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Hello Dr Rotman


I seem to have all the symptoms of Interstitial cystitis Lower abdominal pain and referred pain down to my lower back and anus.  Third occurrence. Previous two seemed to have responded to minocycline bid for 14 days.


I have retrograde ejaculation caused by a green laser procedure to remove calcium deposits from my urethra over 10 years ago.  Can that be causing this issue?


I do not have urgency to urinate but I am now getting up once per night to pee. I void reasonably well.  No pain while urinating or having an orgasm. No fever.


The main complaint is the abdominal (and lower back) pain that feels like my IBS has flared up (or at least what I used to think was IBS).


I am going for an urology work-up but wanted to pick your brain first.  Thank you.


TRT Hormone Predictor Widget

TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

ℹ️ Input Parameters

Normal range: 300-1000 ng/dL

Predicted Hormone Levels

Enter your total testosterone value to see predictions

Results will appear here after calculation

Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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