Need advice for upcoming consult (23 June)

vbbuilt01

New Member
Hello everyone! I've been struggling to correct hypogonadism and I've finally found a urologist with Inova who is willing to work with me.

Back in November 2019, I had the following results:


Testosterone, Total, MS

139 ng/dL

250 to 1,100 ng/dL250 - 1,100 ng/dL

Free Testosterone

14.0 pg/mL

35.0 to 155.0 pg/mL35.0 - 155.0 pg/mL

I've tried a couple of male clinics to get started on testosterone treatments but they shy away when they read my high PSA levels.

I've had high PSA levels for years. This new urologist ordered up a MRI PELVIS W CAD W WO CONTRAST which revealed "No evidence of clinically significant prostate cancer based on PI-RADS version 2.1 criteria."

Based on that results, the urologist prescribed Testosterone Cypionate 200 MG/ML Solution "Inject 200 mg as directed every 14 (fourteen) days." She stated that when it was time to renew that prescription, new Testosterone and PSA tested would be collected.

Last week, 5 days after my 6th and last injection, I had another testosterone test:


Testosterone

>1,500 ng/dL

241 - 827 ng/dL

The PSA test results are basically similar to what I've had in the past.

This video consult tomorrow will review those results and determine what's the next step, to include hopefully, obtaining another script for Testosterone.

I'm trying to get smart. What questions should I pose to the urologist? Thanks, Vince.
 

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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

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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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