ExcelMale
Menu
Home
What's new
Latest activity
Forums
New posts
Search forums
What's new
New posts
Latest activity
Videos
Lab Tests
Doctor Finder
Buy Books
About Us
Men’s Health Coaching
Log in
Register
What's new
Search
Search
Search titles only
By:
New posts
Search forums
Menu
Log in
Register
Navigation
Install the app
Install
More options
Contact us
Close Menu
Forums
Expert Interviews
Questions for Specific Doctors & Experts
Questions about my new labs
JavaScript is disabled. For a better experience, please enable JavaScript in your browser before proceeding.
You are using an out of date browser. It may not display this or other websites correctly.
You should upgrade or use an
alternative browser
.
Reply to thread
Message
<blockquote data-quote="Eric Peterson" data-source="post: 124351" data-attributes="member: 225"><p>I have been on TRT since 2011. Initially on a compounded creme (MedQuest) switching later to Axiron and for the past year on testosterone cypionate. I started at the typical dose of 100 mg/week. These labs were drawn to evaluate a dose of 160 mg/wk. I inject IM into my glutes. I am 55. I am 5'10" and weigh 168 lbs BMI 24.1, body fat %: 15. I am fit, physically active, and in excellent health. </p><p></p><p>I am also using 250 IU of HCG 3/week. While I have anastrazole on hand, I generally don't use it unless I have symptoms (nipple itching is generally what I get) but I am having none now.</p><p></p><p>Problems: 1) I have high SHBG. I understand that the strategy is to inject a higher dose less frequently to overcome the amount that is becoming tightly bound. This was the rationale for increasing my dose. 2) recently I have had problems with delayed orgasm. I have always had a lot of stamina, but it is becoming annoying and is affecting my satisfaction and that of my partners.</p><p></p><p>Labs (Quest Diagnostics)</p><p>Test Total: 1277 ng/dL (250-1100)</p><p>Free: 210.7 pg/mL (35-155)</p><p>DHT: 143 ng/dL</p><p>Estradiol (ultrasensitive) 36 pg/mL (<29)</p><p>Prolactin: 7.8 ng/mL (2.0-18.0)</p><p>SHBG: 48 nmol/L (10-50)</p><p>Hematocrit: 41.2% (38.5-50)</p><p>Hemoglobin: 14.2 g/dL</p><p>PSA: 1.3 ng/mL</p><p></p><p>Questions:</p><p>1) If I have done my math right, the percentage of free T vs total T is 1.6% which is below the target of 2%. Should I be pushing for 2% or should I be happy that my Free T is above the reference range? How does my high SHBG fit into this picture?</p><p></p><p>2) I will be meeting with the urologist who manages my TRT on October 10. I am planning to ask about cabergoline. I found a pilot study of 132 patients with delayed orgasm and more than 60% of the patients had a favorable response. TRT was associated with a favorable response. I understand that cabergoline can be associated heart failure and a valvular dysfunction, but I don't know how common this is. Does it seem reasonable to give this a try?</p><p></p><p>Thanks in advance.</p><p></p><p>Eric</p></blockquote><p></p>
[QUOTE="Eric Peterson, post: 124351, member: 225"] I have been on TRT since 2011. Initially on a compounded creme (MedQuest) switching later to Axiron and for the past year on testosterone cypionate. I started at the typical dose of 100 mg/week. These labs were drawn to evaluate a dose of 160 mg/wk. I inject IM into my glutes. I am 55. I am 5'10" and weigh 168 lbs BMI 24.1, body fat %: 15. I am fit, physically active, and in excellent health. I am also using 250 IU of HCG 3/week. While I have anastrazole on hand, I generally don't use it unless I have symptoms (nipple itching is generally what I get) but I am having none now. Problems: 1) I have high SHBG. I understand that the strategy is to inject a higher dose less frequently to overcome the amount that is becoming tightly bound. This was the rationale for increasing my dose. 2) recently I have had problems with delayed orgasm. I have always had a lot of stamina, but it is becoming annoying and is affecting my satisfaction and that of my partners. Labs (Quest Diagnostics) Test Total: 1277 ng/dL (250-1100) Free: 210.7 pg/mL (35-155) DHT: 143 ng/dL Estradiol (ultrasensitive) 36 pg/mL (<29) Prolactin: 7.8 ng/mL (2.0-18.0) SHBG: 48 nmol/L (10-50) Hematocrit: 41.2% (38.5-50) Hemoglobin: 14.2 g/dL PSA: 1.3 ng/mL Questions: 1) If I have done my math right, the percentage of free T vs total T is 1.6% which is below the target of 2%. Should I be pushing for 2% or should I be happy that my Free T is above the reference range? How does my high SHBG fit into this picture? 2) I will be meeting with the urologist who manages my TRT on October 10. I am planning to ask about cabergoline. I found a pilot study of 132 patients with delayed orgasm and more than 60% of the patients had a favorable response. TRT was associated with a favorable response. I understand that cabergoline can be associated heart failure and a valvular dysfunction, but I don't know how common this is. Does it seem reasonable to give this a try? Thanks in advance. Eric [/QUOTE]
Insert quotes…
Verification
Post reply
Share this page
Facebook
Twitter
Reddit
Pinterest
Tumblr
WhatsApp
Email
Share
Link
Sponsors
Forums
Expert Interviews
Questions for Specific Doctors & Experts
Questions about my new labs
This site uses cookies to help personalise content, tailor your experience and to keep you logged in if you register.
By continuing to use this site, you are consenting to our use of cookies.
Accept
Learn more…
Top