Prostate enlargement, TRT alternative choices and proactive preventative measures

My pcp says he's not a fan of finasteride because it can mask prostate cancer
This is what I saw online too. My doc would tell me your score is .8 what are you worried about ?

I’d either have to find a new doc or stop taking it for 3-6 months and see if my score has changed
 
Id just follow my symptoms I think. Does the 4x night clear up when youre off cycle? Shoot, I have that issue myself but being an old bastard is my main cause. We'll see if some others chime in on this.
Yeah it goes back to normal once at regular doses.

But during those high doses, I’ll get the dribbles pretty bad as well.

That goes away as well once off cycle.
 
But score remains same -.8 during those periods. Which is what concerns me
When youre on and having the dribbles, you might look at flomax and cialis together...works wonders. You could always stop the fina for a bit (not sure how long itd take to clear your system) and check like you said. I have no idea what would happen to the hairline though.

There are a few other tests that are more sensitive:Phi Test, PCA3, and 4K score.

The prostate is a never ending source of what ifs for us guys..BPH, cancer, testosterone induced issues, etc. Can drive yourself nuts worrying. At some point we have to shrug and say," Screw it, Ive done all I can." and just watch for changes.

I had a doc tell my mom that my step dad (who was 83) had prostate cancer. She flipped. He basically said that a lot of guys at that age get it but its so slow growing, almost all die of old age before it becomes an issue. Something to look forward to, huh?
 
What are your labs for Total T, Free T, and E2 while on 150 mg T per week?

At that dose/frequency, you're right at the top end of TRT; any higher and you're cycling and no longer on TRT. You might get some relief from the prostate symptoms if you ease off on the T dose, if, for example, your Free T and/or E2 are on the high side. If any one of the three are above the top of the normal range, then you definitely need to reduce your T dose.

Men in their late 40s don't need to be on TRT to get an enlarged prostate; that's more or less when it starts to happen. Short of estrogen injections, there isn't much out there that shrinks the prostate.

One alternative to T injections is HCG only - assuming you still have the Leydig cell capacity to make your own T. It does not have the extreme T peaks and dips you get with T injections. When you inject 150 mg T, sometime in the next day or so, your T level peaks at 1,500 - above the top of the normal range. Those once a week peaks are not your friend when you have prostate issues.

That doesn't happen with HCG. T production is sort of self-limited by your Leydig cell capacity and the Leydig cells are surrounded by fat that convert some of the T to E2. That self-limiting effect is why men who want a high-ish T level (rather than just a NORMAL T level) don't use HCG.
 
Last edited:
What are your labs for Total T, Free T, and E2 while on 150 mg T per week?

At that dose/frequency, you're right at the top end of TRT; any higher and you're cycling and no longer on TRT. You might get some relief from the prostate symptoms if you ease off on the T dose, if, for example, your Free T and/or E2 are on the high side. If any one of the three are above the top of the normal range, then you definitely need to reduce your T dose.

Men in their late 40s don't need to be on TRT to get an enlarged prostate; that's more or less when it starts to happen. Short of estrogen injections, there isn't much out there that shrinks the prostate.

One alternative to T injections is HCG only - assuming you still have the Leydig cell capacity to make your own T. It does not have the extreme T peaks and dips you get with T injections. When you inject 150 mg T, sometime in the next day or so, your T level peaks at 1,500 - above the top of the normal range. Those once a week peaks are not your friend when you have prostate issues.

That doesn't happen with HCG. T production is sort of self-limited by your Leydig cell capacity and the Leydig cells are surrounded by fat that convert some of the T to E2. That self-limiting effect is why men who want a high-ish T level (rather than just a NORMAL T level) don't use HCG.

While I agree 150 mg/wk is typically enough for resolution of hypogonadal symptoms, that's not a popular opinion around here.

Guys here prescribed 125 mg/wk but given 4 x 250 mg vials per month and told to discard the rest will generally take as much as possible for the added muscle gains.
 
I think this is a good place to report I had to discontinue my low-dose Finasteride. It was a slow, subtle change, but over the course of a month, my strength and rep counts kept going down. Best way I can describe it is diminished contractions. Showed up in Back Squats very clearly. I also attribute some pretty severe depression to it. Since stopping, both issues have markedly improved. I'm going to move on to trying Flomax/Tamsulosin.
 
I think this is a good place to report I had to discontinue my low-dose Finasteride. It was a slow, subtle change, but over the course of a month, my strength and rep counts kept going down. Best way I can describe it is diminished contractions. Showed up in Back Squats very clearly. I also attribute some pretty severe depression to it. Since stopping, both issues have markedly improved. I'm going to move on to trying Flomax/Tamsulosin.
Are you suggesting you got strength gains from fin?
 
I have no idea how you got that from what I wrote.

"over the course of a month, my strength and rep counts kept going down.."

"Best way I can describe it is diminished contractions."

"Since stopping, both issues have markedly improved."
 
Clomid blew my prostate up in my 40s . Anastrazole helped due to my estrogen but the Enlargement had to be fixed. For me and my body, young wife I chose the urolift. Tough 3 days post sx but have been good for 8 yrs. I'm 51+ and can pee and junk still works. I do take Anastrazole 1/2tab 1x a week . No trt enhancements at the moment and 5mg of Indian pharmacy cialis once every other day . Good luck
 
While I agree 150 mg/wk is typically enough for resolution of hypogonadal symptoms, that's not a popular opinion around here.

Guys here prescribed 125 mg/wk but given 4 x 250 mg vials per month and told to discard the rest will generally take as much as possible for the added muscle gains.
Right.

Then they eventually show up here complaining about prostate issues or high hematocrit or high estrogen...
 
I think this is a good place to report I had to discontinue my low-dose Finasteride. It was a slow, subtle change, but over the course of a month, my strength and rep counts kept going down. Best way I can describe it is diminished contractions. Showed up in Back Squats very clearly. I also attribute some pretty severe depression to it. Since stopping, both issues have markedly improved. I'm going to move on to trying Flomax/Tamsulosin.

Update on my trial of Flomax/Tamsulosin. I can now sleep the entire night. It took a few weeks starting out at 0.4mg with dinner every night. At 0.4mg, it extended the time I had to get up from 1AM-3AM (usually 3AM) to 4AM-5:30AM. Bumped to 0.8mg and can now sleep the entire night. Fortunately no side effects have been noticed... like blood pressure or ejaculatory. This is just intended to alleviate symptoms while I put off the real options like surgery or implants. I'm hoping by the time I need to look at those, new options will be around or old ones improved even more.
 
Back
Top