High total T, low free T

[Bobbies]

"No, testicles can't be overworked, ever! That stuff about oxidative stress in the testes is all bollocks! And the fact that your testicles hurt, there's not a chance that it could be from excessive production of testosterone, which caused your higher-than-normal total T and probably E2. TRT is such a bad idea, lord forbid you give your testicles a break!"

All I asked is how doctors would respond. I'm still unaware of how doctors have treated men with low free T, and normal to high total T. I don't know much more than before. But if you claim a "competent" doctor wouldn't prescribe me TRT, I guess I better look for incompetent doctors.

[BallSak]

"No, testicles can't be overworked, ever! That stuff about oxidative stress in the testes is all bollocks! And the fact that your testicles hurt, there's not a chance that it could be from excessive production of testosterone, which caused your higher-than-normal total T and probably E2. TRT is such a bad idea, lord forbid you give your testicles a break!"

Who are you quoting?

[kair0s]

I have an extremely similar problem. Similar symptoms, total test around 850, free never above 98 on Quest scale of 45-250 pg/ml. My SHBG is 43, Estradiol 28. Also in conversations with my doctor about treating symptoms and low free T number instead of total T. If I knew how to raise my free t without going on TRT I'd consider that option but I'd rather see how I feel on TRT with a higher free T (hopefully) than live with low free T and associated symptoms. Surprisingly I've searched for answers to this problem and haven't found as many threads about it as I would have thought (and no clear answers).

[17chester6]

You wrote:
All I asked is how doctors would respond. I'm still unaware of how doctors have treated men with low free T, and normal to high total T. I don't know much more than before. But if you claim a "competent" doctor wouldn't prescribe me TRT, I guess I better look for incompetent doctors.[/QUOTE]

It seems that you are hell bent to go on TRT and that you are looking for affirmation on this site. The site members are asking relevant questions and pointing out relevant issues and you seem to be resistant to hearing these raised issues.

I would just point out that any doctor that I know would refuse to put you on TRT as you are not T deficient. Starting TRT is not a picnic and it often entails multiple blood tests, changing doses, adding other medications as are needed (AI, HCG) not to mention some unwanted side effects such as water retention with resulting weight gain and swollen ankles among other symptoms.

You have not looked at all the parameters that could be causing your problems. Some other blood tests are warranted as has been pointed out. Also, are there other issues that might me causing or contributing to your symptoms such as depression, thyroid issues, stress, lack of sleep, over training, obesity, bad eating habits, poor nutrition, lack of exercise among others.

You wold do yourself a favour by stepping back and reassessing what is going on. Do the full work up, assess if there are remedial issues present and then move forward. You took the time to ask for input, don't turn your nose up at the suggestions without fully considering them.