The pros and cons of TRT?

A lot of us have hormonal balances with corresponding miserable symptoms yet hardly anyone is on TRT.

I know our case is unique and difficult to treat yet some form of TRT seems a necessity at some point.

What would put you off TRT, given that many non-fin men of similar age (20s, 30s) are willing to undergo this with symptoms often a lot less severe than ours?

To me the possible concerns of long term safety and a ‘lifelong commitment’ are outweighed by the possibility of some relief. Plus TRT will not stay static for the next thirty years and is likely to become more advanced and convenient.

TRT is in my eyes simply not regulating the underlying issue. That is all.
I doubt that hormones are the decisive thing in our case, rather the response to them or something neurological.
I see the point to do TRT, when your values are really low, to prevent bone loss, muscle los etc… .
Regarding the sexual function - test is overrated in my eyes. Also something I find confirmed on this forum - since nobody recovers from the sexual sides by TRT.

What sexual side effects are there with TRT? I have not heard of any. I just went to my primary care dr two days ago and then an endo today. My primary care dr gave me a script for TRT. I am thinking of trying it as I feel I have tried to wait and see if things get better and they have not. I have been off of the drug close to a year and there is no sign of recovery.

I heard a couple of guys mention water retention with TRT, but what other sides are prevalent?

Boston,

What finsucks is referring to is the idea that men on this forum who have tried TRT did not recover or recovered and then went back…?

Anyway, my uro is going to prescribe me with CLomid I believe. Shouldn’t that be a safer route than TRT initially??

maybe that statement wasn’t clear.
what i meant to say is, that TRT is in most cases not addressing the underlying issue of our problems but probably compensating the symptoms a bit. TRT may have severe implications if not done properly and might just kick your testo supra-high which in the long term can have some nasty effects.
Did anybody recovered from the sexual side effects induced by finasteride through an increase of exogenously supplied testosterone??
I do not think so - why? the level of our testosterone is not the main problem in may eyes and regarding secual function simply overrated.
My testo levels look good, but i have still sexual sides.
TRT can be considered if you lose muscles, bone density etc, etc…, but I guess it does not really provide a big benefit for most of us unless levels are really in the cellar

Because I’d like to have children one day. In fact, when I think about it, I’d say that’s one of my biggest life goals. I’d love to be able to maintain a rock-hard erection every time I make love as well, but that potential benefit doesn’t nearly outweigh the risk of not being able to reproduce. If I’m 32, finally managed to have children, and still have frequent ED after everything else I’ve tried, then I would consider TRT. But right now it just wouldn’t be worth it.

On the other hand, there are some extreme cases on this board who would probably do well for the sake of their health to seek TRT asap. Not one of them myself, but I’d completely understand their decision.

On the children front I’ve given up. I’m worried that whatever has happened to us has the potential to affect any child concieved. I couldn’t live with that on my conscience.

I wouldn’t give up on having kids, that’s my opinion. I think we can resolve our problem and most of us are still pretty young. I know I have already seen a big improvement in volume and quality of ejac. If you would really like to have kids, you can talk to a urologist. They can run tests on our semen in labs. You also have IV as an option if your sperm is healthy but can’t get to the egg. There are also many diagnostic tests that can be done during the initial stages of a pregnancy to determine if an unborn baby is healthy.

I guess I’m just trying to say, don’t let this drug rob you of something that you want to accomplish in the course of your life.

In short, 1.) post-fin sufferers can still have healthy children, and 2.) there’s no real reason to think that post-fin syndrome would somehow negatively affect our children. Beyond that, I agree with everything bostonusa2009 said.

Some of this is touched upon in Reason’s recovery thread:

propeciahelp.com/forum/viewtopic.php?t=2491

Yeah, when i read this first it was pretty distressing but then i reread reason’s recovery and i think it stands pretty strongly to justify that our children should be fine. and as bostunusa2009 said, if you’re that worried you should get tested for genetic defects in your sperm, don’t just give up that easily on something so important (well, it is to me) just based on presumption.

This is an excerpt from reason’s thread posted by ScaredMale30 explaining how, even if finasteride has effected us genetically, which is still unlikely, we can’t pass it on to our children.

[i]The simple facts governing genetic inheritance should, in fact, serve to reassure us that it is extremely unlikely, if not impossible, for us to pass on this condition to our children.

I’m sure we all remember that all humans have two chromosomes, XX if they are female, and XY if they are male.

When a male child is created, he obviously takes the Y chromosome from his father and the X chromosome from his mother.

The vast majority of our genetic information is carried on the X chromosome. That includes the gene for the androgen receptor.

That means that even if this condition has caused a genetic or epigenetic change to the androgen receptor, and even if - in the case of epigenetic change - that change was able to pass to subsequent generations, there is no way that we could pass that mutated androgen receptor gene on to our XY children, that is, our sons. Because when a father helps to create a son, he does that by passing his Y chromosome, not his X.

Say Let Xm stand for an X chromosome that is carrying a mutated androgen receptor gene. Then, if you accept that we are carrying a mutated androgen receptor gene (and that is a big jump) we look like this XmY. Our partners are like this XX. Any male child we have must look like this XY. We could pass our mutated gene to our daughters, who would look like this XmX. But that would not matter at all, because (i) women don’t need to be androgen responsive and (ii) the other X chromosome would override the faulty one, anyway.

These rules govern the inheritance of the known and acknowledged forms of androgen insensitivity. A male child can only inherit androgen insensitivity from his mother. If a mother looks like this: XmX and a father looks like this: XY, then you can get a male child like this: XmY, who suffers from androgen insensitivity, does not develop male characteristics, and is born appearing to be female.

Summarising the above, if our condition is indeed genetic or epigenetic in origin, it would almost certainly take the form of an X linked recessive condition, like other forms of androgen receptor dysfunction, which fathers cannot pass to sons.

Given all this, it seems unlikely in the extreme that we could give rise to any androgen insensitive male children, even if our condition is some kind of genetic or epigenetic change. The inheritance would have to take place in some way that is radically outside our current and pretty good understanding of how genetic inheritance works.

I think we can all take comfort in this.[/i]

THis i understand but the desire has been removed along with desire to fuck. I don’t want to impregnate anyone. And only time will tell if there are long term developmental problems. I mean this stuff affected most of us permanantly after we reached full development, mid 20’s and above. What happens if male children start to age prematurely like I feel I have after they hit this age?

I am not saying these things will necessarily happen but the risk is there. We still do not know on what level we have been affected and we may never know this…