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New to Site - First TRT Appointment Soon
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<blockquote data-quote="CoastWatcher" data-source="post: 96359" data-attributes="member: 2624"><p>You have been wandering in the valley of medical ignorance for 13 months - you've deserved far better care than you have received. In answer to your first question, your hypogonadism that was revealed in the initial lab work could certainly account for the symptoms you described. Far more testing is necessary, as I'm sure you know, but TRT may well be a course of action for you.</p><p></p><p>As for who you should turn to for treatment, urologist or endocrinologist, it really doesn't matter the specialty designation if the doctor knows how to manage men on androgen replacement. That said, most doctors - regardless of specialty - have no idea how to play this game. The vast majority of us experienced this first hand; we were maltreated by endocrinologists, urologists, internists...you name it. </p><p></p><p>So, what to do? Keep the appointment you have with the urologist. Read all you can here on the Forum about hypogonadism and treatment protocols. We have to become our own advocates. Ask questions here, and if what a doctor tells you seems wrong, don't hesitate to seek better care. </p><p></p><p>First of all, you need to demand proper testing: a repeat of what you've run along with CBC, CMP, SHBG, prolactin, estradiol/sensitive (LC, MS/MS), PSA, DHT, DHEA, thyroid (TSH, ft3, ft4, rt3, both antibody panels). </p><p></p><p>Let us know how it all unfolds.</p></blockquote><p></p>
[QUOTE="CoastWatcher, post: 96359, member: 2624"] You have been wandering in the valley of medical ignorance for 13 months - you've deserved far better care than you have received. In answer to your first question, your hypogonadism that was revealed in the initial lab work could certainly account for the symptoms you described. Far more testing is necessary, as I'm sure you know, but TRT may well be a course of action for you. As for who you should turn to for treatment, urologist or endocrinologist, it really doesn't matter the specialty designation if the doctor knows how to manage men on androgen replacement. That said, most doctors - regardless of specialty - have no idea how to play this game. The vast majority of us experienced this first hand; we were maltreated by endocrinologists, urologists, internists...you name it. So, what to do? Keep the appointment you have with the urologist. Read all you can here on the Forum about hypogonadism and treatment protocols. We have to become our own advocates. Ask questions here, and if what a doctor tells you seems wrong, don't hesitate to seek better care. First of all, you need to demand proper testing: a repeat of what you've run along with CBC, CMP, SHBG, prolactin, estradiol/sensitive (LC, MS/MS), PSA, DHT, DHEA, thyroid (TSH, ft3, ft4, rt3, both antibody panels). Let us know how it all unfolds. [/QUOTE]
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