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Question
Hi I am not sure if you will be able to answer my question or not. I have been having problems with my testosterone. It keeps declining. Last time I had it checked it was 280 my endocrinologist gave me androgel to use 1 pump on the left shoulder and one pump on the right shoulder. So that is a total of two pumps. I use this for over 3 month I go in Monday get my testosterone checked again and it was 138. So now he is scheduling me for shots once a week and also a MRI of the putitatutary. My question is why is it this low again after I use this medicine. Thanks.

Answer
Sean:

There is not enough information provided to answer your question.  The extra testosterone gel was not enough to get your levels up to normal but probably enough to shut down your own production so you were caught in the middle.  It doesn't just add to your natural level.

Checking the pituitary is reasonable, but normally we just check various other hormones like FSH, LH, Prolactin, etc. before starting supplemental testosterone.  Your endocrinologist will know what to do next. That's his specialty.

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Stephen W. Leslie, MD

Expertise

Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.

Experience

Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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