Given that all the information you have provided is accurate, I will give you an answer to the best of my ability. The reason that he has not yet considered you for
TRT is because he has a BIG HUGE DRY pussy between his legs. He doesn't know a fucking thing about hormones, and he probably does not have a clue about practicing medicine. I would tell you that he got his degree in Mexico, or on some island, but that would probably be the furthest from the truth. It would be my guess that he is an introvert with an excellent memory which allowed him to pass his medical exams, however, when it comes to any Earthly application of any of the terms he has managed to memorize he is about as useful as a set of titties on a boar hog. He may be good at getting some jollies fondling genetaliia or young men, but I doubt even that. He is just a goofy little worm with a degree who, if you had a life threatening kidney infection (for example) would probably rather administer I.V. saline in his office (as he would not be qualified to diagnose a severed limb) than check you into the hospital as he is so afraid BC/BS will cut his stupid ass off. He is already aware that the RN he just hired is one hundred times more competent than he is, not to mention the dumbfounded BC/BS Rep, who he shutters to call again as they are starting to play with him like an amusing toy. The best part is that he will probably go on for an entire career of incompetent bumbling as he harms every single patient whos paths he crosses, and never be called out.... Now keep in mind, this is based on the information you have given.
Ok, there are not many docs out there that have a clue about hormones and how they interact with the body. The above statement is based on the idea that he was going to send you out of the office without further testing. His use of anti-depresants is an idiology that some docs get on, and some dont. Whether or not they are the right thing here could be debated depending on the info we don't yet have. Lets assume he is competent and pursuing due course. His next round of bloodwork should include LH, FSH, SHBG, Testosterone (again), Free Testosterone, and preliminary Thyroids. That number you came back with is pretty damn low for a healthy 32 year old. Did he physically inspect your nuts for size and firmness? I am sure not. If not he should already have you lined up for a urologist. But he hasn't. Why you ask? He will after your next trio once he has billed your insurance his full ride on this one (one more trip). Once he has "confirmed" that you have low testosterone, you will go see a urologist. If you take the one that this incompetent bastard refers you to, you will be going to see another person of the same caliber and poor ideals, as he has chosen to refer people to this urologist because like himself, they will make no wave and be more than happy to work within the guidlines of corporate America, oops I mean US health care (or where ever you may be). You will soon realize that these guidelines are the perfect grounds for LAZY, CARELESS, offenders of moral fortitude to operate within. You will most likely determine the preceeding after a few trips to even a competent urologist who may be simply handcuffed and wishes he could do more right.
Enough! The first paragarph IS a true story. So for all who wish to tell me I am flirting with the side lines, SAVE IT... What you need is to find a solid internal medicine doc and health and wellness doctor. When selecting your Internal Medicine Doctor, a few good indications are, "he is not taking new patients", and there will be a 3 month wait. This is when you wait, or find the doc in his practice with the next longest wait. It will be worth it. As far as the Health and Wellness docs go. You will only find one if you live near a larger city. You may be able to find the best of both worlds and actually find an internal who practices hormone replacment as a specialty. When selecting the doc, dont be afraid to ask to speak to a nurse (also note the best practices can ususally be found operating in the hospital), and ask her which one of the docs there handles hormone therapy and is most comfortable with it. Dont be afraid to express to them that you understand that many doctors you have found are reluctant to practice hormone replacement. If she sounds like she is dumbfounded, or just picking her toes while she carries on this conversation just so that she can waste some more precious air, then move on. If you can find a H&W doctor in your area, there will probably be more. Research them as thoroughly as you can. Most H&W wellness docs dont operate within the parameters of health insurance and therefore cant accept it. If you have not figured out the reasons for this after reading the above, I'll tell you now. BC/BS generally only cares about your numbers testing out in these wide ranges you will see printed on your LabCorp paperwork, therefore this is all the insurance doc cares about too. NOW DO YOU REALLY WANT OUR NOBEL PEACE PRIZE WINNER "OVERHAULING" OUR HEALTH CARE SYSTEM once you have considered these facts.???? You will find that in our current system, the more $$$ your health insurance policy costs you, the smaller these "acceptable lab ranges" become, given that your physician is even operation on parr, and thus astute enough to know the extent to which he can push the envelope of your given policy. FINALLY when considering that a Health & Wellness Doctor is charging you %100 out of pocket, isn't that what you want?? Someone who is serving you for your money. Someone who recognizes that you care about your personal health to spend the money to see him?? A doctor that understands that his practace, more that any other, does not exist without his patients, and thus takes proper care of them??? Yes, that is exactly what you want given that you have found a competent and experienced one.
Conclusion: It is too early on to judge whether or not this doc is competent as it would appear that he is simply running on prudent protocal. Docs are also busy so they will usually provide as little info as possible in order to avoid opening up a 30 minute visit with you, and a plethora of never ending inquisition daisy chaining from one answer to the next question. Its still your insurance and therefore your money. If you feel he is not providing what you want, or if you just dont even like the way he walks, then go get another one based on that at a minimum. Just do your homework first unless you like wasting your time and co-pays. The only way to get a doc to talk is to educate yourself and ask the right questions. You have found the internet. This is a good start. Take everything you read with a grain of salt and research more. Now get busy and go get em tiger!!!!
For those of you wondering. No, the wife is asleep and I haven't had any for 3 days now. I think she wants to live out a rape fantasy of hers.


Kidding of course. At the ripe old age of nearing 40, I seem to have lost my own allure. Even vanity now fades. And for those of you whom spanking it still brings endless hours of self gratification and immaculate personal enjoyment, lets say our grace now....
Note: any information as provided above that does not apply to you, please use for personal amusement only. You might even consider using everything I said only for the same. Philosophically speaking, I dont know shit.
Quote:
Originally Posted by powder925 hey everyone.......new to the board .... well I have been having a lot of issues lately...like low energy,loss of concentration, moody,and just not really feeling myself lately....but once the libido took a nose dive I decided to go see the doc.....I told him all my symptoms I was having and he order some blood work and put me on some anti depressants to try for a few weeks.well I goes back after a few weeks and the Dr tells me that the only thing out of the norm was my test level which was 5.7pg/ml normal(8.7-25).....then he asked how the pills he gave me were working and I told him that they haven't help any of my problems at all....and that the total loss of my sex drive is starting to have a real negative impact on my relationship.....so what does he do ya ask?.....tries to write me a script for twice the dose of the anti depressants that I just tried.........so I had to ask him....if I have all the symptoms of low test levels and it has already been proven by blood test that my levels are low......why the hell would you want me to keep taking anti depressants?....well he decides to write me a script for andriol and to send me for more blood work.........my question is how do I convince my Dr to go for injections?....I can already tell that he doesn't really know a whole hell of a lot about TRT considering his reluctance to deal with the low test level in the first place until I questioned his decision about the anti depressants and the fact that he had to pull out his medical book and read up on it before writing a script for the andriol......the fact that he has agreed to try andriol proves he is willing to try ...I just don't wanna come across to aggressive about wanting injections......oh and btw....Im 32 and have never done a cycle |