Announcement

Announcement Module
Collapse
No announcement yet.

How much testosterone do you use per week?

Page Title Module
Move Remove Collapse
X
Conversation Detail Module
Collapse
  • Filter
  • Time
  • Show
Clear All
new posts

  • Chad
    started a topic How much testosterone do you use per week?

    How much testosterone do you use per week?

    I'm looking at possibly having a unilateral orchiectomy (not for cancer but for post-vasectomy pain syndrome). I'm wanting to know how much testosterone you inject or apply per day, week, or month, and whether you had unilateral or bilateral orchiectomy. I tried a 100 mg shot as a trial, but wasn't able to handle it due to side effects. Now I'm trying gels at 25 mg per day. (I'm already borderline low T). For obvious reasons, it's kind of important to have an idea of how much testosterone I might need to supplement with before cutting this thing out as well as how much my body can handle without bad side effects. And yes I'm aware that I may need zero T since I would have one testicle left. But I have to be prepared for whatever life could throw at me.

  • BrendanF
    replied
    Hi Davepet, I get the compounded gel from a compounding pharmacy near where I used to live in the Hudson Valley in NY. Dermasave Labs in Pleasant Valley. Yes, only by prescription. I’ve since moved to NJ so my urologist writes a physical prescription which I mail to Dermasave. For some reason electronic prescriptions are not possible because it’s a controlled substance? I’m not clear on that but that’s how I’ve had to do it.

    There’s a compounding pharmacy nearby my in NJ but they only use a cream base which I thought didn’t absorb as well, so I stuck with what has worked for me.

    Leave a comment:


  • Davepet
    replied
    BrendanF, where are you getting the compounded gel? aAso did your doc prescribe it?

    Leave a comment:


  • BrendanF
    replied
    Hi Chad, I had primary hypogonadism years before testicular cancer and subsequent orchiectomy in 2014, so I've had experience with many forms of testosterone replacement (transdermal and injection) due to having reactions to most of them, some of which took a month or so to develop, others less. What has worked best for me is compounded testosterone in a clear transdermal gel. I've used it for many years with no reaction and it also has given the most consistent level, short and long term. I use 100 mg daily in the morning (using it later in the day could cause sleep issues as you mentioned). This puts my total testosterone around 400-500 ng/dL (reference range 250-1100 ng/dL), which is fine for me.

    Leave a comment:


  • Chad
    replied
    Originally posted by Davepet View Post
    Honestly, I cannot understand how you've stood up to pain bad enough to consider an I/O for two years without doing anything about it?
    There are less aggressive treatments for PVPS, so I decided to pursue those. I have had side effects from TRT, and that has been the source of my concern. Plus, PVPS patients have reported pain migrating to the good testicle after unilateral orchiectomy. So, it's definitely a last resort for us.

    Leave a comment:


  • Davepet
    replied
    Well since you indicated you were already on the low side, it's not going to improve after an I/O. I'm not sure why you are so concerned about TRT. It can take some efflert, but it works well for many of us Honestly, I cannot understand how you've stood up to pain bad enough to consider an I/O for two years without doing anything about it?

    Leave a comment:


  • Chad
    replied
    Originally posted by Davepet View Post
    I've never seen any statistics on that, but I'd guess it's a fairly low percentage. Two years ago you were contemplating an I/O did you get one?
    During the past two years I've been trying other things, like spinal cord stimulators, CBD, and nerve injections. But they haven't worked, so I'm back contemplating unilateral orchiectomy.

    Leave a comment:


  • Davepet
    replied
    I've never seen any statistics on that, but I'd guess it's a fairly low percentage. Two years ago you were contemplating an I/O did you get one?

    Leave a comment:


  • Chad
    replied
    Sorry for resurrecting an old thread, but do any veterans here know the odds of needing TRT from the loss of just one testicle? In other words, what percentage of men who have unilateral orchiectomy end up needing TRT?

    Leave a comment:


  • Davepet
    replied
    Originally posted by vpirh View Post
    I thought testicles were “use it or loose it” kind of organ. If you start getting T from elsewhere your survivor may athrophy.
    Tey stop producing testosterone if there is an adequate supply in the body, but they do not "atrophy". Stopping the supplement will normally restore production.However if you start on TRT, chances are good you do so because there was an unability to produce enough naturally, so that i the state they you will likely return to.

    Originally posted by vpirh View Post
    Generally, with unilateral orhyometry the survivor will pick up the load.
    For 80+% it does, as it did for me for 35 years, but sometimes the survivor doesn't get the job done & TRT is needed to maintain health. It's not just about sex, after all.

    Dave


    Leave a comment:


  • JoeTheAstronaut
    replied
    Thank you for sharing this time and time again, Dave, it's a true inspiration for us to know that life goes on as normal!!

    Leave a comment:


  • Davepet
    replied
    I went 35 years with one testicle & never missed a beat (ask my various girlfriends & my (eventual) wife). Losing #2 was a bigger change, but TRT works wonders & takes care of most everything. Life goes on pretty much normally after either event.

    Dave

    Leave a comment:


  • cc79
    replied
    Vpirh is correct if you have two or one testicle(s) and start taking exogenous testosterone they will eventually stop producing it naturally after a while, unless you are also taking HCG. This is usually why some people feel awesome at first because the body hasn't shutdown natural production and you supplementing further with T, then after a couple of weeks there is a drop as your boy(s) shutdown. It takes awhile for your body to adjust to hormone changes before your levels becomes stable.

    Leave a comment:


  • vpirh
    replied
    I thought testicles were “use it or loose it” kind of organ. If you start getting T from elsewhere your survivor may athrophy.

    I could be wrong. But this is something I would be asking doc.

    Generally, with unilateral orhyometry the survivor will pick up the load.

    Leave a comment:


  • cc79
    replied
    350mg per week? That is a lot of testosterone considering the average normal healthy young male makes about 6-8 mg per day. Yes there is going to be some loss with any exogenous testosterone, but no where near needing 350mg per week. Everyone reacts different to different doses but most guys that I have seen doing proper TRT (not juicing or steroids) are somewhere between 100 - 200mg per week.

    Yes, sometimes in the early stages when you start TRT you can have a boost of energy or sometimes anxiety (myself included), but with proper monitoring of your blood levels and giving your body time to adjust, these things typically work themselves out. Just speaking from my personal experience.

    Leave a comment:

Working...
X