Those on TRT with an implant

The final frontier. Deciding when, if and how.
stmfttr
Posts: 514
Joined: Mon Dec 14, 2020 11:35 pm

Re: Those on TRT with an implant

Postby stmfttr » Mon Feb 28, 2022 11:10 pm

Smphead,

Yes, 22ga. does seem large, BUT no issues. Remember that the testosterone liquid is thick, and a smaller gauge syringe will make it harder to draw and to administer.
Again, I don't have any problems. Been on TRT over 3 years.

stmfttr
78 yo. Married 54years - Coloplast Titan, 22cm and no RTE's - Installed June 2019 Nebraska Medicine, Dr. Deibert (urologist/surgeon)
ED started in 1994 Tried VED, Viagra and Cialis, and injections.

Gt1956
Posts: 3041
Joined: Fri Apr 05, 2019 2:47 pm

Re: Those on TRT with an implant

Postby Gt1956 » Tue Mar 01, 2022 1:56 am

smphead wrote:
stmfttr wrote:
smphead wrote:What kind of T? Do you self-inject, and which gauge size needle?

smphead,
Testosterone Cypionate 1mL (200mg/mL)
Self inject
Syringe = BD 3mL, luerlock, 22gx1"
stmfttr

For how long are you on injections now? 22g is like a harpoon, doesn't it hurt a lot and how about scar tissue?

You guys need to be more creative. Yes, 22g is big. But why use it. People say its easier to fill the syringe with a 22g. No kidding but nothing says that you have to use that size to inject with.
Here is my tried & true method. The pharmacist offers me 25g needle & syringe then offers a 22g needle to fill that syringe. I've learned a better (for me) way. I buy the 25g setup. Yes, its slow to fill but try this. I inject a full syringe, sometimes 2, of air into the bottle. I use the 200 strength so the bottle only holds 1ml. The pressure speeds up the filling of the syringe. Yes, it does take some strength to inject thru the 25g but I don't mind it.
Once I'm done injecting. I promptly fill the syringe for next weeks shot. When next week arrives. I use the fresh SHARP needle to inject with. Pushing a new needle thru the rubber seal of the bottle dulls it a bit. Once I've injected. I use that needle to fill the next syringe & use the fresh sharp needle to inject with the following week.
I'm on Medicare but my retirements legacy health insurance pays for 2 1ml bottles with a $7 co-pay for a months worth.
68yo, HBP at 40, high triglycerides at 45. Phimosis at 57. Type 2 at 60. Dr. William Brant May 1, 2023 CX 21cm w/no rte's penoscrotal 6" girth @ 6 months

peyroniesjr
Posts: 162
Joined: Thu Jul 18, 2019 8:30 am

Re: Those on TRT with an implant

Postby peyroniesjr » Wed Mar 02, 2022 7:58 am

Good morning guys,

I extract the Testosterone Cypiante fron the vial with a 21 gauge needle & use a 25 gauge needle to inject.

Junior
Implant Titan 2/21/2020 / 67 yrs / Married 44 yrs /ED / Peyronies 70 degrees - Xiaflex/ Low T / & RALP 4/1/2019 (Nerve Sparing)

SW0110
Posts: 648
Joined: Sun Sep 02, 2018 6:15 pm
Location: Central Kentucky

Re: Those on TRT with an implant

Postby SW0110 » Fri Mar 11, 2022 12:41 pm

Just an FYI since it seams like a lot of us older guys are on testosterone replacement with injections. Did injections for over a year. My nuts started shrinking and getting soft along with thick blood.

Read about urologists giving you clomid and anasterozole. Take a pill 3 times a week and another one once. It tells your body to start producing testosterone again somehow.

Clomid is an off book treatment. I stopped injecting t mid Jan. And started a trial on clomid. March 9th my testosterone was at 695. Just under normal.

It doesn't work for all but appears to be working for me. Also not many side affects.

And my balls are getting harder. Noidea they even could work after my fall. My urologist was a bit skeptical but said he would prescribe the clomid for a trial basis.

So far so good on it. Time will tell.
18 cm plus 1 rte titan installed March 2019. Revision March 2020 by Dr. Andrew Todd, Richmond KY. He replaced the titan with an AMS 700 LGX 18 cm cylinder plus 2 rte for 20 cm total length.

Rider1400
Posts: 1076
Joined: Sun Dec 06, 2020 4:23 pm
Location: Benton Arkansas

Re: Those on TRT with an implant

Postby Rider1400 » Fri Mar 11, 2022 1:25 pm

My T levels were about 120 so tried creams for 6 months… no change started injecting 200mg/ml , 1 mil every other week. Noticed a roller coaster effect with libedo and overall feeling. After 2 years of this I now do 1/2 ml once a week and have leveled out with libedo and overall way I feel. Last two tests were in the 650 range on 6th day after shot. I use a 18ga needle to draw and a 22 ga to administer in thigh alternating every week. I have BCBS of Illinois and get “T” from express scripts and it cost me nothing and also get syringes and for some reason I get charged a total of .75. Yes 75 cents by express scripts for syringes…been on TRT for about 4 years now and my balls are a little bigger than mArbles…. Oh well will be more room for the pump I hope to get placed there in the next 6-8 weeks.
59 years old ED started mid 40s pills failed after 10 years. Injections works but diminishing results with pain. Implanted 5-22 Baylor,Scott,and White Dallas.Dr Michael Wierschem, infrapubic Coloplast 20cm and 1cm RTE. Going strong and loving it!

helloworld
Posts: 21
Joined: Sun Feb 27, 2022 6:30 pm

Re: Those on TRT with an implant

Postby helloworld » Fri Mar 11, 2022 1:47 pm

Did you find any reason why your T levels were so low?

Also, it seems like Dr Eid only recommends T replacement in very special circumstances:

"Dr. Eid only offers hormone replacement therapy in very severe circumstances. Hormone replacement therapy for men often causes intolerable side effects."

https://www.urologicalcare.com/services ... stosterone

For those that had him as a doctor, I'm wondering why those circumstances might be?

RoboCock69
Posts: 219
Joined: Wed Sep 08, 2021 9:31 pm

Re: Those on TRT with an implant

Postby RoboCock69 » Fri Mar 11, 2022 2:00 pm

helloworld wrote:Did you find any reason why your T levels were so low?

Also, it seems like Dr Eid only recommends T replacement in very special circumstances:

"Dr. Eid only offers hormone replacement therapy in very severe circumstances. Hormone replacement therapy for men often causes intolerable side effects."

https://www.urologicalcare.com/services ... stosterone

For those that had him as a doctor, I'm wondering why those circumstances might be?


Here's the paragraph above the one you quoted:

"Depending on the activity in your pituitary gland and thyroid, Dr. Eid may recommend treatments to ensure you have sufficient levels of the hormones that contribute to testosterone production. Dr. Eid only offers hormone replacement therapy in very severe circumstances. Hormone replacement therapy for men often causes intolerable side effects."

My guess from reading that is he's a big proponent of using SERMs like clomid to try to increase the natural production of testosterone. The problem is, if he's worried about "intolerable" side effects, they tend to be way worse and way more common with clomid than with appropriately dosed TRT.
Born 1982. Implanted with Coloplast Titan 22cm in August 2021 by the great Dr. Perito in Miami. 6.125" BPEL, 5.25" EG. "It's the girth that gets her off."

helloworld
Posts: 21
Joined: Sun Feb 27, 2022 6:30 pm

Re: Those on TRT with an implant

Postby helloworld » Fri Mar 11, 2022 2:04 pm

Thanks @RoboCock69: a question for you - do you have any concerns around fertility with TRT? Or maybe that's not an issue for you?

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Masonjames
Posts: 657
Joined: Sat Mar 16, 2019 3:54 pm
Location: Georgia

Re: Those on TRT with an implant

Postby Masonjames » Fri Mar 11, 2022 5:29 pm

SW0110 wrote:Just an FYI since it seams like a lot of us older guys are on testosterone replacement with injections. Did injections for over a year. My nuts started shrinking and getting soft along with thick blood.

Read about urologists giving you clomid and anasterozole. Take a pill 3 times a week and another one once. It tells your body to start producing testosterone again somehow.

Clomid is an off book treatment. I stopped injecting t mid Jan. And started a trial on clomid. March 9th my testosterone was at 695. Just under normal.

It doesn't work for all but appears to be working for me. Also not many side affects.

And my balls are getting harder. Noidea they even could work after my fall. My urologist was a bit skeptical but said he would prescribe the clomid for a trial basis.

So far so good on it. Time will tell.


Been on TRT for many years now and my bails are just about nonexistent now, Small and squishy
70 year old, Married 53 years with two adult children.
Tried pills, herbs, and Trimix. Implanted by Dr. Hakky , in Atlanta, on the 1st, of September 2020. Titan XL 24cm's with two 1.5cm"s RTE"s

Gt1956
Posts: 3041
Joined: Fri Apr 05, 2019 2:47 pm

Re: Those on TRT with an implant

Postby Gt1956 » Fri Mar 11, 2022 5:33 pm

Here is my guess on his position. If he is treating you for low testosterone? The prescription needs to be renewed. Normally at yearly intervals. Since few of his patients are local & few would travel back to NYC for an office visit for the Tes. He likely feels that if you need/want trt that you'd be better served by a local to you doc.
Basically, why bother? Its not part of his core business & probably is a net loss of time to his practice. After all, he is a businessman also.
68yo, HBP at 40, high triglycerides at 45. Phimosis at 57. Type 2 at 60. Dr. William Brant May 1, 2023 CX 21cm w/no rte's penoscrotal 6" girth @ 6 months


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