Not angel dust but my primary care physician. I’ve been suffering from some erectile dysfunction issues. At my age I know it could be low testosterone, blood pressure, stress, diabetes or in my case a reoccurance of epididimitis. My PCP refused to order the T test saying:
- The idea of testosterone is the new “in thing”
- T test have no diagnostic value since T levels vary.
- Even if I have low T, he won’t order HRT since apparently if I do get extra T (extra if it is low?) my prostate will immediately get the cancer or explode or something.
- Instead I should treat my symptoms with some $16 pill if I plan on having sex in 30min to an hour
Add to this:
He never asked me about my stress levels in life.
He never pursued that I tend to have ED when suffering from epididimitis. That correlation was dismissed.
My blood pressure is borderline, usually around 135/95 … and has been ever since I was a teen.
I was told basically to lose weight however testosterone in instrumental in men’s weight control and my weight has been creeping up since my ED problems started.
Obviously I went to get a second opinion. The doctor explained a lot and he said it was important to get a T test because if I have ED and don’t have low T, that means I’m suffering from a periphial vascular disorder from my history of high blood pressure.
Now a man’s T level should be at minimum 300. Yes the Low-T center uses 350 as their baseline to sell more T shots and Kaiser uses 250 as the minimum since they hate providing HRT. The real important number is Free Testosterone (the amount of unbounded T in the blood) with a Kaiser minimum level of 35.
My T level is 84, FreeT is 19.2
And he’s going to wonder why I’m changing my PCP today.