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Ask the Experts about Fatigue and Anemia
Having serious erection problems
Apr 6, 2007
I have been Poz for 7 years now and on Trizivir for all that time, and happy with it. MY viral load is undectable morst of the time and my CD4 count has been consistantly in the 500s. Last year my urolgist had to remove my right testicle because it had become fiborus and intensely painful. My free testosterone is consistantly in the low range of what is called normal for a man of my age (54). I have asked my ID Doc to allow me to take a Androgel, but she says it is not needed. She has no answer other than one of the enhancers,(Cialis, etc)but I get very little effect from them. Can u help me? I still think that if I could raise my free testosterone levels to the high side of the range it would make a world of difference. I have heard that lots of ID Docs are willing to give out Androgel. What do you think.
Tired of the struggle.
Mark
Response from Dr. Frascino
Hi Mark,
If your ID doctor is unwilling to treat your documented hypogonadism, you should find a new more competent and compassionate physician! Ask for a referral to an HIV-knowledgeable endocrinologist if your doctor refuses to treat you with testosterone replacement therapy. If she refuses, it's time to switch HIV specialists. (It may be time anyway, considering how insensitive she's been to this situation!) If you have difficulty locating an HIV specialist in your area, consider checking the American Academy of HIV Medicine's Web site (www.aahivm.org). They have a directory of HIV specialists listed by locale.
I see no reason why your Mr. Happy shouldn't be happy once again very soon.
Dr. Bob
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