Endocrinologist

tr_80504 (imported) · Post by **tr_80504 (imported)** » Sun Apr 26, 2009 9:50 am

I went to the endocrinologist to see about getting under a doctors care and little did I know she was female. That was very nice. I told her where I was coming from and why I was looking to lower my testosterone level and she was okay with it and seemed very understanding. I was quite happy she was female as from what I have been reading they seem to be more sympathetic especially to the part of me always after my wife for sex. She examined my testicles and noticed the scar and asked what happened there so I said to myself what the hell and told her "off the record about the burdizzo" and she said I guess you are serious and then added why dont you just have them removed. I said I wish it was that easy.

She is checking into seeing if my insurance will cover lupron depot and if not she said she could probally get me on depo provera.

So I guess maybe this could be a good start to be under a doctors care and get my scripts legally. For now she put me on 200 mg of spironolactone per day and is waiting for my blood work to come back to do more.

She ordered 9 different blood test and a head ct. I explained to the endocrinologist that I was getting spontaneous erections before and being woke up in the middle of the night with them. Thats when she said to get a ct scan. She said its probally nothing, but a tumor around the pituitary gland can cause this type of thing. The head ct was approved by my insurance so it sounds like they are not tight wads with the coverage. So maybe they would go for castration ,but that is probally wishful thinking. If it helps further my cause to get a head ct then fine I will do it.

She said what a change it was to see someone with a high libido as she was used to seeing men that had the opposite problem.

speedvogel (imported) · Sun Apr 26, 2009 11:13 am

Since most endocrinologists spend their life dealing with diabetics, you bet they see lots of low libido guys. Good grief, I wish I had your problem. Diabetes often causes low testosterone which then aggravates the diabetes. If you think it is a frustrating situation, you are right. Add to that a HR department that doesn't choose to understand the need for testosterone for overall health and I spent five years not getting needed treatments as I could not afford them.

Crap, I intended to say it sounds as if you did find a doctor who will help you meet your desired goal. It also sounds as if she is a really good doctor. Good luck,

Speed

mrt (imported) · Post by **mrt (imported)** » Sun Apr 26, 2009 11:22 pm

I'm glad you are working with a Doctor about this. And that she is open minded about your situation. It IS better this way! Do it yourself stuff is (I think) a bad idea. I'm curious about her comment about "why don't you have them removed?" Perhaps there is a mainstream way to do that through her? *She has a Urologist in mind or? *A much better idea then trying to clamp them with an animal castration device.

I think that the most important part is that you get a chemical way to test drive the effects and then maybe you will see if this is what you really want. I think you commented about "bugging your wife for sex" all the time. Trust me the alternative (Never asking for sex or wanting to participate) can be just as annoying *at least to some women.

Testman (imported) · Post by **Testman (imported)** » Sun Apr 26, 2009 11:51 pm

I'm all for a person's freedom of choice, but if a doc doesn't understand the side effects of low testosterone, are they really a professional?

mrt (imported) · Post by **mrt (imported)** » Mon Apr 27, 2009 1:26 pm

Hummm... Well lets look at it this way. When a women has her ovaries removed (Which is still very common) how serious are doctors about replacement therapy (Estrogen, Testosterone) Some are. Many are open to doing it if the person complains enough and many don't think its important because women go through menopause anyway so why bother?

Without sounding like a zealot for male castration (I'm not) I honestly believe there is a double standard when it comes to "castration" of women vs men. For women its done quite often for a variety of reasons and for men? Well... Its different. I suspect this Doctor is just very matter of fact about the whole thing and maybe doesn't consider this that big a deal.

The question we have to ask is which side is correct? "should" male castration be a big deal or not? Should female castration be done so often? I tend to think Female castration should not happen quite so often and the after effect when it is should be treated with replacement hormones. That male castration for a variety of (sane & not sexual Fetish) reasons should be obtainable.

tr_80504 (imported) · Post by **tr_80504 (imported)** » Mon Apr 27, 2009 7:41 pm

My endocrinologist is part of a group which includes a urologist. and she was very up front about the side effects that low or no T could cause so I think she fulfilled her obligation to warn me. I have been test driving chemical castration for over a year now and continue to do so for now. I really want to be phyically castrated at some point but for now I would be very happy to get my castration drugs perscribed to me and to be under a doctors care. I was previosly getting blood work done by my GP but this is not his field, so I feel I will get more informed and knowledgable care from a endrocrinologist.

Thanks terry

mrt (imported) · Post by **mrt (imported)** » Tue Apr 28, 2009 3:13 am

I'm happy your doing this with your doctor. I would be afraid that whatever drugs I bought from the internet were not safe. Or that they might cause problems like Liver Damage which was not found by regular check ups.

By going to your doctor you have safe meds and regular labs. I honestly don't know where excessive sex drive fits into the whole scheme but its better then wanting it done because it sounded "hot" on some Castration porn site!

Kudos and Good luck. Keep working with this doctor and keep an open mind to the possibilities. Ask questions, explore whats available.

tr_80504 (imported) · Tue Apr 28, 2009 10:24 am

The excessive sex drive fits in because it had taken over all parts of my life. And was on the verge of costing me my second marrage. Now that I have been chemically castrated it is no longer a problem for me and I am in controll of my life again.

tr_80504 (imported) · Sat May 02, 2009 11:46 am

Well things have slowed down abit.

It seemed that all was going well with the endocrinologists then a couple of days ago her nurse called and said the doc wanted me to go off the depo. Okay that wasn't too bad I would still be taking the spirolactone and be returning to her office in a few days. Then yesterday her nurse calls and said the doc wants me to see a therapist. Well it turns out he cant get me in till June 2nd. That being the case I will end up with my testosterone level going back up and after all this time being chemically castrated it wont feel good. I just dont want to have T controling my life.I feel great the way I am, in fact the combination of depo and spirolactone seems to be doing as well as the siterone was. My dosage has always been high compared to what I read for most people.

kristoff · Post by **kristoff** » Sat May 02, 2009 12:11 pm

tr_80504 (imported) wrote: Sat May 02, 2009 11:46 am Well things have slowed down abit.

It seemed that all was going well with the endocrinologists then a couple of days ago her nurse called and said the doc wanted me to go off the depo. Okay that wasn't too bad I would still be taking the spirolactone and be returning to her office in a few days. Then yesterday her nurse calls and said the doc wants me to see a therapist. Well it turns out he cant get me in till June 2nd. That being the case I will end up with my testosterone level going back up and after all this time being chemically castrated it wont feel good. I just dont want to have T controling my life.I feel great the way I am, in fact the combination of depo and spirolactone seems to be doing as well as the siterone was. My dosage has always been high compared to what I read for most people.

Just remember, doctors are like cereal. If you decide against cheerios, try corn flakes..... Don't like his approach, try another or try your own. I do all the time. Be pro-active in your care!

clysmaniac (imported) · Sat May 02, 2009 9:24 pm

tr,

You can always obtain Depo Provera from other sources and continue with what you know works. You don't have to be a slave to one particular doctor. I was on monthly injections of Depo and 100mg daily of Spiro for over 2 years and found that combination to be reasonably effective and fairly inexpensive as well.

mrt (imported) · Post by **mrt (imported)** » Sun May 03, 2009 1:17 am

One other suggestion. If you disagree or think you will feel worse off it speak up. Ask to talk to her again and spell out your objections. Maybe she just wants you to agree to doing some therapy before she continues your treatment. Suggest you continue what your doing AND see the therapy person.

Whats the worst that she can say? "I still want you to quit using XXX" I think its just as likely that she will say its ok to continue but you must understand the risks and agree to see the therapist.

Correct?

Many doctors want "backup" if the decision is beyond the basic stuff. I know that while my situation is far different and (I think?) more mainstream there was a need to be "checked out" as rational... Thankfully and (oddly) I turned out to be a healthy person mental wise that just needed some "unusual" surgical help to deal with a problem.

tr_80504 (imported) · Sun May 03, 2009 11:19 am

I will tell her how I feel and go from there. Worse she can do is ask me again not to take the DP. I still have plenty so I can take it if I so choose.

I do not really have a problem with seeing a therapist and am confident I will get a clean bill of health, I just dont want to drag it out.

I should just relax and be patient and be glad I have a doc that is open mined not to mention she mentioned she treats several transsexuals so lowering T level is not unheard of to her.

parksdjs (imported) · Post by **parksdjs (imported)** » Tue May 05, 2009 3:19 am

Hey bud glad to see you here, just hang in and time will take care of all, but it is a slow process isn't it.

tr_80504 (imported) · Tue May 05, 2009 11:35 am

Today I canceled my therapy session because as it turns out I wasnt on the same chapter let alone page as my doctor. She said my T level was to low even after I told her that I felt great at 60 and my last T level jumped up to 182 , I think due to the fact I switched from 200mg of siterone to 150mg of DP. I doesnt seem near powerful enough to get my t level down to siterone levels.So when she said 182 was too low. Thats when I started digging deeper. I then found out she thinks there is depression involved and some other deep seated reason I wish to lower my T. She was also thinking therapy for some time not just a evaluation.

No thanks I will work it out myself, medicating that is. No depression or deep seated reason for wanting this.

mrt (imported) · Post by **mrt (imported)** » Wed May 06, 2009 1:13 am

But if you don't go to therapy you can't explain why you want to reduce your Testosterone level or maybe more to the point get some control over your sex drive. I know some therapy is better then others but if there is a problem because someone doesn't understand whats the core issue then it can't be worked on.

I think you need to talk to this Endo as well. If she is working on getting you on normal range levels of Testosterone you need to tell her what you plan is so she understands the goals and can help you stay healthy while you getting there. It sounds like she thinks your depressed for some reason and then (to me) it reasonable to fix that by getting your hormones in normal range. I'm not saying low hormones IS depression but for many people they have similar symptoms.

Does that make sense?

tr_80504 (imported) · Post by **tr_80504 (imported)** » Thu May 21, 2009 2:27 am

After thinking about it further mrt you are probally right so I rescheduled my appointment with the therapist otherwise things are at a stand still with the endo. After further talking with the endo it appears she is just covering her butt by sending me to the therapist so I can see that. This appears to be a long road but I will deal with it and maybe come out of this for the better.

Thanks terry

tr_80504 (imported) · Post by **tr_80504 (imported)** » Wed Jun 10, 2009 8:18 am

I went to therapy today and almost immediately he starts talking about putting me on a SSRI and I told him that speaking from experience of being chemically castrated that is the effect I am looking for. but again he seems to be sold on an SSRI. He will be communicating his thoughts to my endocrinologist over the next week and I am scheduled with my endo next Tuesday. I dont think she will necessarily jump on the SSRI band wagon. I think she just wanted to get his opinion as to whether or not he thought I was suffering from depression.

cordonone (imported) · Wed Jun 10, 2009 10:20 am

Going to a good endocrinologist ("good," for me, is defined as one who is competent and who will listen to and work with you chemically, physiologically and psychologically, while all the time looking out for what is in the best interests of your health).

I'm not a physician, but I do understand that there is a very wide range of "normal" for Testosterone levels and also that what feels right within that range varies widely by individual (some are happiest at low normal and others feel best at higher levels). It sounds like she's working to find the right point for you. It also sounds like she's also addressing the physiological issues as well and will no doubt refer you to a urologist if that seems necessary. Keep us posted, if you are so inclined.

I hope everything works out well for you!

tr_80504 (imported) · Post by **tr_80504 (imported)** » Wed Jul 08, 2009 3:02 am

A late update.

I went ahead and rescheduled my therapy session and went. My Endo originally put me on 200mg of spironolactone which was fine but didnt really do the job and I was experiencing nausea for 4 hours after taking it. Then after my therapy session and a clean bill of health my Endo added 200 mg more of spironolactone and 37.5mg er of paxil. I stayed on that for almost 3 weeks. I had to get off it as I went from 4 hours of nausea to 4 hours of tring not to puke. I was also experiencing dizziness when climbing a ladder (work everyday on one) and also was having a very hard time getting to sleep. After quitting the paxil the nausea did not go away so I stoped the spironolactone also and the nausea went away totally. So presently I am waiting to hear back from my endo as to wether or not my insurance will cover lupron. I have also been taking matters into my own hands and will stop if I can get lupron.

clysmaniac (imported) · Wed Jul 08, 2009 3:26 am

If you suffered the adverse side effects of dizziness and nausea with your trials of paxil and spironolactone, you probably won't be pleased to hear that both dizziness and nausea are also common adverse effects of lupron.

tr_80504 (imported) · Post by **tr_80504 (imported)** » Fri Jul 10, 2009 2:01 pm

I am not sure what is up with my endo. She said she is fine with treating me, but after three calls over 2 weeks and not getting a response I went into the office without a appointment. I spoke with her nurse and she took notes, this was on monday. I didnt hear anything for the last 3 days so I called her office as I will be going out of town for work for 2 weeks. I was told she was out of the office till next Thursday. Maybe I am being impatient, I am just use to a fast response from my GP. I am also wondering if maybe she doesnt really want to treat me and this is her way of telling me.

At any rate this is getting to be a pain in the ass and I am about done with her. I realize there are other endos but this is the one my GP reffered me too and I thought after talking to the Doc the first two time things where going to work out good.

At anyrate my alternative method of castration seems to be working very well so maybe I should just leave it at that.

mrt (imported) · Post by **mrt (imported)** » Sat Jul 11, 2009 6:05 am

New patients often seem to get the slow track for new appointments. Once your established it can still be hit and miss depending on how popular the doctor is. When I first started seeing my GP I almost always got an appointment in very short order. Now, I think its more difficult because she has a lot more patients and I've even had to see an alternative doctor a few times.

Doctors don't phone. There are exceptions but this is not "Paid work" so its strongly discouraged. Some will EMail but there is a pay as you go system that makes that work in the system... See if they do "web visits" and so forth.

tr_80504 (imported) · Post by **tr_80504 (imported)** » Thu Jul 30, 2009 6:58 am

Its seems to be the way it goes for me. I was inpatient and took matters into my own hands and pretty much killed my nuts by injecting everclear into them.As far as I can tell there have been no bad effects from it. Go figure my endo calls and said that my insurance has approved lupron depot and my co-pay is 40 dollars and that is every 3 months. It is crazy how much the cash price is 2237.99. I guess I will stop the alcohol and see how the lupron works for me.

mrt (imported) · Post by **mrt (imported)** » Fri Jul 31, 2009 5:47 am

Injecting things into your testicles is crazy stuff. PLEASE! For the love of God - STOP! We had a member here (A good guy) who took things into his own hands and ended up dead. Is this THAT important that your willing to kill yourself?

Get with your doctor and make a pact to follow her lead. WORK with them don't work around them...

If getting to low levels of testosterone makes you feel lousy don't assume going lower is going to make you feel better. Its "possible" the idea of castration is better then the reality. A lot of us who are surgical castrates (for whatever reason) and have experienced low hormones and don't like it will tell you its not at all like the Castration Porn on EA.

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