That’s not how this works. Just because it’s a DHT Derivatives does not mean it automatically gets metabolized into DHT. In fact they are physically incapable. Most of the negative side effects associated with testosterone come from the metabolites estrogen and DHT. Lower your testosterone dose man. If you’re so concerned drop everything aside from your TRT and plan your next push accordingly.
MESO-Rx
Anabolic Steroids
45, apparently I have BPH
- Thread starter Theworm
- Start date
1cyclewonthurt
New Member
I'll add my 2 cents because some of this stuff is definetely wrong advice.
1. Best advice: Visit an urologist
2. He will probably say the following:
BPH without symptoms can be "treated" by watchful waiting since it just quantifies an enlarged prostate which is completely okay if you do not have any symptoms (the direction of growth is what matters, if the urethra gets obstructed you will get the typical symptoms of obstructive incontinence)
3. BPH or BPS(=if with symptoms) is usually treated with Dutasteride or Doxazosin. Only Dutasteride or Finasteride are treating the cause of growth (DHT) while Doxazosin allows you to pass urine more easily (but if you have no symptoms it wouldn't make to much sense)
4. BPH is not PSA, nor related to prostate cancer. You can have either without the other. However this is a condition of the elderly male (60y. and older) and PSA serum screenings are indicated for males above age 50.
5. Going off of T or Oxandrolone will not stop your growth. Essentially the cells in your prostate express 5alpha reductase in a highly efficient manner. It will just continue to metabolise regular T into DHT. Hence, regular males get BPH without ever touching steroids. It is a local process, taking exogenous T will probably just speed it up but not inherently cause it.
Hope this helps.
1. Best advice: Visit an urologist
2. He will probably say the following:
BPH without symptoms can be "treated" by watchful waiting since it just quantifies an enlarged prostate which is completely okay if you do not have any symptoms (the direction of growth is what matters, if the urethra gets obstructed you will get the typical symptoms of obstructive incontinence)
3. BPH or BPS(=if with symptoms) is usually treated with Dutasteride or Doxazosin. Only Dutasteride or Finasteride are treating the cause of growth (DHT) while Doxazosin allows you to pass urine more easily (but if you have no symptoms it wouldn't make to much sense)
4. BPH is not PSA, nor related to prostate cancer. You can have either without the other. However this is a condition of the elderly male (60y. and older) and PSA serum screenings are indicated for males above age 50.
5. Going off of T or Oxandrolone will not stop your growth. Essentially the cells in your prostate express 5alpha reductase in a highly efficient manner. It will just continue to metabolise regular T into DHT. Hence, regular males get BPH without ever touching steroids. It is a local process, taking exogenous T will probably just speed it up but not inherently cause it.
Hope this helps.
Theworm
Well-known Member
Any ideas on next push? 8 weeks NPP?
Because in general, they don’t?
It took me fucking 5 different doctors and 3 urologists to find out I had BPH, and then prescribe vibegron for it.
Ghoul
Well-known Member
A lot of folks don't realize most docs stop learning the second they finish their education and residency, so can easily be decades behind.
Only the most dedicated or those in teaching positions keep up.
phenominal34
Member
The fact that this is the question you’re asking ? Ughhh sighhhhh.
I don't doubt that you went through that, but that's unbelievable. I know plenty of dimmer people who became doctors, but a urologist missing BPH is like a proctologist forgetting to look at the asshole. I'd be terrified to be a male in your area.
Theworm
Well-known Member
Right on! But what TT should I shoot for? 500 and feel like crap or 7-800 and feel decent
there was an endocrinologist around here that said you don't need to look at T3,T4, you only need to check tsh for thyroid function.
always assume that doctors don't know their ass from their elbow until proven otherwise.
This has been my experience with doctors (friends too) all over the country. Usually it's an older doctor, but funnily enough, an older doctor found my BPH when I told her to look for it.
Theworm
Well-known Member
Just thinking ahead, if one where to supplement for some lean gains with BPH, which would be a better idea:
Short 4 week blast of anadrol 50mg once or twice a year
Or
Do trt and add 150-200 mg deca x 15 weeks once a year?
Short 4 week blast of anadrol 50mg once or twice a year
Or
Do trt and add 150-200 mg deca x 15 weeks once a year?
You are referring to transurethral resection of the prostate (TURP). This is the final and extreme option and for most people a very old and outdated surgery with brutal side effects. Prostate laser surgery is a far better option, and their are several options. Very low sides, very fast recovery. This is somethiung he needs to study up on and then seek out a top Urologist to consider his options.
Prostate laser surgery - Mayo Clinic
www.mayoclinic.org
Ghoul
Well-known Member
You are referring to transurethral resection of the prostate (TURP). This is the final and extreme option and for most people a very old and outdated surgery with brutal side effects. Prostate laser surgery is a far better option, and their are several options. Very low sides, very fast recovery. This is somethiung he needs to study up on and then seek out a top Urologist to consider his options.
Prostate laser surgery - Mayo Clinic
I see they can now "push" the prostate out of the way without risking the nerves. Thank god. I once heard someone say the prostrate is proof intelligent design doesn't exist...
There have been anecdotes and some research pointing to SARMs as useful for BPH. Russians especially have been using S4 for BPH.
See e.g.:
www.ncbi.nlm.nih.gov
See e.g.:
Comparison of the Pharmacological Effects of a Novel Selective Androgen Receptor Modulator, the 5α-Reductase Inhibitor Finasteride, and the Antiandrogen Hydroxyflutamide in Intact Rats: New Approach for Benign Prostate Hyperplasia
Tissue-selective androgen receptor modulators (SARMs) demonstrate tissue selectivity in both castrated and intact male rats, behaving as partial agonists in androgenic tissues (i.e. prostate and seminal vesicle), but full agonists in anabolic tissues ...
www.ncbi.nlm.nih.gov
Did you drop the high androgens and go back to TRT ? Did it work?
Theworm
Well-known Member
I dropped to 100 mg test a week, I’d have to repeat the mri which I plan in a few months, I no longer go pee 2-3x a night… rarely do I pee at night now
Liter O' Test
Member
Don't be scared of 5-ar inhibitors. I'm getting Morning wood while on 2mg of dutasteride and a test cycle.. I added dutasteride for my hairline and suddenly I don't have problems peeing.been on it 4 months
Great. Thank you.
Ghoul
Well-known Member
When they get desperate, far too late, over hair loss, and only surgery will allow them to pee without difficulty, plenty of guys are going to regret letting the hysteria get to them instead of really digging into the topic(using credible sources, not somebody's feelz) , or at the least, using common sense about these decades old. heavily researched 5-AR inhibitors. Outside a small handful of cranks, no urologist or hair surgeon has any qualms about putting their patients on these, and just adjust dose in case of issues.
Tens of millions of men using these meds without issue. The minority who do get them, like me, resolve it by lowering the dose.
By comparison, if you get a prescription for accutane, you have to sign a waiver promising not to sue the doctor or the pharm company over any permanent damage. No such requirement exists for Finasteride or Dutasteride. Are all the docs who's wealth is on the line. their lawyers, and insurance companies idiots, or is it because with 40 years of clinical evidence, no risk of "permanent damage" exists?
The weeks long delay between lowering dose or stopping, and DHT levels rising creates the illusion that something's permanently broken.
"Oh god I stopped using it yesterday and my libido hasn't returned, it's never coming back!"
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IronMetal_2
Member
You are going to get downvoted for speaking the truth. I hesitated so long because of reading on the internet for hair loss and just ditched the bullet couple months ago. I haven't had a single side effect, if my hair wouldn't grow back significantly I wouldn't be surprised if I were taking a sugar pill.
5-Ar inhibitors are incredibly safe and won't cause side effects in the vast majority of users, escpecially those that are on TRT.
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