How to navigate a convo with my (new) endocrinologist about hypogonadism

Post date: 2018-09-13 11:53:57

I've had (diagnosed) hypogonadism for several years now. I first was treated with a testosterone gel which was ineffective, and then later with injections at 200mg of the cypionate ester every two weeks. You are not my doctor. How do I talk to one about this therapy not really working for me?

My libido and energy have been exceptionally low for quite some time. Testosterone has helped a bit, but as I approach 40, I'm thinking ahead to a life of living like this and I don't really want to. I moved to NY recently, and New York also seems to stigmatize TRT; it's hard to get pharmacists who have a clue and every time I ask for needles despite it being written on the prescription it's like pulling teeth. I'm about to make my first visit to an endocrinologist to discuss this (all other work has gone through primary care doctors). What tests should I ask for? How frequently should I follow up to get resolution? If what I'm doing lately hasn't helped, am I just out of luck? What are the "right" levels of hormones for a morbidly obese 250lb+ male? Are endocrinologists going to think i'm crazy when I ask about Clomid and HCG as alternatives or augmented therapy?

I'm in the Hudson Valley if anyone has recommendations.

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