HRT and Male Health

[evai1234 (imported)]

The latest I have read is that estradiol is indeed beneficial for women with menopause, for their bones, and that the doeage should be .625 mg daily

estrogen dosage largely depends on concrete medication, and also on the person and the medication delivery method (oral, injection, transdermal gel, transdermal patch).

, and that this does not at all increase any risk of heart problems at all. And it has been found to be beneficial for the heart too which is why men have been more prone to heart attacks.

Only oral estrogen (estradiol valerate, estradiol hemihydrate, perhaps small doses of premarin and/or cenestin) preparations in moderate doses are beneficial to the heart as they have impact on lipids and good/bad cholesterol levels. Transdermal estrogens have no impact on this. Not sure about injectables.

Therefore estradiol et al can be converted back into androstenedione and so can testosterone be back produced.

This is quite common myth. E2 cannot be converted to T. There is no biochemical pathway for this.

When you have too many of any of these the body does not completely wash them out right away but instead converts one compound into another.

Not all hormones are converted to each other. T can be converted to E2, but E2 cannot be converted to T.

Anyway bottom line, I have been taking .625 Estrine with no adverse effects but I have noticed a little bit more facial hair growth (I do have some) which would mean that my pituataries have created some testosterone out of the deal.

I never heard about Estrine (perhaps it is estrone from premarin? If so, then premarin has some horse progestins as well). Facial hair growth may be due to increased adrenal androgen production. Estrogen to a certain level can stimulate adrenals (a little bit more cortisol, more progesterone and dhea).

There are no pituitaries. There is just one pituitary.

Pituitary does not produce testosterone or estrogen. At all.

[artisticlicense (imported)]

I am not sure just where to ask this question.

What are the health risks of HRT in men?

HRT does have risks and one should be well aware of that. Nothing is as good as what your body makes in regards to hormones.

I still have my testicles but they do me no good, even with all the good living I do.

I have seen my Physician about "T" replacement a few months ago, and he shot me down, again. (Score was 143 . . . he thinks that's normal for someone of 52 years). I'd love to hear from others who've had this Physician-irritation.

I still do not take any prescribed supplements, just 10 mcg of Pregnenolone every morning.

What I'm doing helps, compared to before I started using supplements. But I have been thinking about seeking out another Physician. I have heard of a doctor in Atlanta that is more receptive, but that's an hour's drive.

Previous postings;

http://www.eunuch.org/vbulletin/showthread.php?t=17698

&

http://www.eunuch.org/vbulletin/showthread.php?t=14844

Most of the guidelines for men were established 20+ years ago, and Physicians still use them, even though there are tons of studies that prove these guidelines are inadequate. Additional "T" in men have no REAL side effects outside of what would be there anyway.

There are proven ways to boost other hormones to counteract loss of natural testosterone (HGH, Pregnenolone, diet and exercise, and a good vitamine regimen).

Some good books that might be of interest to some here;

Naturally Raising Your HGH Levels; by Dicken C Weatherby

Grow Young with HGH: The Amazing Medically Proven Plan to Reverse Aging; by Ronald Klatz

Testosterone for Life: Recharge Your Vitality, Sex Drive, Muscle Mass, and Overall Health; by Abraham Morgentaler

(Especially for health risks of hormone replacement and updated new studies)

Some others just for those who still want sex, but can't perform for whatever reason;

The Hardness Factor : How to Achieve Your Best Health and Sexual Fitness at Any Age; by Gerald Secor Couzens

Fitness by Penis; by Peter Pandore (FUN book!)

Anytime...for as Long as You Want: Strength, Genius, Libido & Erection​ by Integrative Sex Transmutation; by Dr. Charles Runels (a Daphne, Alabama Physician, I've learned a lot from him http://www.templerepair.com/)

All these books are currently available from Amazon.com

Hope this helps someone.

[nullorchis (imported)]

According to my doctor, a ngl of under 250 at any age means you need to increase your available testosterone. A nominal 300 is a good target.

Knowing JUST your cholesterol level isn't enough. You need to know LDL, HDL, Total Cholesterol.

Likewise in the male hormone world you need to know more than JUST total testosterone. Knowing DHEA is one important test. And knowing "free" testosterone is important. The "free" testosterone test of course costs more.

Then you need to know WHY your free available testosterone is low. Just pumping HRT into your body is not necessarily the answer. In my case my leydig cells are dead (thankfully; not as good as full castration but pretty darn close). Leydig cells produce testosterone. In other cases cholesterol may be too low. The leydig cells use up cholesterol to produce testosterone. And that is just the tip of the information iceberg.

One of the better web sites I have found with clinical information about testosterone is the "seek wellness" web site.

One of several articles on andropause discusses age and testosterone.

http://www.seekwellness.com/andropause/ ... hanges.htm

Hormones are complex and so many of them interact with each other, depend on one another, and affect one another.

For example: (from the above web page link)

The relationship between testosterone and SHBG has confused many who question the existence of andropause as a legitimate syndrome. They have argued that the level of total testosterone as measured in blood falls only slightly up to the age of 70. This is true. Yet, the level of SHBG tends to increase with aging. At any time, approximately 98 percent of circulating testosterone is bound to SHBG, which leaves only 1-2 percent available for use by cells. If SHBG levels increase with age while testosterone production decreases, the amount of available testosterone is actually decreasing at a faster rate than total testosterone."

To fully understand the total picture one needs to visit an endocrinologist.

What do endocrinologists do?

Endocrinologists are trained to diagnose and treat hormone imbalances and problems by helping to restore the normal balance of hormones in your system. They take care of many conditions including:

diabetes

thyroid diseases

metabolic disorders

over or under production of hormones

menopause

osteoporosis

hypertension

cholesterol (lipid) disorders

infertility

lack of growth (short stature)

cancers of the endocrine glands

and of course male hormones

And remember WHAT YOU EAT AND DRINK, and your exercise schedule, will affect your testosterone level.

For example:

Soy and Beer and Licorice will suppress testosterone.

Beer will increase estrogen.

if you are overweight, this can adversely affect testosterone level.

Also, if you have working testes, and if you get a testosterone test after 6-8 hours of sleep your T-level will be higher. If you get a testosterone test after being awake and active for 6-8 hours , your T-level will be lower.

Get a new doctor.

[TgEunuch (imported)]

Several months ago I had my testosterone level checked because I have a bad case of erectile dysfunction (I got tired of wetting myself every time I tried to pee standing up) and my T levels came back a really low 228 and had it two more times and in last month's test, it clocked in at a even lower 151!

My doctor is putting me on 5mg of Androderm (TRT) and I’m not very happy about it. My doctor doesn’t seem too concern about my risk for testicular cancer in light of having one of my adrenal glands with a tumor removed.

It’s easy for him say don’t worry, but I do. If I have to go on TRT, I don’t need or want testicles that don’t work. You can’t get testicular cancer if you have no testicles! I want them gone!!!

[Morganna (imported)]

i know what the big idea with the stigma in the medical community ...i got a trumorous inbfection also , that thedoc said dont worry about etc same as you . ya know i fell i have to apprtoach it as if ni want a sex chaNGE . good nthing i am good looking ,,lol jb

[mrt (imported)]

143 ng/dL of total testosterone is VERY low. Get a copy the AACE Guidelines (2002) and ask your doctor to read it and maybe trying using that to guide his treatment. If that doesn't work RUN to a new doctor.

I still have my testicles but they do me no good, even with all the good living I do.

I have seen my Physician about "T" replacement a few months ago, and he shot me down, again. (Score was 143 . . . he thinks that's normal for someone of 52 years). I'd love to hear from others who've had this Physician-irritation.

I still do not take any prescribed supplements, just 10 mcg of Pregnenolone every morning.

What I'm doing helps, compared to before I started using supplements. But I have been thinking about seeking out another Physician. I have heard of a doctor in Atlanta that is more receptive, but that's an hour's drive.

Previous postings;

http://www.eunuch.org/vbulletin/showthread.php?t=17698

&

http://www.eunuch.org/vbulletin/showthread.php?t=14844

Most of the guidelines for men were established 20+ years ago, and Physicians still use them, even though there are tons of studies that prove these guidelines are inadequate. Additional "T" in men have no REAL side effects outside of what would be there anyway.

There are proven ways to boost other hormones to counteract loss of natural testosterone (HGH, Pregnenolone, diet and exercise, and a good vitamine regimen).

Some good books that might be of interest to some here;

Naturally Raising Your HGH Levels; by Dicken C Weatherby

Grow Young with HGH: The Amazing Medically Proven Plan to Reverse Aging; by Ronald Klatz

Testosterone for Life: Recharge Your Vitality, Sex Drive, Muscle Mass, and Overall Health; by Abraham Morgentaler

(Especially for health risks of hormone replacement and updated new studies)

Some others just for those who still want sex, but can't perform for whatever reason;

The Hardness Factor : How to Achieve Your Best Health and Sexual Fitness at Any Age; by Gerald Secor Couzens

Fitness by Penis; by Peter Pandore (FUN book!)

Anytime...for as Long as You Want: Strength, Genius, Libido & Erection​ by Integrative Sex Transmutation; by Dr. Charles Runels (a Daphne, Alabama Physician, I've learned a lot from him http://www.templerepair.com/)

All these books are currently available from Amazon.com

Hope this helps someone.

[Wellesley (imported)]

Anyone getting injections? I have read that this is a bit of a rollercoaster ride in terms of levels. It is the only method of HRT offered here so that is what I would have to take or go without.

what kind of testing should be done? Countryside doctors are not up on all the city stuff yet.

Cheers

W

[Wellesley (imported)]

Hi,

I found out that with one testicle, I was at 2.71 ng/ml

the low threshold listed on the lab slip is 2.07 and the high is 7.61

I got a shot the day after surgery but do not know the dosage. I do know that I have a lot more energy and ambition.

The average levels per age group are the best guide does one go with what feels best?

Cheers

[xxy--eun (imported)]

HI all

I am a swedish male (eunuch).

Been taken Testogel 50 mg /day since may 2001.

Was castr at nov 27 2003, and still get testogel every morning

For me the T are very good, have tryed even 75 mg/day

If I take 75 mg in a weeks time i feel great and horney

But the risk is that the prostate will grow some, as Dr told me

I am a Klinefelter syndrome male, so I have to have T every day for good living.

Before May 2001 i did not so ever get any T

My Dr did not know about it at all so did I not either

When I started with T I did get a new feeling what males have naturally in testicles. Get horney much easly, jerk off more then be4 a s o.

Have tried NEBIDO 1000 mg too,( have to take that in 6-8 weeks) but that was not good for me, so I did get back to Testogel 50 mg/day.

Hope the very best for all of you

[paring (imported)]

Hi, I'm 57 y.o. and I use Androgel 10 gr. a day 5 gr. is not enaugh. I don't have any problem with the prostate, as a matter of fact my P.S.A. is at a teenager level (.02) I've also tried Nibido (I shot every 3 months) and I loved it except perhaps for the last 2 weeks my energy level was low. I'm not using it now because it's not available here in Canada. Perhaps your doctor worries too much about your prostate, no studies ever shown a relation between hormones supplementation and prostate enlargement. Some doctors are very conservative and others are more liberal. Nibido 1000 mg. and Testogel 10 gr. are the quantity a castrated man should take to feel like a normal man but it's up to you to take less if you don't mind to live with half the testosterone a man has. Personally I can't.