Post Vasectomy Pain Forum

How are testosterone replacement therapy guys doing?

Just wanted to see how those guys are doing.

I started testosterone injections June 1st. Initially they had me at 200mg/week. 4 weeks later I tested at levels 3-4x normal (well above doping levels). They had me reduce to 100mg/week and I’m awaiting follow up tests.

I haven’t noticed much difference honestly. Mood is the same, libido is up a little but it was never a major issue for me, energy is the same. I haven’t noticed much. Honestly I feel like my best days are the day before my next dose. Not sure if that’s psychological or if I’m still too high. I do know that too much T come with its same issues.

Most are probably wondering about pain. I have seen no change. That being said, it’s important to know that most of my pain has been neurological and mostly above the cord.

I started taking a Vit B supplement a week before the T and I personally believe that did more for me than the T (energy/mood).

Hope that helps.

I stopped after two 100 mg shots. They caused sleep problems for me.

I can say that the tenderness left for sure, nerve pain was eased, but it isn’t the cure all for me at least so far.

I’m still considering a reversal so I don’t want to be in on it for too long.

So I stop after my last blood test (total T was 576).
Unfortunately it appears my urologist never did a total blood test on me checking free t vs regular t, what my estrogen level etc with my blood work.

So I don’t know how much was my body producing T or how much was the shot. That was the whole purpose I thought maybe I misunderstood him. IDK.

I would say the relief I did find, it may be worth a try. If your biggest issues is tender balls and epy and your T is low. This is worth a shot.

But for me I had some shrinkage and when my sac got cold then tight from temp or from going number two it did not ease up and only loosened when I took a bath.

Less work being done down there less blood needed? It was a rather odd sensation kinda like blue balls and or your nuts just not sitting right all you needed to adjust them.

Now being off it the sensitivity to my nuts return but not as much as before. Could it be atrophy?

Just wondered if there are any other guys on TRT that can chime in? How are you pain wise? Any update would be greatly appreciated

I had a vasectomy and experienced a major decrease in testosterone levels about a month later. TRT has not been as successful as I had hoped. Still experiencing some brain fog, no libido, gained about 15lb of water weight, sleep problems, and some hair loss. Thinking about coming off as I have had my vasectomy reversed so hopefully I can get back to normal levels

hi etf42, has your reversal mad you feel a lot better?

I did not have PVPS but the reversal helped relieved the pressure I was feeling in my scrotum. My orgasm quality came back as well. Libido and sex drive still pretty low. Erections okay. I think I feel a marginal psychological benefit as well.

Hi Thanks for your reply, I am having a reversal in August, after 26 years vasectomized, I am hoping to get my life back as well, and more so some feeling back after my wrecked life. I might be expecting to much and it might be wrong, but I don’t want to die wondering

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I will keep my fingers crossed for you @Francis, this is not a way to live

How long post vas have you had reversal @etf42? When did you have it done?

I had it done January of this year. 4 months after my vas surgery.

Do you recall what your Testosterone numbers were when they were low?

I had multiple tests in the 300-400 range

If you had pressure issues you had PVPS. PVPS is a spectrum. It can go from minor issues to full disability and pain with most guys falling towards the minor category so I’m not sure why you would say you did not have PVPS. You clearly has some sort of post vasectomy issues going on.

Also, while I agree those numbers are low, they would not be considered clinically low.

What are your numbers now?


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Mine just came back at 320. Doctor said it seemed fine to him and he did not think it was very likely that my low sex drive was related to my testosterone level. It’s hard to figure out what to believe. Since my vasectomy, thinking about having sex is like thinking about food when I’m not hungry. It’s enjoyable, but there is just zero craving anymore.

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Fair enough, I did not have debilitating PVPS.

Those number are not ‘clinically’ low but the healthy ranges for men are absurdly wide and inaccurate and are not created by male hormone specialists or experts. ‘Low’ is also somewhat subjective and specific as I had crippling symptoms in that range while some men will be fine.

I am in the 600-800 range now and feel better but the side effects are bothering me.

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Hi @etf42, what side effect have you got now? Were they as a result of reversal?

One thing I have learned is that most doctors and urologists are clueless about testosterone and male hormones. Its actually a little scary and disappointing and I have lost faith and trust in the credibility of doctors. Your testosterone is low and testosterone is tied to libido. Some men see improvements on TRT, others dont. There is a lot of great information on the testosterone reddit if you are interesting in therapy and honestly those guys know more than most doctors.

The side effects are from the TRT. My body does not seem to be responding optimally. My reversal was pretty smooth.

-Minor hair loss, sleep issues, gained 15lbs of water weight, shrunken testicles and none of the great benefits that many men seem to reap