TRT Testicular pain

[benzo_man]

Hi, i am on a TRT protocol since february 2012. 3 - 4 months ago the doctor increased my dose of test enanthate from 250mg every 3 weeks to 250mg weekly. He never gave me hcg .
Now i am having testicular pain almost all the time, it started gradually. Tomorrow i have to do my lab test, but doctor doesn't ask for LH.
My testes are really small and the scrotum is going up
I am thinking in take 500ui hcg daily until the pain goes away

What do you suggest?
Thanks

[Vettester]

Yeah, it's normal for that to happen sometimes. I went through the same thing. You could actually get by with front loading 250iu for 5 days or so, then adjust it to a 3x week protocol.

Keep in mind that you will probably want to adjust your test dosage, as the HCG 'should' compensate to increase your serum with some endogenous production. I was at 200mg/wk prior to ever taking HCG. I was able to achieve the same serum results with 100mg - 120mg of test by adding the HCG protocol. Everyone is different, so I stress that you run your labs now, and run them again in another 6 weeks to see how effective it will be for you.

[benzo_man]

Thanks for the reply!
Do you thing i should apply the hcg today or tomorrow after the lab?

Thanks!

[steroid.com 1]

Benzo - HCG is injected; read the sticky at the top of the forum on HCG.

This ---> 3 - 4 months ago the doctor increased my dose of test enanthate from 250mg every 3 weeks to 250mg weekly.

You went from 250mg Test E very 3rd week to 250MG every week?

That is a huge jump in dosage amounts over time.

What were the Doc's resasons for doing this?

What's your E2 levels like? Are you taking anything to manage E2?

500iu every day of HCG is too much; go every other day.

[kelkel]

Agree with both of the above. No reason to ask for LH or FSH at this time as you are shut down and the readings will be nil. Hopefully you had complete blood work prior to starting TRT that included those levels as well as others and the doc legitimately placed you on TRT. Meaning he didn't miss something that was correctable and just did a "TRT Bandaid" so to speak.

Your doc does not understand testosterone half-lives and you should never have been on an every 3 week protocol (OMG) as tests half life is approximately 5-7 days. Weekly injections at a minimum. Now, to just switch you to weekly at the same dose will probably sky-rocket your T levels to supraphysiologic levels. 250 a week is a very high dose and most likely unnecessary quite honestly.

Are you primary or secondary hypogonadal benzo? Answer the questions from all of us so we can help more please. Also take the time to read all the stickies as their full of valuable info related to your situation and the management of it.

Welcome to our world!

[benzo_man]

I changed my doc because he said testosterone levels doesn´t decrease by age and i wasnt feeling good with TRT, so the new doc gave me the weekly protocol
The reason for dose icrease was that i had exactly the same level of Testosterone Bioav as when i was not on treatment.

Here are my lab tests, all the reference ranges are both for man and woman

My first analysis Date 11/21/11

FSH 2.5 mUI/ml 1.1 - 10.8
LH 2.30 mUI/ml 1.7 - 8.6
Estradiol 48 pg/ml 20 - 60
Testosterone 2.30 ng/dl 3 - 9
Testosterone Bioav. 1.3 ng/dl 1.2 - 6.3
IGF -1 140 ng/dl 115 - 500
PRL 11.6ng/dl 2.5 - 17
T4 6 ug% 4.5-12.5
TSH 7.2 uU/ml 0.4 - 4.0

Last analysis Date 05/15/12

Estradiol 55.0 pg/ml 20 - 60
Testosterone 2.85 ng/dl 3 - 9
Testosterone Bioav. 1.3 ng/dl 1.2 - 6.3
T3 80 ng% 80 -172
T4 4.4 ug% 4.5-12.5
TSH 4.0 uU/ml 0.4 - 4.0
Free Testosterone 65.2 pg/ml 55 - 270
PRL 12.2ng/dl 2.5 - 17
IGF-1 267ng/dl 115 - 500
SHBG 14.9mmol/l 13 -70

Tomorrow i will do my new lab so my current E2 levels with the weekly protocol is unknown to me, but as far as i can tell i don't have water retention/edema or gyne. But i don't expect it to be low
My new doc doesn't said to me what kind of hypogonadism i have, he said we well se...
My first doc performed as you said a "TRT Bandaid"

[steroid.com 1]

"The reason for dose icrease was that i had exactly the same level of Testosterone Bioav as when i was not on treatment."

To Kel's point; Testosterone C or E has a half life from 5 to 7 days depending upon how a man metabolizes.

Given that you were at the same low level is most likely you tested a couple of weeks after your injection when you were tanked again.

Every 3 weeks is a bad Testosterone serum level roller coaster and bad for the body.

Moving weekly is the right decision but not 250mg...that's a lot and like kel stated you will most likely go supraphysiological.

I bet you'd do better at 120mg each week...but that's just me

Estradiol 55.0 pg/ml 20 - 60Y
Your E2 is already high and that was at 250mg every 3 weeks, this is going to skyrocket when you go on 250mg per week mark my words. Ideal levels for men are 20 - 30 pg/ml. You need to talk to your Doctor about adding in a low dose AI. Read the sticky on Estradiol management at the top of the forum.

Thyroid
T3 80 ng% 80 -172
T4 4.4 ug% 4.5-12.5
TSH 4.0 uU/ml 0.4 - 4.0
These all suggest that you are near or at Hypothyroidism and you probably feel like shit because of it. One does not need to be outside the Thyroid reference ranges to have the bad side effects that come with it not discounting the bad health and disease it can cause in men and women. T4 and T3 are best at the top of the reference range and you are near bottom. TSH should be kept under 2 and anything over 3 usually points to a problem. You need to discuss this with your Doctor.

In fact, you may correct your Hypogonadism if you corrected your Thyroid...kid you not.

SHBG 14.9mmol/l 13 -70
This is too low and should be closer to mid range. Many men feel bad down here not discounting that many men complain of bad anxiety when this low.

[kelkel]

G I don't recall seeing a TSH over 7 posted here before!

"In fact, you may correct your Hypogonadism if you corrected your Thyroid...kid you not."

Direct correlation to the above like G said. Read this: http://www.ncbi.nlm.nih.gov/pubmed/15142373

[benzo_man]

Thanks for your reply gdevine!

I have readed all the postIt, thats why i ask, because i don't see my protocol matching what i readed

Today i called my doctor and tell him about this, he said that i should have low testosterone and thats why my testis are in pain
Also he said that i don't need HCG by now
I think the same as you about e2. doc said that after the lab results he will see how to proceed
Doc said that my SHBG is low because im type II diabetic and have insulin ressistance
the doctor says he is active member of the american society of andrology, full member of the andropause society(UK), and member of the society for the study of the aging male (ISSAM)

By the way, i must tell you, Im from Argentina (a country in south america), so if you think that is difficult to find a TRT physican in USA imagine in a third world country with all the moral prejudices about this kind of issues. Also, situation in my country is very complicated. the government imposed restriction on imports and currency exchange, so sometimes there is lack of medication in pharmacies. To get an idea, i must take metformin 750 xr (glucophage) but since three months i have to take other brand (generic made in argentina) with 1000mg XR supporting all side effects, because all the brands and generics of 750 xr are unavailable on all the pharmacies because of the restriction on imports

[LikeAMachine]

Old thread, but glad I am not alone after just one dose I feel soreness in my balls.