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Can Testim And Androgel Be Used While Having Pulmonary Embolism And Bladder Cancer?

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Posted on Wed, 28 Dec 2016
Question: My doctor is prescribing Testim for a low testosterone problem. It is so expensive, I can't use it.
My insurance company will cover Androderm or Androgel.
I have had a P/E and taking Xeralto working with a hematologist to monitor the clot issue.
Is there any issue why I should not to try the Androderm or Androgel.
The side effects seem the same.
I have all the bad stuff togo along with the P/E. Bladder Cancer, Sleep Apnia, High Blood Pressure, etc.
doctor
Answered by Dr. Mirjeta Guni (2 hours later)
Brief Answer:
Testosterone contraindications;

Detailed Answer:
Hello,
I read carefully your concern.

I would like to inform that both Testim and Androgel have testosterone as main ingredient.
If you had history of pulmonary embolism and have urinary problems after intervention for bladder cancer, the use of testosterone is very risky and is considered contraindication.

So I wouldn't recommend to use it.
Wish you good health. Feel free to ask further

Kind Regards,
Dr.Mirjeta
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Mirjeta Guni (3 hours later)
Your answer does not help to solve my problem.
For several years I have been taking large doses of pain medication for a spinal fusion at L-3 thru S-1. The daily dose of (30 mg. x3) 90 mg. of morphine and
(8 mg. x4) 32 mg. of Hydromorphone have stopped my production of testosterone. This has left me with no energy and the ability to easily become depressed.
I have to somehow raise my testosterone level. At 66 nature is not just jumping in and doing the job.
I am willing to take some risk.
doctor
Answered by Dr. Mirjeta Guni (3 hours later)
Brief Answer:
The difference between testim and androgel.

Detailed Answer:
Hi again,
First of all we have to give medical opinion about a query that you have. We can not suggest to take it when it is a contraindication.
The desicion rather to take risks is yours.
If you have decided to start it, or if you are using Testim, you should be under close medical supervision.
Androgel and Testim contain both testosterone but the difference is that androgel is less absorbed and does not raise the testosterone level too much.

According to studies that used the same dose of Testim and Androgel (50 mg), total testosterone, dihydrotestosterone, and free testosterone were greater following the application of Testim compared to AndroGel. Approximately, 10% of Androgel is absorbed on average. Obviously, the "PLO" or delivery system of Testim is likely somewhat higher with more than 10% being absorbed on average.
This could be of help in your case, where the level of testosterone should be maintained at the lowest normal ranges.

Hope the information will help.
Kind regards,
Dr.Mirjeta
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
Answered by
Dr.
Dr. Mirjeta Guni

Endocrinologist

Practicing since :2006

Answered : 2413 Questions

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Can Testim And Androgel Be Used While Having Pulmonary Embolism And Bladder Cancer?

Brief Answer: Testosterone contraindications; Detailed Answer: Hello, I read carefully your concern. I would like to inform that both Testim and Androgel have testosterone as main ingredient. If you had history of pulmonary embolism and have urinary problems after intervention for bladder cancer, the use of testosterone is very risky and is considered contraindication. So I wouldn't recommend to use it. Wish you good health. Feel free to ask further Kind Regards, Dr.Mirjeta