“Low testosterone?”
Male | 63 years old
Complaint duration: 06 11 2021
Medications: None
Conditions: Excellent
2 Answers
It is likely that you developed this low testosterone progressively over years time. Testicle shrinkage is a side effect of testosterone being replaced.
What your doctor has done makes sense. Not unusual to see, the question of why you have become testosterone deficient may not be able to be answered as in most cases. But if you have a strong question you should see an Endocrinology specialist. The rosuvastatin may be overkill without giving your body first time to show if the replacement of testosterone will increase your cholesterol. If your cholesterol was already borderline then that would be a different story. Tamoxifen is being used because of the higher dosage of testosterone and frequency to prevent the natural production of high levels of estrogen coming from the normal metabolism of the testosterone you are injection, and hence prevent breasts from forming and other undesired estrogen effects. To stop the testicles from shrinking you can ask your doctor about HCG injections. When you are deficient in testosterone based on 2 clinical exams, then replacement is ussually life long. Though you do not HAVE TO replace testosterone to live a healthy life, doing so can improve some of the symptoms of it, especially if Erectile dysfunction is the cause of it. There are injections, but there are pills and even daily gels that can be applied if that makes it easier which you can have your doctor send to a compounding pharmacy locally or even in another city if you do not have any near. You can even just ask for the prescription and send it yourself. I would wait till you find the regimen that works to get your levels to at least 500 ng/dL. Also continue your routine blood work and ensure your Prostate Specific Antigen (psa) is being monitored regularly. If you have personal coronary artery disease history, or personal or familial prostate cancer history this should be evaluated thoroughly by your doctor.