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Low T on Androderm 4 mg Patch

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  • Low T on Androderm 4 mg Patch

    I am on Androderm 4 mg patch. I did a T test (around 11 AM in the morning unfortunately) and found out that my T is 156 NG/dl (normal 250+), free T = 15.4 pg/ml (low 35+), sex hormone binding globulin 64 nMol/L (high 50-). My libido is non existent and has been like this ever since my HDC in 2014. I want to start "fixing" things. To me, it is apparent that I need more T. But, I am already on the maximum daily for Androderm Patch 4 mg, which is really expensive by the way (30 day supply $500), and Medicare Part D is terrible drug insurance. I personally do not prefer the jels you put on your back every morning. I would not mind a safe injection options. But, nothing is a hard preference as long as I can use them safely and they work (and preferably does not cost a fortune). Could you please make some recommendations so that I can discuss them with my endo? Thanks!
    Jan '11 - Stage IIIc, Mets in lungs and liver, abdo 7*7, pulmonary embolism
    Right I/O AFP 13,000, bHCG 110, Scrotal Hematoma, IVC Filter
    4*BEP AFP 20 end of 4*BEP
    May '11 - RPLND @ Indiana U - inferior vena cava dissected, necrosis, AFP<5
    Surveillance (blood & X rays) and all clear for 24 months
    April '13 - AFP 26 , went up to 46 in a week, Negative CT Scan, Ultrasound and head MRI
    4xTIP - almost normal AFP, but started rising again
    2 x HDC with Autologous Stem Cell Transplant - AFP almost normal but started rising again
    Lost kidneys, damaged liver, chirhosis, ascites 2 liters per day, dialysis 3 times per week, disabled
    2 Lung Wedge Resections -

  • #2
    I've tried the patch and didn't work for me either. Only thing besides injections that have worked for me is androgel but it's expensive. Injections should be a cheap and effective option as long as you don't mind sticking yourself with a rather large needle.
    4x vip
    2xhdct
    2x cyber knife
    Oral etoposide
    2xCrainiotomy
    Brain radiation
    2xorchiectomy
    4xPVB

    Comment


    • #3
      So sorry. My son is just beginning to deal with hormonal issues post treatment, but for him Clomid was suggested since he just turned 18 last month. We need to find an Endo familiar with TC in our town. I learned at the TC Summit that more than numbers, symptoms are the most important. So no erections, especially first thing in the morning, a problem, along with no libido.
      Several males at the TC Summit did injections, others gel.
      Hoping someone else with experience chimes in.
      17 year old son Grant dx 12/21/16
      pre/o markers 12/21/16- HCG:1065.15,AFP:298.8,LDH:1119
      pre/o CT Scan 12/22/16 normal
      r/o 12/22/16
      Post r/o Elevated Markers with INCREASE 4 weeks post r/o;
      PATHLOGY: mixed maligent germ cell 8.6 x 6.2 x 5.9 cm

      -80% Embryonal, 10% Yolk Sac, 5% Teratoma, 5% Choriocarcinoma w/LVI within Spermatic Cord and invasion into Rete Testis
      2nd CT scan on 1/24/17 3 nodes 2 over 2.5, one over 3.5
      BEP x 3 1/27/17
      Post Chemo CT Scan on 3/28/17 still showed a few nodes over 2 cm
      2nd Post Chemo CT Scan on 4/27/17 showed all nodes still over 2cm
      Post Chemo RPLND 5/8/17: Periaortic Teratoma, Intraaorticaval Teratoma, and Paracaval Teratoma found.

      Comment


      • #4
        I am on Aveed, which is a long term injection. I have been on it close to 2 years now and my T levels are right in the middle to upper middle of the range and I feel and function well.

        Aveed has a co-payment assistance program as well, which for whatever reason covers us. It isn't income based or anything, I think they are just trying to get more people on the drug. We have decent health insurance though so our only cost is a co-pay of ~$90 of which Aveed assists with something like $60 of. So we pay $30 every 10 weeks.
        6/5/15: bHCG 27,AFP 8.66, LDH 361, 5.6cm lymph node - Stage IIC
        6/16/15: Left I/O 85% EC, 10% chorio, 5% yolk sac opinion 2 (mayo) 90% EC, 10% yolk sac
        7/7/15: bHCG 56, AFP 42, LDH 322
        7/13/15 - 9/18/15: 4xEP
        10/1/15: bloodwork normal, ct scan shows 2 lymph nodes 1.0cm
        10/26/15: 2nd opinion on CT results - lymph nodes normal. Surveillance!
        4/6/16: 1.7cm X 1.5cm lymph node found with markers normal.
        4/20/16: RPLND @ IU - teratoma only!
        9/18/2017 all clears up to this date!

        Comment


        • #5
          Been on Testogel for the past 6+ years with zero problems.

          Jan 2009: RHS (Seminoma) & RT
          Mar 2010: LHS (Embryonal Carcinoma)
          Sep 2010: Relapse & 3 x BEP
          Mar 2015: Five years "nut free"
          http://doublezeroami.blogspot.com

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          • #6
            I have used Testim, Androgel 1% androgel 1.x% , the generic topical testosterone1% and now, due to insurance, injections.They all got the job done well enough. with the generic testosterone gel being my favorite for effectiveness, &amp; the once every 3 weeks injection being my favorite for convenience.

            Even the generic gel was over $300 without insurance, I forget what my old insurance covered, but still more pricey than the US $7 I pay every three weeks for the injectable dose.
            .Sorry. the forum software is being uncooperative, I will try to finish this later
            Jan, 1975: Right I/O, followed by RPLND
            Dec, 2009: Left I/O, followed by 3xBEP

            Comment


            • #7
              Thank you guys! I am leaning towards injections, but I need to find someone who would prescribe that to me.
              Jan '11 - Stage IIIc, Mets in lungs and liver, abdo 7*7, pulmonary embolism
              Right I/O AFP 13,000, bHCG 110, Scrotal Hematoma, IVC Filter
              4*BEP AFP 20 end of 4*BEP
              May '11 - RPLND @ Indiana U - inferior vena cava dissected, necrosis, AFP<5
              Surveillance (blood & X rays) and all clear for 24 months
              April '13 - AFP 26 , went up to 46 in a week, Negative CT Scan, Ultrasound and head MRI
              4xTIP - almost normal AFP, but started rising again
              2 x HDC with Autologous Stem Cell Transplant - AFP almost normal but started rising again
              Lost kidneys, damaged liver, chirhosis, ascites 2 liters per day, dialysis 3 times per week, disabled
              2 Lung Wedge Resections -

              Comment


              • #8
                Injections all the way. I was on Androgel for 11 years and it worked but the injections work better and much cheaper. Self injection once per week in my thigh keeps me where I like to be, easy peasy! My copayment is $5 per month. My brother on the other hand uses the pellets and he is happy with them. He is too afraid to inject...lol.

                Comment


                • #9
                  Originally posted by Tarc79 View Post
                  Thank you guys! I am leaning towards injections, but I need to find someone who would prescribe that to me.
                  Why wouldn't your current doc prescribe injections? Clearly what you are on isn't working & something needs to change.
                  Jan, 1975: Right I/O, followed by RPLND
                  Dec, 2009: Left I/O, followed by 3xBEP

                  Comment

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