A long time ago (10+ yrs) I had low testosterone. At my lowest testosterone level, I was a neuter and I cried because of my lost sexuality. All the sexual 'hooks' of TV, of looking, of jokes, conversation, etc., bounced off, like I had lost a sense akin to hearing. It came back with T supplements. For awhile, I had injections 1x/mo, then I discovered that 75 mg of DHEA was an acceptable substitute.
Now I'm facing PC. One Dr. said discontinue DHEA. Another (my surgeon to be) said he thought there was a risk, but that he could see that if it was low before surgery, it might not be unreasonable to maintain a low side testosterone level post surgery (although he would prefer T-patch to DHEA). I stopped my DHEA, then started up on 25 mg a day. That was too low to give me enough 'juice' to maintain my relations with my wife, so I recently stepped back up to 50 mg a day, and that seems like it is working.
This is a quality of life issue. Why are you sparing the nerves if they won't tingle with desire? What risk am I taking on if I insist on minimal T levels?
I read some prior threads here, but I would like to know if Dr's attitudes have changed, or medical advice, or what people's positive and negative experiences have been. Has anyone with normal T values been advised to receive hormone therapy for an organ confined PC robotic procedure? Has anyone amped up their T values and regretted it due to a return of PSA or something?
Your feedback much appreciated.
The past is gone, the future yet to come.
This moment, here and now, is nothing less than the totality of existence.
Mild DRE finding (hindsight unrelated) > biopsy
3/08 1st biopsy, 18 core. Path 1, HPIN and ASAP, 0.5mm 1 core. Path 2, carcinoma
7/08 2nd biopsy, 16 core. Path 1, 1 core carcinoma. Path 3, 3 cores carcinoma
Urologist retired. Referred to another Dr. in same practice, not experienced enough.
Robotic da Vinci sched 12/22/08, Univ of Washington Med Center, Dr. Ellis.