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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by sadRulz on March 5, 2009, at 2:39:36
I've taken nearly everything on the market for depression and anxiety (social anxiety to be specific) - SSRIs, tricyclics, MAOIs, SNRIs - you name it.
I always settle on Luvox - seems to have the only acceptable balance of effectiveness and sex side-effects that I can just barely tolerate.
Just had my testosterone checked since I've never checked that before on a hunch that maybe SSRIs do lower total testosterone. It was 318 (total count). My urologist says that is in the normal range of 240 - 950. He said my low libido is most likely related to the SSRI. NO SH**, DOC. That's why you make the big bucks. He considered testosterone in the 100s to be a low count and said that replacement therapy (e.g., androgel) probably wouldn't do much. Being the socially anxious guy I am I was like "well, okay, doc, thanks for your time" and didn't ask too many questions.
You guys have any thoughts on this? Testosterone of 318 when the range is 240 - 950 seems to be on the low end to me but, hey, I don't have an M.D.
Posted by Phillipa on March 5, 2009, at 10:33:01
In reply to SSRI sex fx, tot. testosterone = 318?????, posted by sadRulz on March 5, 2009, at 2:39:36
There are docs that do hormone replacement with bioidentical hormones from compounding pharmacies. They do the hormone testing and then prescribe the exact dose your body needs and it's compounded for you. Might want to google docs in your area that deal with natural bioidentical hormone replacement. Just a thought. Phillipa
Posted by desolationrower on March 5, 2009, at 11:29:06
In reply to SSRI sex fx, tot. testosterone = 318?????, posted by sadRulz on March 5, 2009, at 2:39:36
um, find a non-retarded doc. ranges are just a picture of where you fit into the population. if you're within 'normal' and are functioning well, you shouldn't mess around with things. they aren't a substitute for looking at the whole picture.
depression can cause low T or be caused by it. getting t to high-normal range woudl be a better option than a 37th antidepressant combination
-d/r
Posted by Alexanderfromdenmark on March 8, 2009, at 14:08:45
In reply to SSRI sex fx, tot. testosterone = 318?????, posted by sadRulz on March 5, 2009, at 2:39:36
> I've taken nearly everything on the market for depression and anxiety (social anxiety to be specific) - SSRIs, tricyclics, MAOIs, SNRIs - you name it.
>
> I always settle on Luvox - seems to have the only acceptable balance of effectiveness and sex side-effects that I can just barely tolerate.
>
> Just had my testosterone checked since I've never checked that before on a hunch that maybe SSRIs do lower total testosterone. It was 318 (total count). My urologist says that is in the normal range of 240 - 950. He said my low libido is most likely related to the SSRI. NO SH**, DOC. That's why you make the big bucks. He considered testosterone in the 100s to be a low count and said that replacement therapy (e.g., androgel) probably wouldn't do much. Being the socially anxious guy I am I was like "well, okay, doc, thanks for your time" and didn't ask too many questions.
>
>
> You guys have any thoughts on this? Testosterone of 318 when the range is 240 - 950 seems to be on the low end to me but, hey, I don't have an M.D.
>
Did you get your T/SHBG ratio tested? I just tested my testerone, and It was in the low end of normal, but my T/SHBG ratio was too low meaning that I had too little free testosterone. Basicly not enough T. You might have the same problem and your doc didn't pick it up.
This is the end of the thread.
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