Hi Pete...........I followed some of your earlier postings on this subject and have been eager to see how you're making out. I have low "T", but it's not out of range; more very low range (low-300's), and my free "T" is also very low range. My % of free "T" is below range. I've encountered the same mindset as you have from uro's and other specialists-that you cannot safely supplement with TRT if you have been treated for prostate cancer. My surgeon has opined that he would sanction TRT, and my local uro has done an about-face (based on the studies of Morgantaler, Mulhall, etc.) and has agreed to try it once I reach the 2-yr. mark of undetectable PSA and based on my pathology stats. I'm currenlty attempting to get some other levels of things up to snuff, namely Vit. D-3, B-12, and iron. Figured I could do that until we test for PSA at 24 months..
My symptoms have been the usual suspects---no libido, muscle wasting, foggy thinking, irritability, waistline fat gain---you name it. I too had to hear about depression and relationship counseling and also tried a four-month trial of Wellbutrin.
I'd like to know how you came to choose shots as opposed to topical cream or pellets. Do you inject bio-identical "T", or is it a form of synthetic such as Androgel or Testim?---thanks in advance,
Arnie in DE
Age 56 (biopsy & surgery)
PSA at Diagnosis-3.9
Biposy 8/19/08--4 of 12 cores positive; 5% involvement, Gleason 6 (3+3)
Surgery 1/26/09-DaVinci Robotic Prostatectomy at Presbyterian Medical Center/HUP-Phila, PA
Dr. David Lee
Pathology Report- Adenocarcinoma, no capsular involvement, seminal vesicles clear, lymph nodes clear, negative margins, Gleason 7 (3+4), Stage T2C, NO MX, Prostate 61.8 grams, gland involvement 2-10%
Catheter removed after 8 days, totally dry at 3 months. ED issues continue, Viagra (via ADC) nightly (100mgs), VED use in earnest at 6 months. "Ball Park Frank" plumping at this point......ED at 10 months continues to improve, albeit slowly. Continued daily use of 100mg Viagra (ADC). Discontinued pump use; manual stimulation to varying states of erections; achieved penetratable erection on a couple of occasions----At 13 months, nocturnal erections are frequent. Still taking 100mg of ADC Viagra nightly. Libido still in the dumper, but working on it with doctors.
3 month PSA--<0.1
6 month PSA--<0.1
10 month PSA--<0.1
18 month PSA--<0.1