Congratulations, my T-Buddy, on your zeros! Many, many more! And, good deal on your resumption of T supplementation.
I am still waiting after one week of T to feel any difference or any increased energy. Maybe you and/or Pete of Pete's Travels can help me with when I should expect some noticeable effect.
I am curious to hear about
why you had to pound your fist, with a T level of 48, and what arguements your doctor had against supplementation. When I talked to my doc BEFORE my surgery and BEFORE my biopsy, when I had a T of 63, he said that was "castrate-level" and wanted me to go back on T before anything was happening. He said if I came in with a T of 500, he wouldn't castrate me before and unless he determined that I had ADVANCED PCa. Therefore, he thought I should be eugonadal, not hypogonadal, for my general health. Feeling the way I did at 63 or even 166, I can't imagine how you must feel at 48. All the best to you, Jim!
Take a look, if you haven't yet, at the medical literature about
T supplementation post-prostatectomy.
There is a Dr. A Morgentaler at Harvard Medical School who has published about
this. To see his work, go the website: http://www.ncbi.nlm.nih.gov/entrez/ ,which is the
opening page for the National Library of Medicine's computer search engine Pub Med (haha). Type in morgentaler-a in the search window and then, when you get the list of his publications, double click on the names line, and it will
open a summary of the paper. He has said things like
" ...Publications have now reported no prostate-specific antigen (PSA) recurrence with TRT in small numbers of men who had undetectable PSA values after radical prostatectomy. Although still controversial, there appears to be little reason to withhold TRT from men with favorable outcomes after definitive treatment for PCa. Monitoring with PSA and digital rectal examination at regular intervals is recommended." Morgentaler A., Testosterone therapy for men at risk for or with history of prostate cancer. Curr Treat Options Oncol. 2006 Sep;7(5):363-9.
"...This historical perspective reveals that there is not now-nor has there ever been-a scientific basis for the belief that T causes pCA to grow. Discarding this modern myth will allow exploration of alternative hypotheses regarding the relationship of T and pCA that may be clinically and scientifically rewarding." Morgentaler A., Testosterone and prostate cancer: an historical perspective on a modern myth. Eur Urol. 2006 Nov;50(5):935-9. Epub 2006 Jul 27.
Keep us posted on how you are feeling and I will, also.
PSA (10/04): 2.9; PSA (2/06):4.4, on Androgel (serum T about 450) at age 56; negative DRE, no symptoms.
PSA (5/06):5.7 with a free PSA% of 8, OFF Androgel (serum T 163).
Biopsy (5/06): 4/12 samples positive; postitive samples only on right side; max Gleason 4+3=7 (in 2 of the 4 -from area nearest bladder. One was 40% of sample, the others less than a mm. thick.
DaVinci robotic-assisted laparoscopic radical prostatectomy + bladder lift + Right nerve plastic surgery (8/23/06).
Catheter out 4 weeks postop, due to internal pinhole leak at bladder-urethra junction.
Pads-Not needed after about 2 weeks post-cath, but gotta go a lot more often.
Final pathology report:T2c-both sides,but in capsule; neg. margins, neg. lymph nodes, neg. seminal vesicles; final max Gleason still 4+3=7.
1st Follow-up PSA (11/7/06): <0.008 !!!; serum T: 195 - still OFF Androgel (at present). Low T may delay return of erectile function (in presence of one damaged nerve).
2nd Follow-up PSA (3/19/07): <0.003 !!!; serum T: pending
Testosterone Level (3/19/07): 163, down from November 2006!
Uro-Endocrinology Consult (3/28/07): Prescribed Testim gel 1% once a day, and recheck PSA and T-level in a month.