question from a user

I recently had my first blood test for Testosterone after seeing my GP about low mood, energy and Libido.(30 rs old, fit, well muscled, but suffer from rheumatoid arthritis) Test came back at 5.6nMOL/L , and have been asked to get a second blood test tomorrow. I am on Adalimumab long term for my RA, which has been working for about 8 years. Frankly I'm freaking out a bit at the prospect of more injections for life, and am spiralling a bit, as my partner and I do want kids in the next couple of years. My question is, what am I likely to be prescribed? And at what numbers? Generally, what is going to happen for me?

AlphaMD's Answer

We can't say for sure what your doctor will recommend for you, but try not to freak out. There are options other than injections (creams, pellets, etc) if you and your doctor choose to go the traditional TRT route.

And regarding your concerns for fertility, there are other options to increase testosterone and maintain or even increase fertility. There are plenty of patients who do well on hCG monotherapy or on SERMs like clomihene or enclomiphene.

Doses of each of these options vary based on your symptoms, goals, and sometimes even your weight.Sorry to hear you are dealing with rheumatoid arthritis, that really sucks. We wish you the best. Good news is TRT wont worsen your RA, and might help a little, though better studies are needed.

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