tr,

You can always obtain Depo Provera from other sources and continue with what you know works. You don't have to be a slave to one particular doctor. I was on monthly injections of Depo and 100mg daily of Spiro for over 2 years and found that combination to be reasonably effective and fairly inexpensive as well.

One other suggestion. If you disagree or think you will feel worse off it speak up. Ask to talk to her again and spell out your objections. Maybe she just wants you to agree to doing some therapy before she continues your treatment. Suggest you continue what your doing AND see the therapy person.

Whats the worst that she can say? "I still want you to quit using XXX" I think its just as likely that she will say its ok to continue but you must understand the risks and agree to see the therapist.

Correct?

Many doctors want "backup" if the decision is beyond the basic stuff. I know that while my situation is far different and (I think?) more mainstream there was a need to be "checked out" as rational... Thankfully and (oddly) I turned out to be a healthy person mental wise that just needed some "unusual" surgical help to deal with a problem.

I will tell her how I feel and go from there. Worse she can do is ask me again not to take the DP. I still have plenty so I can take it if I so choose.

I do not really have a problem with seeing a therapist and am confident I will get a clean bill of health, I just dont want to drag it out.

I should just relax and be patient and be glad I have a doc that is open mined not to mention she mentioned she treats several transsexuals so lowering T level is not unheard of to her.

Hey bud glad to see you here, just hang in and time will take care of all, but it is a slow process isn't it.

Today I canceled my therapy session because as it turns out I wasnt on the same chapter let alone page as my doctor. She said my T level was to low even after I told her that I felt great at 60 and my last T level jumped up to 182 , I think due to the fact I switched from 200mg of siterone to 150mg of DP. I doesnt seem near powerful enough to get my t level down to siterone levels.So when she said 182 was too low. Thats when I started digging deeper. I then found out she thinks there is depression involved and some other deep seated reason I wish to lower my T. She was also thinking therapy for some time not just a evaluation.

No thanks I will work it out myself, medicating that is. No depression or deep seated reason for wanting this.

But if you don't go to therapy you can't explain why you want to reduce your Testosterone level or maybe more to the point get some control over your sex drive. I know some therapy is better then others but if there is a problem because someone doesn't understand whats the core issue then it can't be worked on.

I think you need to talk to this Endo as well. If she is working on getting you on normal range levels of Testosterone you need to tell her what you plan is so she understands the goals and can help you stay healthy while you getting there. It sounds like she thinks your depressed for some reason and then (to me) it reasonable to fix that by getting your hormones in normal range. I'm not saying low hormones IS depression but for many people they have similar symptoms.

Does that make sense?

After thinking about it further mrt you are probally right so I rescheduled my appointment with the therapist otherwise things are at a stand still with the endo. After further talking with the endo it appears she is just covering her butt by sending me to the therapist so I can see that. This appears to be a long road but I will deal with it and maybe come out of this for the better.

Thanks terry

I went to therapy today and almost immediately he starts talking about putting me on a SSRI and I told him that speaking from experience of being chemically castrated that is the effect I am looking for. but again he seems to be sold on an SSRI. He will be communicating his thoughts to my endocrinologist over the next week and I am scheduled with my endo next Tuesday. I dont think she will necessarily jump on the SSRI band wagon. I think she just wanted to get his opinion as to whether or not he thought I was suffering from depression.

Going to a good endocrinologist ("good," for me, is defined as one who is competent and who will listen to and work with you chemically, physiologically and psychologically, while all the time looking out for what is in the best interests of your health).

I'm not a physician, but I do understand that there is a very wide range of "normal" for Testosterone levels and also that what feels right within that range varies widely by individual (some are happiest at low normal and others feel best at higher levels). It sounds like she's working to find the right point for you. It also sounds like she's also addressing the physiological issues as well and will no doubt refer you to a urologist if that seems necessary. Keep us posted, if you are so inclined.

I hope everything works out well for you!

A late update.

I went ahead and rescheduled my therapy session and went. My Endo originally put me on 200mg of spironolactone which was fine but didnt really do the job and I was experiencing nausea for 4 hours after taking it. Then after my therapy session and a clean bill of health my Endo added 200 mg more of spironolactone and 37.5mg er of paxil. I stayed on that for almost 3 weeks. I had to get off it as I went from 4 hours of nausea to 4 hours of tring not to puke. I was also experiencing dizziness when climbing a ladder (work everyday on one) and also was having a very hard time getting to sleep. After quitting the paxil the nausea did not go away so I stoped the spironolactone also and the nausea went away totally. So presently I am waiting to hear back from my endo as to wether or not my insurance will cover lupron. I have also been taking matters into my own hands and will stop if I can get lupron.