So, you are a man in your fifties or maybe sixties. Lately you have been feeling a bit sluggish - not quite your jolly old self. You may have noticed a bit of a fall off in your sex drive, the old libido is not what it used to be and there are some complaints coming at you for your general disinterest in matters sexual. More alarmingly you seem to have developed some erectile dysfunction on top of everything else and this is not altogether relieved by those little blue tablets that your doctor prescribed for you on your last visit. Sound familiar?
You wonder if testosterone replacement therapy (TRT) might help things along a bit. All the research that you have done to date suggests that it might very well. You put this to your life long GP and he looks at you as if you have two heads on you. He is not in favour of testosterone replacement therapy and never was. He hints at some dark vague notion about raised testosterone levels causing prostate cancer. So where do you go from here?
In the first place, if your doctor has some kind of an attitude problem with TRT then there is no point in God’s earthly world of your trying to convince him otherwise. First of all doctors do not like to be told what to do and in any case, these kind of prejudges are usually implacable. But even if that were not the case, treatments given by a reluctant and sceptical practitioner are never going to be satisfactory anyway. Healer and healed need to be at idem.
If you think that you might benefit from testosterone replacement therapy but fine yourself with a non-cooperative doctor, then my advice to you is to start shopping around immediately. Do not waste your time with a reluctant practitioner. If you live in the UK then there is a centre of excellence in London with a terrific website called andropause.co.uk They will give you all the help and guidance you will need to find a doctor well versed in TRT. Most States in the US will likely have a scattering of such doctors also. So do your research carefully and pick the doctor closest to you because the chances are that you will need to make regular repeat visits to him or her.
Finally this: If the doctor you choose insists that your blood testosterone levels are the final and sole arbitrator in determining whether or not you might benefit from TRT then let this raise your suspicion levels immediately. You may be in the wrong shop. Blood testosterone levels, either free or total are no longer relevant and doctors who say otherwise are simply not up to speed.
I am an Irish medical practitioner working in Kildare outside Dublin. I specialise in Online Medical Consultation with a specialist interest in Sexual Medicine. Nowhere are people more vulnerable or so easily exploited as when they are suffering from something that’s hard to talk about and they are on the Internet trying to find solutions. I want to help these people in as honest and professional a way as I can.
Please visit me on http://www.doctorrynne.com You may ask me any question from there. Your first consultation is FREE. I would be delighted to try and help you.
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