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Help Please 

I have had a jpouch now for 8 years. I have been very lucky other than 4 bouts of cdiff I have had no other issues. I am 46 years old and I have low testosterone. The endocrinologist recommended testosterone therapy. Icc of testosterone every 2 weeks. My GI doctor is not giving me a decisive answer if the testosterone will harm the pouch. Does anyone know if testosterone will harm the pouch in anyway?

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Hey thanks Jan, the endocrinologist does seem to know a lot about the j pouch. Neither one say that testosterone will harm the pouch but neither one are saying it won't either. I agree with you on there might not be a connection between the two of them.  I just wish I could talk to someone who has a j pouch and that is doing testosterone for low T 

hello, i take testosterone by way of trans-dermal delivery. One packet of testosterone gel daily and have been doing so without any ill effects to my j-pouch that i know of for years now.

Simply PM me for further details as to why I need the testosterone or to just discuss further, i will be happy to share details.

*Also, prior topical usage i was doing 1 cc every 10 days or every 2 weeks of 200mg of depo testosterone (cypionate). No ill effects were noted on the pouch and ive had my pouch 16 years in October upcomming.

if anything your primary care dr should monitor your alt, ast (liver function panel) as injections can alter your liver enzymes a bit.

Best regards,

Len

 

There have been a number of members here who were on testosterone treatment, and I don't recall any mention of related pouch issues. You can search the Men's Health Forum to see older posts. I don't remember any recent ones.

Personally if it were me (and I was a man), I'd go with the endocrinologist's reccommendations. You can always discontinue it if you have side effects. Since the j-pouch is your own natural tissue and testosterone is a natural hormone, it just is not logical that there would be any "harm," other than the usual side effects, which are reversible.

Your only other option is to decline treatment and continuing to live with the way things are now. I presume that is not satisfactory, or you would not be seeing an endocrinologist.

Jan

No. The only problem I've had was when my doc wanted me to try Axiron and my levels dropped to more than half, more like 2/3rd's. I then developed slight gyno in my right breast. Only noticeable to me. Went back to injectable and seems to have ceased. FYI subcutaneous injections will give you a better response then intramuscular. 

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