Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
185 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What are the side effects of testosterone treatment?

Answered by
Dr.
Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

default
Posted on Tue, 18 Feb 2014 in Thyroid Problem and Hormonal Problems
Question: After four years of pain level six with my back I started training with a physical therapist. Thirty days ago I started taking Foresta Gel. 40 mg of testosterone. I read in a study in Sports that bone density increased by 4% in Lumbar spine only. I feel better than I have in a long time. Lower back pain has not decreased or increased but my strength has though working out for the past year.My blood results before I started on testosterone were 8.64 test free, 596 testosterone and 1.45% free testosterone. What is your opinion of testosterone and its drawbacks.
doctor
Answered by Dr. Shehzad Topiwala 1 hour later
Brief Answer: Testosterone not recommended Detailed Answer: The expert guidelines issued by the Endocrine Society's panel of experienced testosterone area clinicians and researchers has time and again emphatically stated that unless there is categorical testosterone deficiency, the individual is unlikely to derive benefit from treatment with testosterone. The generally acceptable lower limit of total testosterone on a blood test is about 300, although there are variations from lab to lab and further depending on the method deployed to test the sample. The free testosterone levels are reliable only when performed by the 'Equilibrium dialysis' method. Alternatively, if the person's albumin and SHBG (Sex Hormone Binding Globulin) levels are available, the free testosterone can be indirectly calculated with reasonable accuracy. Again the cut-offs for the lower limit on this value vary from 5.7 to 6.5 Furthermore, such a deficiency has to be documented on two separate occasions, and the blood sample must be collected between 7 am and 9 am because the levels drop normally as the day progresses. Based upon the data you have shared, it does not appear that your testosterone was low to begin with. However, as explained above, sometimes the total value can be misleading and checking the right way would be helpful. Those who are diagnosed with testosterone deficiency undergo a comprehensive and systematic work up to look for reversible causes like obesity and sleep apnea. Moreover, pros and cons of treatment are discussed with the individual. This discussion is initiated after a clear cut diagnosis is made
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Drug/Medication
Lab Tests ,  
Medical Topics ,   ,  

Recent questions on  Back pain

doctor1 MD

son in law is having night sweats where he soaks the bed, and it also happens during the day. he has low back pain, doesn't feel like eating much...

doctor1 MD

sir,my name is sumona.i am 34 years lady.i am suffering from slip disk from last 4 years.i have shown my problem to 3-4 orthopadic and neuro...

doctor1 MD

My boyfriend has the following symptoms and he is freaking out, I don't think it's a big deal. Slight burning when he urinates, some back pain, and...

doctor1 MD

Hi Doc, My dad is infected of Spain TB and he is having sever pain in his back, it is almost 12 day he has not got relief from the pain . Please...

doctor1 MD

I get a lower back pain which is excrucitating right after my cycle ends.its remians for 4-5 days. And have to take painkillers.Its very...

doctor1 MD

very small amount of brownish discharge after wiping, I finished my period just under 2 weeks ago, although I can't be precise. any reason for this?

doctor1 MD

I am 77 and take heart disease medications. I have lower back pain , am fatigued and joint pain. Suggestions?