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Ask The Urologist Anything (Dr Michael Rotman)
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<blockquote data-quote="jfullam" data-source="post: 62457" data-attributes="member: 8058"><p>Dr. Rotman, </p><p>I have a question about Prostate and urine flow. </p><p> </p><p>Some background: I am 51 years old, I have been on TRT for the last 18 months or so. I was lucky enough to get dialed in very quickly under Defy Medical, my current protocol is 120mg/week Test Cyp (60mg Sun/Wed subq). Also HCG, 250 iu 3x per week (Tues/Thurs/Sat, also subq). I feel fantastic. Been maintaining around 776 total and 20.3 free. E2 is a bit high at 52.2 but Doc is not worried as I am not showing any symptoms. My PSA has been consistently good, with last result 2.1 ng/mL. </p><p> </p><p>Over the last 5 years, I have been increasingly getting up nightly (now at least 2x per night) to urinate and my flow is noticeably restricted. My annual physical exams, my doc did the typical rectal exam and has never been concerned with the size or feel of my prostate. He most recently tried a new test, a Bladderscan, and 2 tests done in Sept and Dec show urine volume at 231ml and 193ml respectively. My primary doc put me on Flomax and after taking it daily for 5+ weeks, I felt zero improvement in flow or nightly urination. My doc then decided to double my dosage (1 pill in morning and and 1 pill at night), but that dosage quickly made me light headed (I have fairly low blood pressure generally) so we stopped the Flomax. Now I am scheduled to see a urologist to discuss 2 possible options: an alternate drug to Flomax (which I am told is a Testosterone blocker) or a Turp surgery (which sounds significant). </p><p></p><p>I am concerned the urologist might recommend changing or ceasing my TRT, which I feel would be a big step backwards for me. Do you have advice for someone in my situation? I assume that when I see the urologist, he will do other tests and perhaps there is more to the story than we know now. Any insight you can provide would be helpful.</p></blockquote><p></p>
[QUOTE="jfullam, post: 62457, member: 8058"] Dr. Rotman, I have a question about Prostate and urine flow. Some background: I am 51 years old, I have been on TRT for the last 18 months or so. I was lucky enough to get dialed in very quickly under Defy Medical, my current protocol is 120mg/week Test Cyp (60mg Sun/Wed subq). Also HCG, 250 iu 3x per week (Tues/Thurs/Sat, also subq). I feel fantastic. Been maintaining around 776 total and 20.3 free. E2 is a bit high at 52.2 but Doc is not worried as I am not showing any symptoms. My PSA has been consistently good, with last result 2.1 ng/mL. Over the last 5 years, I have been increasingly getting up nightly (now at least 2x per night) to urinate and my flow is noticeably restricted. My annual physical exams, my doc did the typical rectal exam and has never been concerned with the size or feel of my prostate. He most recently tried a new test, a Bladderscan, and 2 tests done in Sept and Dec show urine volume at 231ml and 193ml respectively. My primary doc put me on Flomax and after taking it daily for 5+ weeks, I felt zero improvement in flow or nightly urination. My doc then decided to double my dosage (1 pill in morning and and 1 pill at night), but that dosage quickly made me light headed (I have fairly low blood pressure generally) so we stopped the Flomax. Now I am scheduled to see a urologist to discuss 2 possible options: an alternate drug to Flomax (which I am told is a Testosterone blocker) or a Turp surgery (which sounds significant). I am concerned the urologist might recommend changing or ceasing my TRT, which I feel would be a big step backwards for me. Do you have advice for someone in my situation? I assume that when I see the urologist, he will do other tests and perhaps there is more to the story than we know now. Any insight you can provide would be helpful. [/QUOTE]
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