referred me to a local Endocrinologist. Initially, I was surprised, but now see it as a step in the right direction. But, I'm...

1Draw, thank you for the great input. Honestly, I've had no negative effects from the pellet modality except for bruising, swelling, and the inability to sit or lie on the cheek for 10-14 days. I didn't have the ups & downs except the time they let my go 4 mos., 3 weeks. Other than that, the...

You were absolutely right, my doctor answered after 6 days that he's prefer for me to stay on the pellets. I also asked him about the sensitive E2 test. He replied that he has confidence in the standard test. I've already contacted my primary care doc by email about having an impasse with the...

CoastWatcher, again, I greatly appreciate your input. First internet look, Dr. French seems excellent. He lists evaluation & treatment of low T as a specialty, verified patient reviews are excellent, and he accepts my insurance. I couldn't ask for more.

I spoke with Defy Med. and they are very impressive. The only obstacle for me is they don't work with insurance. It's cash in front and I can try to file for some level of reimbursement. It's not extremely expensive but over time, will add-up. Defy remains an option but does anyone know of a Ft...

Emailed Defy and they responded with a phone call. The rep was very helpful. Waiting to hear from my doctor, but if he does not respond positively to my requests, I will be working with Defy. Greatly appreciate the referral made by several members, CoastWatcher, Jackie Treehorn, ERO, and Fireproof.

I have emailed Defy Medical asking for fee and treatment information. When my doctor answers my inquiry to him, I'll have all the info to make an informed decision. Thank you, gentlemen. I'll post as soon as I know.

I greatly appreciate the sympathy. After this thread, I'm feeling empowered with information and knowing I have to take a different course. I can't let anger be a part of the change process because I'm not sure what physician options I have. It's difficult now, thinking back over 7 pellet...

Thank you for this critical information. I feel so much better after this thread, better understanding my E2 and the advantages of self-injection vs. pellets. A good friend since we were freshmen in college lives in VA and after hearing how happy I was with the pellets, decided to ask for a T...

Your experience is very similar to my experience. I feel great the first 8 weeks or so, then only OK for 4-6 weeks, and marginal for the 2 weeks before the next insertion. This site is such a great education in some very critical issues, especially for guys like me, happily cruising through the...

Thank you for this extremely valuable insight. Yes, it is a little discomforting to see that my doctor is not up to date. The first step is, I will do a self-test with discountedlabs.com and see where my E2 really is and possibly reduce or eliminate the Anastozole until the next scheduled lab...

I don't see DHT anywhere in my labs, but I googled it. Is this something that should be watched?

I'm very grateful for the this important information. Since my earlier post, I spoke with my caregiver about the E2 being 60. He said to relax, take .5 mg of Anastrozole, repeat weekly, come for a re-test in 6 weeks. I'm feeling over-medicated.[/COLOR] I've also read the thread on why men...

Thank you. The doctor is very good about responding to questions. I'll ask him about the Anastrozole dose and the his thought on going to self administered injections. But, he has given me the impression that injections are a fall-back mode if there are problems with the pellets.

Thank you for the welcome and excellent input. I will discuss the alternatives with my doctor. Here is all I see on the lab report. Order: Estradiol Name Date Value Units Range Source Estradiol 4/4/2016 <5.00 52.90&#8208;63.30 USMD Health System Notes: Postmenopausal females 51.6&#8208;314...

Sean, normally, I don't feel a huge variation. But, one time it was 4 months & 18 days. The extra 18 days made a big difference.e I think mt T was very low and I felt like I was getting over the flu. If the keep it very close to 4 mos., I seem to be OK at around 600. My initial pre-therapy level...

Thanks Steve. The 20-1 ratio is very helpful. No, I do not feel or see symptoms of the high or low E. But, the T therapy has been a life-changer for me. I don't know how to tell if it's the right test for E. It is a blood test done in the lab. This time it was only T & E but other times, it is a...

I'm a senior (over 65) that's been on T replacement therapy for 27 months. My therapy is with a urologist and consists of inserting 14 T pellets every 4 months. He also prescribed 1/2 mg anastrozole per week, which he suspends when estradiol is too low. I am extremely pleased with the many...