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Old 06-26-2008, 01:34 PM   #1
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grylli28 HB User
Unhappy :( Finding a Low Testosterone specialist



How do I find a Doctor specializing in Low Testosterone? I tried calling a doctor and was told to ask my pharmacist about the condition. I want an MRI to see what is happening and I want some fertility treatment. Should I just call a urologist and tell them I have had testicular trauma, regardless of knowing if it is true? I don't remember any kind of accident but I feel pain 3 times a month.

Maybe it just does not matter.

 
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Old 06-26-2008, 01:51 PM   #2
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Bengie HB User
Re: :( Finding a Low Testosterone specialist

finding a doctor is hard. now your doctor telling you to go to a pharmacist is really weird and sounds like he didn't understand your problem.

What makes you think you have low T? What kind of pain are you having? Are you testicles sore to the touch or feel swollen?

 
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Old 06-26-2008, 06:21 PM   #3
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grylli28 HB User
Re: :( Finding a Low Testosterone specialist

I was diagnosed with Low T after my Doctor had my blood checked 3 times. Another doctor's office staff told me to ask a pharmacist about my condition in hopes of finding a local doctor who knew about my condition. I don't have money to go visit the best ones, around the country or even in my home state.

I am frustrated because my PCP has me on 200 mg/ml Testosterone Cypionate shots, every two weeks. My levels are now up to the 200 - 300 range and he says this is fine but I am still exhausted. I can only work for 6 hours a day then I get worn out. I am not making often to live off of. He also had me try those stupid Cipap machines to prevent a mild apnea, supposedly coming from being on the shots. I told him, "my testicles hurt, sometimes my bladder feels sores, bloated or just plain painful. I want to be checked out." You would think I asked him on a date, because he did not examine me. Come to think of it, the last time I had a work physical he never checked me for a hernia. I also went on to tell him, "I can not fall asleep by myself, let alone while on the Cipap."

I have been reading about FSH and HCG to be used with TRT but my PCP does not talk about it. Instead he gave me a prescription form of tylenol and told me "sometimes the vas defferons gets tangled or inflamed and we don't know how to prevent it, you can just take these and it will clear up itself." Then he sent me a bill for $100, 30 minute "counseling session" and not once examined me and because of that, never noticed that my testicles were shorter.

How come there are no, androcologists?

 
Old 06-26-2008, 08:32 PM   #4
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LALOV929 HB User
Re: :( Finding a Low Testosterone specialist

You really need to find a better doctor. Look at some of the previous
posts on this board which give very good directions on how and what to
do to find out early if the doctor in question will be able to help you or
not. You seem to be in an area where some hope of finding a competent
doctor seems reasonable

 
Old 06-26-2008, 10:37 PM   #5
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hayfarmer HB User
Re: :( Finding a Low Testosterone specialist

If you are in Pittsburg you are about 1/2 way between two of the best in the world. Dr. Eugene Shippen in Shillington PA and Dr. John Crisler in Lansing Michigan.

Sorry, I read now you can't afford them. Call around to urologists and endocrinologists (esp reproduction endos) and ask if they test for estradiol as well as T (when they treat male hypogonadism) and if they do HCG therapy. Look for one that says yes to both questions.

You may need to see a uro in any event for the pain.

Last edited by hayfarmer; 06-26-2008 at 10:42 PM.

 
Old 06-27-2008, 07:48 AM   #6
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Bengie HB User
Re: :( Finding a Low Testosterone specialist

[QUOTE=grylli28;3624316]
I am frustrated because my PCP has me on 200 mg/ml Testosterone Cypionate shots, every two weeks. My levels are now up to the 200 - 300 range and he says this is fine but I am still exhausted. I can only work for 6 hours a day then I get worn out. I am not making often to live off of. He also had me try those stupid Cipap machines to prevent a mild apnea, supposedly coming from being on the shots. I told him, "my testicles hurt, sometimes my bladder feels sores, bloated or just plain painful. I want to be checked out." You would think I asked him on a date, because he did not examine me. Come to think of it, the last time I had a work physical he never checked me for a hernia. I also went on to tell him, "I can not fall asleep by myself, let alone while on the Cipap."

/QUOTE]

you have a really bad doctor. Find a new one. 200 to 300 is not good enough should get in the uppper portion of the normal range. Thats why you feel tired and exhausted.

Being on T replacement will make your testicles shrink. He should have told you that in the first place. They shouldn't hurt though. you probably need to to go to an urologiest and a endo.

 
Old 06-28-2008, 02:33 PM   #7
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LALOV929 HB User
Re: :( Finding a Low Testosterone specialist

A possible reason for the combination bladder pain and testicle pain
would be BPH, benign prostatic hyperplasia, which can be brought on
and aggravated by elevated levels of DHT and/or estrogen. Long term
use of testosterone without an aromatase inhibitor can lead to elevated
estrogen levels and DHT goes up when testosterone levels go up if you
don't use something to suppress the conversion of testosterone to
DHT (dihydro-testosterone). And there is often a broad area of pain
experience when BPH flares up, from testicles to penis to pubic bone to
bladder. Just something to consider.
Can you go to a urologist for the pain? Your doctor just doesn't seem
to care about being knowledgable. Hope you find a better one soon.

 
Old 06-28-2008, 03:23 PM   #8
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BrianEE93 HB User
Re: :( Finding a Low Testosterone specialist

As you know all doctors are not the same but I have had very good luck with a local Environmental Medicine doctor. They look at the big picture instead of treating the symptoms. On my doctors Web site it says that a headache is not caused by a deficiency of aspirin but that is what most doctors do to treat it.

Here is a link to Environmental Medicine Drs. in PA.

[url]http://www.aaemonline.org/states/Pennsylvania.html[/url]

 
Old 07-03-2008, 12:48 PM   #9
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grylli28 HB User
Re: :( Finding a Low Testosterone specialist

Today I called a local endocrinologist and said I wanted to ask them about my treatment options, beofre coming to see them. I was told this would be discussed at a visit. How am I supposed to find out if they use HCG, FSH and estradiol testing? Is there another way to ask this or is this a potential legal conundrum that Dr.s will not get into over the phone?

 
Old 07-03-2008, 06:49 PM   #10
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hayfarmer HB User
Re: :( Finding a Low Testosterone specialist

Just ask if this doctor ever prescribes HCG therapy for males and if he routinely tests estradiol for men on testosterone replacement.

 
Old 07-04-2008, 09:12 AM   #11
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JinL HB UserJinL HB User
Re: :( Finding a Low Testosterone specialist

I would suggest that you contact doctors with D.O. after their name. These doctors are not deaf. They hear & listen to what you say.

Your testosterone is at the bottom of the range. It is at the level of an untreated 90 year old male.

It should be in the upper 1/3 of the range.

The E2 should be in the lower 1/3 of its range.

Low T & high E2 will keep you in a state of misery.

 
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