question from a user
Thank you for taking time address our questions regarding TRT. I’ve been researching the topic for some time now, so it’s wonderful to have experts offer general guidance to help make the decision to go on TRT as informed as possible. Currently not on TRT, but am considering it. I’m a 36-year-old male with total T levels at 321 ng/dL, free T at 10.1 ng/dL, SHBG at 11 nmol/L, prolactin 4.9 ng/mL. I’m 6ft2’, 231lbs. Don’t smoke, and seldom drink, workout 6 days a week on average, lift weights 3x, cardio 3x, go on 2-3mi walks most days, get a lot of sunlight, and have lost 25lbs since May (was 250-ish lbs for the last few years until recently). The main low-T related symptom I struggle with is low libido/ED that’s been very persistent in the last 10-ish months. Daily Cialis helps with erection strength somewhat, but I still struggle with the low sex drive portion. It’s possible that these symptoms have been brought about from a COVID episode from last year, but it’s hard to determine with certainty. Would a patient with a profile similar to mine be a potential candidate for TRT? What kind of regimen might be considered for someone in my situation? Have you had success in treating patients dealing with low T symptoms that set in potentially due to COVID? Thank you for reading my question. If this is too specific, I can reword my question so that it’s more generally phrased
AlphaMD's Answer
No, this question is not too specific. Just remember that we are doctors, just not your doctor. As per our disclaimer, our advice online should not be considered medical advice, and you should discuss your symptoms with your doctor.
But to answer your questions:
Yes, a patient with a similar profile to yours would be a potential candidate for TRT. Your total T level of 321 ng/dL is below the 350 ng/dL threshold by traditional diagnostic standards and you exhibit symptoms that are typical of hypogonadism.
A typical regimen for someone in your situation would be TRT; either utilizing a topical or injection route. Desire to preserve fertility would be discussed and treatment options for that would be reviewed after discussion with the patient.
And yes, we have had success treating patients who have developed their symptoms after COVID infection.
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