Setting Expectations

Low testosterone issues, impacts on health & marriage, treatments, etc.
justsomeguy
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Re: Setting Expectations

Postby justsomeguy » Thu Jul 14, 2016 8:02 am

This was IM. My doc refuses to prescribe SQ. Says he knows other "rogue" docs are experimenting on patients but he claims the "science is not yet in" for SQ. He needs to get an official green light at a major conference before he will go down that road.

Others here have suggested just switching to SQ on my own but I thought I would try things my doc's way for a while and see how it goes. So I should modify my question:

Is there a way to reduce soreness when injecting IM into one's leg?

Note: it's now 3 days after the IM shot and my leg is mostly recovered. I think the 2 day window after injection might negatively impact my cycling and since it looks like I'll be doing this for the long haul I'm looking to learn any tricks of the trade to minimize the inflammation and/or the effects of the long needle pushing thru. Maybe there isn't, and this is just the way it is. Not the end of the world by any stretch but I thought it worth asking the question :)

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Re: Setting Expectations

Postby txtwindad » Thu Jul 14, 2016 8:21 am

Is there a way to reduce soreness when injecting IM into one's leg?


Absolutely. Quit taking the shot in the leg. Use your backside. I use the big muscle just above the hollow of my hip. Plenty of room, few nerve endings. I can do it myself on the right side, but have to have my wife do it on the left. Actually she does most of them for me now.

It sounds like your doctor doesn't know what he's talking about. Referring to subq as being prescribed by "rogue" docs is just laughable.
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justsomeguy
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Re: Setting Expectations

Postby justsomeguy » Thu Jul 14, 2016 8:27 am

The instructing nurse gave me a sheet displaying allowable injecting sites, one of which included the backside, but she explicitly told me not to inject there. Said there's a danger of hitting a certain nerve and also of hitting bone.

In my case, as my wife lovingly says, "I have no butt". I've added muscle mass there from cycling but let's just say I started from near zero :lol:

That said, when THEY injected me early this year they did use my backside. So I guess they just don't have confidence I'd get it right injecting there :roll:

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Re: Setting Expectations

Postby Unfulfilled » Fri Jul 15, 2016 4:54 pm

Who does the injection?

I would suspect that the speed at which the syringe is pushed may have some effect on the pain.m I would suspect that the more time it takes (slower push) to empty the dose, the less pain is likely.

justsomeguy
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Re: Setting Expectations

Postby justsomeguy » Fri Jul 15, 2016 7:36 pm

I've only done it once. Looks like I'll have many more opportunities for her to share on the fun. I was told to jam it in fast like a dart but I injected the T more slowly. I think we'll try in the glutimus Maximus as has been advised here next time. What could go wrong? :shock:

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Re: Setting Expectations

Postby justsomeguy » Thu Jul 21, 2016 11:25 pm

Just wanted to say thanks - injecting in the backside worked great :D

Q: think I can manage to inject myself on the left side when I'm right handed? (Wife will be out of town on injection day)

justsomeguy
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Re: Setting Expectations

Postby justsomeguy » Sun Jul 24, 2016 8:10 pm

Can anyone tell me if what my doc prescribed is "typical" or not? He's assigned me 0.5mL (100mg) T once per week IM. I've already disregarded his nurse's insistence it must only be injected in my leg but I'm wondering if this is a decent amount of T or not. Any thoughts?

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Re: Setting Expectations

Postby SquarePants » Sun Jul 24, 2016 9:31 pm

My doctor started me out at 100 mg/week. It was actually 50 mg (0.25 ml) twice a week subcutaneously. Since then, we increased the dose to 120 mg/week, and I'm now at 140 mg/week (actually 70 mg twice/week). That's very reasonable to start off. Better to start off too low than too high.

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Re: Setting Expectations

Postby Hoosier52 » Mon Jul 25, 2016 6:10 am

I started on the same dosage, Squarepants, and my T went to 1500! My PSA went to 4.1, hemotacrit rose to 51 and my BP skyrocketed. I stopped doing injections for 2 weeks, then did two injections last week and I feel pretty lousy. I have my first consult with Dr. Saya from Defy Medical tomorrow. I hope he can get me straightened out. I'm reading and learning and my problem may be low SHBG? Seems like I'm very sensitive to the T. I did start with a total T of 520.

There was a sweet spot about a month ago where I felt great physically, mentally and emotionally. Hope I can find it again.

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Re: Setting Expectations

Postby justsomeguy » Mon Aug 15, 2016 9:52 pm

After my first month of weekly IM of 100mg my T rose only to 438 (trough level). I could feel the T wax & wane over the week. So he's now bumped me to 150mg. The good news is he's now read a "phase 2 study" of giving biweekly sub-q injections and he's now officially ok with experimenting with sub-q. BUT he wants me to stick with IM at the new dose for 3 months to see how that goes before transitioning to sub-q. At least he's making progress?

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Re: Setting Expectations

Postby ledgemoor » Tue Aug 16, 2016 3:14 am

I started on the same dose, and noticed very little difference after one month. After two months I was feeling great. So be patient.

I agree with your doctor on waiting on subq. I tried it, but it didn't seem to be as effective. I was using too long a needle, so may try it again sometime. But IM works fine. I am a cyclist and was concerned about long-term muscle damage, but on further research it turns out not to be a problem.

The fluctuations will improve with time, and you can always do IM semi-weekly.

Contrary to popular opinion, your body should continue to produce testosterone. DW and I were on a marriage vision retreat, having the best sex of our life and lots of it. My drive was really high. Turns out my level was over 1300! So have lots of sex. Yeah, I know, taking care of your health is a [edit] :-).
Everything you ever wanted in life is just outside your comfort zone (Jamie Lee Curtis)

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Re: Setting Expectations

Postby justsomeguy » Sun Sep 04, 2016 9:12 am

It was great to re-read your encouragement this morning ledgemoor. I'm now 3 weeks into the increased dosage (150) and this past week I have felt WORSE than ever. 3/4 encounters with my wife this week I've experienced significant ED and then a total failure to finish. My wife has been a saint in supporting me but this new phase is really messing with my head. A first: even taking a day off with no sexual activity and then trying again has failed. That's never happened before.

I know God has a good purpose in this but this is really a tough one for me. I'm "only" 47 and in otherwise fantastic shape (also an amateur cyclist, ~120 miles/week) but it seems not only am I far past sexual peek (right when my wife has become completely sexually positive) but I'm in fast decline. I had experimented a few times with a Cialis pill (free samples from doc) and each previous time I totally felt the effects of the C. Last night I took one and I felt nothing from it. We were engaging in a sexual act that the "old me" would have fought to last more than a few minutes before exploding. Now, I barely felt anything.

Don't know what to do. I do have a lab scheduled Wednesday and a follow up visit with doc a week after that. Now I wonder if the doc will want to discontinue T since he said at the outset that T therapy might do nothing for me.

Any thoughts deeply appreciated

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Re: Setting Expectations

Postby Hiswifeagain » Sun Sep 04, 2016 10:40 am

This may be completely off, but did the ED problem start before or after your dw's becoming "completely sexually positive".


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Re: Setting Expectations

Postby justsomeguy » Sun Sep 04, 2016 2:33 pm

HWA,

Fair (and interesting!) question. I first noticed symptoms last year - before my wife's awakening. I've been progressively declining ever since. My wife was a mild gatekeeper, but no more. It's sadly ironic that now when I can enjoy her all I want my lame body has decided to increasingly check out

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Re: Setting Expectations

Postby Hiswifeagain » Sun Sep 04, 2016 2:49 pm

Maybe the two things are playing into each other?Was your dw aware of your symptoms? Check out yesterday's Generous Husband post to see where I'm going with this. :).


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You will keep in perfect peace those whose minds are steadfast, because they trust in you. Isaiah 26:3

justsomeguy
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Re: Setting Expectations

Postby justsomeguy » Sun Sep 04, 2016 9:16 pm

Ok I read http://www.the-generous-husband.com/201 ... eaction-2/

Prolly due to the long weekend and having done a lot of work for mom at her home today but I'm not tracking how this applies to me. It certainly might but I don't see it yet. The post advocates not pushing DW so as to not violate her trust.

Tell me more....

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Re: Setting Expectations

Postby Hiswifeagain » Sun Sep 04, 2016 10:00 pm

Besides not violating trust he's talking about giving her room to grow at her own pace. I wondered if your slow down gave her slack she needed to grow into her sexuality. Then perhaps her awakening might have triggered a little insecurity in you, like it did with my dh? He's gotten past it for the most part, but it was very stressful for us both for awhile.


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Re: Setting Expectations

Postby justsomeguy » Mon Sep 05, 2016 9:06 am

HWA,

I think we all to some degree suffer from insecurities and I'm certainly not immune to that. It's at least not obvious (to me) if I've become insecure with my wife's awakening. Actually 3 years ago I had a vasectomy & suffered from prolonged painful side effects of that up until about last fall, but the complications of the V (sharp pain at E) transitioned seamlessly into numbness, DE, and failures to finish issues, which, I am told by men here on TMB are totally consistent with the the low T I've been diagnosed with.

My wife's awakening occurred suddenly this past January. I thought I hit the jackpot :P . Her physical drive went into superdrive & I loved it. I embraced it & was right there with her through it. We started doing things she was... too shy about doing previously like sexting, video making, etc. Her physical drive was so over-the-top I immediately knew that there was no way her beast-mode would continue, and it didn't. We just enjoyed it while it lasted. Since then she's been true to her promise to swear off all refusing/gatekeeping. She has explicitly said she wants me to initiate and always take charge and tell her what we will be doing sexually each time. Of course there are times when she will say, "well, maybe it'd be better if we did this instead this time" which I of course honor.

It's only been since this spring & summer that I've begun experiencing some true ED. Well after her awakening, well after she peaked with that fluke (but fun!) physical megadrive episode, etc.

There's been another wrinkle (to say the least). About Mother's Day she and I were cycling together (at my encouragement) when she was directly hit by a car doing 60. It's an absolute miracle she survived (she thought she was dying, lost consciousness, airlifted out... it was really bad). She's still not fully recovered, dealing with the mother-of-all concussions, whiplash, fractured bones, frozen shoulder, skin scars, etc. I pray for her healing constantly but it's looking like it may be another 4-6 months before her head's fully back to her former razor-sharp self. I know this plays a part in my "issues" -- I have a fear I will inadvertently hurt her. It's not a rational fear b/c she keeps telling me she will tell me if I hurt her in any way. But I still have her injuries in the back of my mind and she does still have very sensitive spots on her body. So if there's any insecurity - that's where it is.

I actually did see a sexual therapist dude - once. He was incredulous that I didn't regularly masturbate alone, use porn, etc. He was palpably annoyed when I said I considered porn morally wrong & devastating to lives everywhere. I had seen him at the suggestion of my T doc (a young urologist) who wondered if my numbness/DE was connected to the pain I had experienced at O had caused my brain to re-wire since it had become O = (possible) pain. I reported my therapist experience to my doc and told him "why would I m/b when I have a beautiful, sex positive wife?" -- and he fully agreed.

Sorry for the long post. I'm just very discouraged right now. I've read some men here on TMB that describe the fix for low T symptoms as "easy & quick". Well, for me, it's been anything but that ::arg

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Re: Setting Expectations

Postby Hiswifeagain » Mon Sep 05, 2016 1:21 pm

Wow, that's a lot. I'm sorry you guys are going through all that.

You're right. Doesn't sound like they're likely related. It was a shot in the dark, I guess. I hope it gets better soon. Thankfully your dw is supportive.




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Re: Setting Expectations

Postby SquarePants » Mon Sep 05, 2016 2:13 pm

If you have a lab scheduled for Wednesday, I would insist on getting the ultra-sensitive Estradiol lab. If I had to guess, I’d say that most (if not all) of your problems associated with testosterone therapy are due to poorly control estradiol levels.


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