I have to chime in on this because I don’t believe the response above is accurate.
Any TRT or DHT treatment should be based on a necessity to restore your known labs results to certain levels based on your age and optimal levels, under the advice of a doctor. Not everyone has the same hormone profile or age.
I’ve experienced both sides of this argument about TRT. The first attempt at TRT began a few years ago, before the doctors knew what worked and what didn’t. My Doc is the foremost expert in Sex medicine, and one of the few with an open mind to try different approaches or modify your treatment over time based on labs. Initially the doses were increased because the thought at the time was that High levels of Testosterone would cause the DHT to increase and normalize. This obviously didn’t work, which is one of the reasons people say TRT doesn’t work. Not everyone realizes there are SIX downstream conversions which were being affected by 5ar inhibition. T to DHT is only one of them, but a very important one as it relates to sex function.
What turned out to work the best is LOWER doses of Testosterone and LOWER doses of DHT. In my situation, both were very low. I have 9 sets of lab results over the past 3 years which I chart and track in a spreadsheet to prove what did or didn’t work. So I DO recommend TRT and DHT if your levels are low, but this is NOT A CURE. It only resolves one component of the whole picture.
So if you decide on TRT and DHT, be sure the doctor considers Estrogen control (I use Anastrazole) and HCG to prevent testicle shrinkage/shutdown. All four of these should be part of a treatment plan assuming your labs are not optimal. Never mind ‘within range’, demand the doctor bring you to ‘Optimal, Healthy’ levels.
Yes, I am recovered from this hell, and doing extremely well chasing tail all over town now that my wife divorced me over PFS.
I don’t think it’s appropriate to bash TRT/DHT treatment because the methodology and approach has changed over time. Dr. Goldstein will tell you this as well. My 9th set of labs came out to be the best set I’ve ever had while on Low Dose TRT and DHT.
I DO NOT plan to be on this for life though. So the next step in my situation is defining a solid PCT plan to cycle on/off TRT and ultimately entice my body to produce it’s own hormones. Be sure to find a very experienced Sex Med doctor as well as an endocrinologist that’s willing to listen and learn about PFS.
I’m working on publishing my recovery plan, including info on the trial and errors, years of research and notes. Will be posting all this in a new thread once I have the whole story assembled and ready.
