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TRT after 2nd orchiectomy. Any bloodwork to do beforehand, and tips on transition?

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  • TRT after 2nd orchiectomy. Any bloodwork to do beforehand, and tips on transition?

    Having a second orchitectomy, described in the 2x thread. But have a couple of TRT questions I figured I'd ask here.

    Bloodwork: I've heard mentioned it can be good to get some blood markers beforehand. Any I should aim for? I have already had T and free T measured as part of followup for the first one. I know I basically only have a couple weeks to measure any of the others while I still have a testicle, so figured I'd check if there's anything I should measure.

    Smoothing the transition: Doctor wants to get me started on androgel a couple days before the surgery. Other than this, is there anything I should do in terms of having a smooth transition to new hormones? I'd like to not lose too much fitness and be in a good place productivity wise, rather than languishing hormonally for a couple of months. Any common pitfalls to avoid or things that help?

    Best form? Have heard injections a few times a week may be the best form, but don't really know. Anything you guys have found you like the most? Androgel probably simplest to start on.

    Dosage: My T was never that high, and my free T was always rock bottom. So I may have been hypogonadal for years. Given that, what should I aim for in terms of levels?

  • #2
    Your doc's plan sounds good, my doc wouldn't start TRT for 2 weeks, it was rough. Some guys transition easily, others have difficulty getting their levels right, so might be a while to settle in. I've used Testim, Androgel Generic T and now injections.All worked well, injections once every 3 weeks is by far more convenient, but I felt the Felt the generic gel worked best.You should aim for the normal range, it is impossibly wide, so an easy target.
    Jan, 1975: Right I/O, followed by RPLND
    Dec, 2009: Left I/O, followed by 3xBEP

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    • #3
      Hi,

      Sorry you're going through this and hopes all works out for you.

      I had my op in January (now all clear thankfully). I received a Sustanon injection the day afterwards and every three weeks thereafter - it feels like I've been walloped across the buttocks for 3 days afterwards but it's a small price when I consider what might have been. The Consultant has asked about whether I might try the Nebido (13-weekly) but I've re-prescribed on the Sustanon for another 5 doses so I'll look at it again in a couple of months.

      (I've decided against the gel as I'm still living with my mother who has DVT issues and I don't want to risk any transfer via towels/seats etc...)

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      • #4
        Just so you are informed, the risk of transfer of gel is extremely overblown.( they put it on the guy's abdomen & had them rub for 15 minutes, & only doubled her normal levels of T). The recommended application site is the shoulders, & a t-shirt offers adequate protection.
        Jan, 1975: Right I/O, followed by RPLND
        Dec, 2009: Left I/O, followed by 3xBEP

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        • #5
          Thanks Dave, that's useful to know if I decide to change in the future...

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          • #6
            Update: androgel seems to be working well for me. It’s definitely an improvement in energy mood and libido compared to before. Will find numbers later at followup.

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            • #7
              Glad to hear that. Some guys struggle to bget that right. Let us know what yojur 3's are when you can.
              Jan, 1975: Right I/O, followed by RPLND
              Dec, 2009: Left I/O, followed by 3xBEP

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