60 and Over

Testosterone
hotjules 1 Reviews 3266 reads
posted

Guys - If you have E trouble don't neglect to check your testosterone level, both free and active, which can be done through a simple and not too expensive blood test.  If it's not what it should be, you should ask your doctor to supplement.  In my case, I use a cream, which has worked very well.  I do it through a compounding pharmacy in Florida, and the cost is a paltry $50 or so per month  - it you go the Big Pharma route and buy something like Androgel, it could cost $400 or so.  There's some bullshit out to the effect that it can cause cancer, but this is nonsense unless you do, in fact, have prostate cancer. Also, don't fall into the "reference range" trap - you want the testosterone level not of an "average" 60 year old but that of a healthy 30 year old.  In addition to the sexual benefits, you can become leaner, more muscular, and sleep better - it's good for us, all around.  Not to mention the fun of blowing  a steaming load into the greedy mouth of our favorite provider!

Because it's from a compounding pharmacy  (in this case, Post Haste in Hollywood, FLA), there is no commercial name to the cream - it's just testosterone cream.  Your doc, of course, needs to prescribe it.  First, I had the blood test, then the prescription, then needed to adjust the prescription because the dosage was too high (I became a three load a day guy).
Best of luck to you!

Don't rule out Androgel completely. Depending on your insurance plan the cost could be less. I just got a 3 month supply for $40. Yes, it's really Androgel, thru one of the big pharmacy's mail order service.

And you're right about the benefits. I'm nearly 70 but girls have said I perform like a 30 year old. Sure is fun!

I am on Medicare part D and Androgel causes havoc with the donut hole.  List price is like 400 and I was on double dosage.  So initially it was covered at a co-pay of 40 but at 800 a month soon blows into the donut hole.  Several years ago I switched to bi weekly testosterone shots.  Quite good and about 50 per month on a cash basis. Medicare did not cover.  Just recently my uro switched me to new long duration shots.  One shot every 10 weeks.  My numbers this week came in at 500.  Perfect.  And for some reason fully reimbursable through Medicare B with pre-authorization documentation. ??? Libido and the capacity to come has returned. Sleep better too and far less irritable. Lots of progress being made in this realm.  

Glad to hear that there are alternatives. I start on Medicare Part B next month and I understand my Androgel won't be covered. Thanks for the info.

Posted By: phi68psi
Re: Not so fast
I am on Medicare part D and Androgel causes havoc with the donut hole.  List price is like 400 and I was on double dosage.  So initially it was covered at a co-pay of 40 but at 800 a month soon blows into the donut hole.  Several years ago I switched to bi weekly testosterone shots.  Quite good and about 50 per month on a cash basis. Medicare did not cover.  Just recently my uro switched me to new long duration shots.  One shot every 10 weeks.  My numbers this week came in at 500.  Perfect.  And for some reason fully reimbursable through Medicare B with pre-authorization documentation. ??? Libido and the capacity to come has returned. Sleep better too and far less irritable. Lots of progress being made in this realm.  

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bruce gilbert, md, great neck.  excellent male sexual urologist.  he will consider testosterone, but only if absolutely indicated.

I have been on Testosterone injections for about four years.  My numbers were down below 100, didn't care about sex at all, in fact I didn't even want it. Now I have an injection every 2 weeks and I am horny all the time. Sex is on my mind 24/7 and I even dream about having sex.  I see a provider once a week which I can afford and have the private time for.
All the way from 18 to 70 years old  and have enjoyed what each one brings to the table (BED)  
Medicare pays for it 100%, (the injections) I think medicare wants us old timers having sex because of the health benefits
to bad they don't pay the hooker bill.   Well I guess in a way they do as I'm using most of my social security benefits to pay the ladies.  

I just switched to a new version of the injections that last 10 weeks.  My T level is now at 520 at five weeks.  Crazy.  :)

I was made for the 21st Century.

Anyone have experience with this? My doc (a great guy) used the phrase "pink steel" but injecting...I'm kinda squeamish about that...

Jules correctly points out the positives of increasing testosterone levels that are low and then says it will not cause cancer "unless you do in fact, have prostate cancer" and there is the rub (no pun intended.) Half of men over age 80 have cancer cells in their prostates. Among younger men, the number may be near as high. The problem is you may not know you have it. The recommendation now is for physicians not to check PSAs  (a recommendation with which I heartily disagree, but that is another subject for another time.) so there are a lot of men with nice quiet resting cancer cells just waiting to spring to life in the presence of some exciting factor like a rise in testosterone level.  It is not clear how dangerous this can be. If you want to increase your testosterone I would recommend getting your psa checked and rechecked regularly.

I inject myself every two weeks. Tried the gel but just found it took too much of my time waiting for it to dry. My part doesn't cover it at all. Medicare will cover 1 PSA check per year.

Any link with testosterone and blood clots?

There is an increased risk of deep vein thrombosis (blood clots) with the use of testosterone.  There have been a number of studies including one very good population study. As near as I can say, the risk rises during the first 6 months of use then tapers off over the next 3 months until the risk is back to baseline after the ninth month.  At its height the risk is up by about 25% (which sounds like a lot but the total risk while up about 1/4 is still relatively low for any one active person not facing surgery not confined to bed with no other major health problems.)

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