I'm in my 5th year of taking a bio-identical testosterone rub-on crème as prescribed by a MD who's with the USA-wide BodyLogicMd practice. It's formulated by University Compounding Pharmacy in San Diego California, packaged in a clever "Topi-Click" dispenser, and sent by UPS to my home monthly. It is free of the user-unfriendly characteristics mentioned by others in this thread and seems to most resemble the Australian Andromen Forte as described by them. It is 5 percent testosterone (50 mg per gram) and I'm prescribed 1 gram a day, measured out by four click-defined turns of the knob on one end of the dispenser, and applied to upper chest and inside of upper arms in 1-fourth gram dollops which emerge onto the center of the smooth plastic dome of the other end and rubbed on in the way stick deodorant is. It feels cool for less than a minute on the skin as something volatile evaporates, after which there's no evidence on the skin that anything had been applied.
I'm taking this stuff for the same problem nvrgag44 states: "
nvrgag44 (imported) wrote: Fri Feb 07, 2014 8:07 am
I still have my testicles but radiation for prostate cancer in '06 cooked more than the cancer.
" (in '07 in my case.) Unlike him, I blew off nearly every urologist's notion that taking lab-made T (a hobgoblin in their minds, left over from med school) would cause return of prostate cancer but having lots of your own natural T would not. Prostate cancer spontaneously returns in a substantial minority of those getting any mainstream treatment for it, and very few of them have taken a prescribed T supplement. I did, and it seems that the cancer has returned, about in the way it would have anyway. If the cancer wasn't entirely eradicated, any non-castrate level of T from any source will enable its regrowth. I figured I might as well enjoy a generous T level while I can, and if the disease comes back it was going to anyway.
Dosage of supplemental T does increase red blood cell concentration, as I've noted on my blood test panels taken at least twice a year. When I was doing 5 clicks a day (which the monthly refill supplied) my RBC and hematocrit were high in the normal range; over the last year I have tapered back to 3 clicks a day and those red blood cell measures have settled back into the lower half of normal. Concurrently with less T dose, trouble with left leg deep vein blood clots has gone away -- and with it the prospect of clots breaking loose to lodge in lungs, heart or brain.
Every organ-focused treatment for prostate cancer, including radiation, degrades erectile performance, from somewhat to total erectile dysfunction. Nerves essential for triggering erection pass so close to each side of one's prostate, with branches entering it, that they suffer some function-impairing damage despite the best medical skills. That, and loss of semen production, are the bad news accompanying every diagnosis of prostate cancer that isn't left untreated. Those patients who go all the way off testosterone as their systemic treatment will typically lose erections plus libido and ability to orgasm.