
Originally Posted by
Cylon357
Welcome to the "Oh, THAT's where the prostate is" club!
Accept that as we age, we increase the chances for prostate issues. That's just the way it is. Add on steroids or even medium to high end TRT doses and we just make the situation worse.
DHT and PSA. Those are blood tests you should run ASAP. Get the PSA mini panel test that includes total and free %, this will be useful in determining if you might have an infection. Evidently, that just happens as some of us age, ask me how I know! You need a base line for both of those numbers, off cycle is the best time to get it. That said, you might have something going on (infection?), so depending on what you get back, you might hold off on the cycle.
Anyhow, I recommend pulling both of those tests every time you do blood work (or at least twice a year). You also need to have the DRE aka the "Jeez, Doc, at least buy me a drink first" test. Smooth, or even smooth but swollen is a good diagnosis. Lumpy or irregular, not good.
First things first, get that blood work. Depending on what you find, you might need an antibiotic in the short term or a 5alpha reductase inhibitor (finasteride or dutasteride) in the longer term. IF you decide to go the 5ar route, and I'm not saying you need to, look into microdosing. Studies have shown that it takes a stunningly small amount of finasteride (50mcg) to cut DHT levels by 50%. But, only go that route if it turns out you need it.
So, I would say get the blood work, post up the results, and lets go from there.
PS - if you are 50, have you thought about TRT?