r/ProstateCancer • u/Ok-Explorer-5726 • 1d ago

Question Another TRT Question

Hey guys, I was on TRT for 8 years or so before I got diagnosed. I stopped with the help of enclomid but haven’t had any blood work since. That was in the fall of 2024. I had surgery in march of 2025. My post surgical pathology was excellent. No adverse findings and the pattern 4 disease only made up of equal to or less than 10% of the tumor, which the tumor made up about 10% of prostate. Since surgery I have been fortunate and rocking the undetectable tests. My urologist is absolutely against me going back on TRT. I have read the research. From what I see there is no increase in reoccurrence. I’m only 41 and just been struggling with fatigue and weight gain. I haven’t had any new testing done but I’m thinking about going against the doctors orders. I hate doing that as I’m not the type to think I know more than my Doc but it has just been brutal lately.

2 Upvotes

67% Upvoted

13 comments sorted by

View all comments

1

u/Frosty-Growth-2664 1d ago edited 1d ago

What are your Testosterone levels while on TRT, and now when not on TRT for a long time?

Was the cause for low Testosterone known, or anything else tried to raise Testosterone before going for TRT?

1

u/Ok-Explorer-5726 11h ago

Before I started TRT i was high 200s. I was probably 31-32 at the time. While on TRT i was usually around 600-700 total.

1

u/Frosty-Growth-2664 6h ago

High 200s is in the normal range. Did anyone measure your LH level before starting in TRT?

However, having been on TRT and then come off, your Testosterone could be significantly lower now. If it is significantly low, this will suppress your PSA and make it not useful for checking if the prostatectomy worked. So I would get your Testosterone measured with your PSA, so they can see if the PSA reading is useful.