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Pain Management board


As far as T levels, It was obviously the methadone that had the biggest impact based on testing. I was taking meth when I first started noticing a problem, i had my levels tested and they were very low.They started me on Androgel which is a topicalgel you rub on your belly and arms. They retested 3 months later and I was still taking meth, It was still low but I was at least at the bottom of the normal range. So my doc decided to ago to 10 grams a day or 2 packs a day, That made a huge difference in labido or drive. They retested 3 months later while I was still on meth and I was in the mid to upper range for my age.

So life went on, my wife got a new job with better script insurance and I switched to Kadian, I had a follow up with the endocrinologist after 2 months on kadian and still using 2 packs of Androgel a day, My T levels were twice what was concidered high for my age. Basically I went from 100 -200 to 360.Switched to morphine and using 10 granms of androgel a day my T levels shot up to 880. The only thing that changed was going from meth to morphine, so we cut back to one pack a day, I ended up switching back to meth due to anual limits of scrpt coverage and my levels dropped back down to low normal.

Eventuyally I had the pump put in, I did fine on morphine but they switched me to dilaudid to extend time between refills, again my T levels dropped so I went back to the doc, had it checked and started on androgel again. I basically stoped using it when I had to switch back to meth, I couldn't afford the 200 bucks a month on androgel.

Now medicare has a prescription plan, I had my T levels checked and they were low again so we went back to 1 pack a day. A month later I started working out, I was trying different meds like Cialis and Levitra and they worked OK, but working out daily did more than Cialis or lavitra ever did.I haven't filled that script since the month I started working out, now I don't need it. I think it's safe to assume that excercise also has something to do with T levels. Not to mention confidence, simply feeling good about yourself, feeling strong and depression is a factor with low T levels.

Basically all the things that happen to women when their estrogen declines as far as mood , sex drive, etc, works the same for men when their T levels decline. I don't bother with the ED meds any more, between the excercise and 1 pack of androgel per day, I'm functioning and feeling like a 25 year old again. The only thing holding me back is the crucnhing in my back.

T levels really are important, It doesn't matter why they are low, whether it's one med or another or from injury or surgery to the testicles, testosterone simply makes men feel like men. If his levels are low and he's not at high risk for prostate cancer, I would look for a supplement. I was offered the injections too, but daily supplementing maintains levels better than weekly or monthly injections. It's nice having a normal life in the bedroom and not worrying if the pill works or T levels are high enough, actually taking a pill like Cialis or Viagra seemed to put more presure on me to perfoorm. Or at least I wondered too much if it was going to help which puts your head in the wrong place.

I crertainly emphaize with the problem, It's extremely depressing if you have always had a good relationship that way, 40 your not quite ready to give up something so important to a relationship. Particlcuklery if he's disabled, loosing that ability too is something that can really cause major depression.Men put so much emphesis on who they are by what they do and can do.

I'm aware of the risk to prostate health using testosterone, It is a very real risk, but it's also imporatent to be able to function and find that intamacy that was lost during years of pain and meds. There is a solution worth trying, testosteron is available in small patches worn below the belt, the gel you apply "androgel" or by injection. Placement of the patch was kind of a negative, I knew the injections would wear off, so as long as I have insurance and feel I neeed It it part of staying and functioning normally. It's been extremely benfiicial. Probably in more ways than I'm giving it credit. I imagine It would be hard to motivate to do things you once enjoyed if T levels are drastically low, those levels are what seperates men from women and it's tough coming to terms with one more loss that quantifies who we are, sexual beings.

Try to be suportive and enourage him to try one of the products, not just to improve your sex life, but to increase his feeling like a man, feeling strong, motivated and wanting more than just to manage pain. Obviously there is a lot of psychology involved but a shrink can't even begin to fix the problems low T levels cause untill they know it's the problem. All the viagra in the world won't have an effect if he doesn't have the drive. Viagra helps the mechanics of things work, but testosterone is what creates or deminsihes labido or sex drive. Testosterone alone may make a big difference or it may simply allow the Ed meds to work since the person now wants or cares if things work.

Take care, Dave