Advice appreciated; Secondary Hypogonadism treatment

RS1

New member
Navigating my way around this minefield has been a challenge to say the least. My experience with doctors I have seen have been awful (they don't understand the problem (or intend to) and tend to follow a script). Any help anyone could provide would be most appreciated.

I had been diagnosed with secondary hypogonadism at 15 (currently 31). Initially I had been treated with Sustanon (fluctuating hormone levels, extreme acne etc) and moved to Pregnyl when I was 20 (This significantly improved appearance although I was self-administering which I didn't do properly/against a regular schedule) and so experienced symptoms of lethargy etc.

I moved to Androgel at 25 and have been on this ever since. The symptoms I experience include - bloatedness, brain fog, deficiency in constructing words (don't take me wrong, I can communicate but it noticeably takes me longer to 'find the right word' if that makes sense). I also feel 'deflated' most of the time. Energy is also sub-optimal.

At times I supplement the Androgel with a shot of Pregnyl (once a week 1000IU) and this gives me a boost for a day or two. What I notice is if I stop administering the Androgel for a day (off-day) and administer the Pregnyl on this day and then continue the Androgel the next day - it lessens my brainfog for a while and increases my energy levels for a few days.

The last blood test I did was for Serum Testosterone (nmol/L) in Jan 2009 yielding a result of 24.5.

However, I intuitively feel that Androgel on its own is not enough. Something is missing, as I am feeling like a robot most of the time i.e. not particularly vital, have a lot of visceral fat (40" waist) and a lack of mental clarity/acuity. I also find that my muscles are tight, everytime I move my back I hear clicks through my shoulders and my neck.

Can anyone relate/post advice re. these symptoms?

Can anyone suggest what tests I should do to gain a clearer picture before taking ownership for this problem and correcting?

I am based in the UK and my doctor is a doormat. I've had to go to him and educate him on this topic. I saw him last in 2009 when I requested to measure my E levels and his response was "that's rediculous, why would you want to do that, I don't think that has any bearing on your symptoms what so ever" - which I thought was unreasonable as I have never had my E checked.

Very worried about this and I instinctively know that I need to take ownership for this problem if things are to improve. I just don't quite know which way to go. Your views would be appreciated.

RS
 
I moved to Androgel at 25 and have been on this ever since. The symptoms I experience include - bloatedness, brain fog, deficiency in constructing words (don't take me wrong, I can communicate but it noticeably takes me longer to 'find the right word' if that makes sense). I also feel 'deflated' most of the time. Energy is also sub-optimal.

At times I supplement the Androgel with a shot of Pregnyl (once a week 1000IU) and this gives me a boost for a day or two. What I notice is if I stop administering the Androgel for a day (off-day) and administer the Pregnyl on this day and then continue the Androgel the next day - it lessens my brainfog for a while and increases my energy levels for a few days.

The last blood test I did was for Serum Testosterone (nmol/L) in Jan 2009 yielding a result of 24.5.

RS

If I figured that right it looks like your testosterone is about 770ng/dl. That is pretty good.
Your symptoms sound like elevated estrogen levels. HCG at 1000iu all at one time is too much and ultimately will only add to your estrogen load.
You need to get your estrogen levels and SHBG levels checked, even if you have to pay for it yourself.
Without knowing those factors, no one will be able to assist you.
 
The pregnyl during TRT really should be used as 250-500iu 2x a week. I'd start at the 250 given that you are using testim and just try that for a bit to see
 
Thanks for the responses gents. Can anyone recommend a good doctor in the UK? I'm struggling to size up the landscape and pursue a course of optimal hormonal balance..
 
Back
Top