Your doctor should have fully investigated why you have hypogonadism and have come to a definitive diagnosis.
It sounds as though he has not bothered himself with the trouble.
Androgel is unadulterated testosterone and it can and does convert to estradiol. It converts at differing rates in different people. Some people do develop gynecomastia others do not, a lesser number see an improvement in existing gynecomastia. It all depends on the level of free testosterone estradiol, SHBG, genetics etc of the individual.
A man on TRT should not have to suffer from problems of developing gynecomastia if he has a competant treating doctor.
It is worth saying that your doctor was a bloody idiot!
Why such a strong statement?
Because you were still below the bottom of the normal range on your dose of Androgel but he did not increase the dose- which goes against every bloody medical standard and guidleline on this subject in the whole of the USA!!!!!
He should have either increased the dose of Androgel or switched you to a treatment that produced a better response in your case.
He also should have kept an eye on estradiol and ensured that it stayed out of the top third of the normal range by medication if needs be.
Below are contact details for endocrinologists in Texas who state an interest in reproductive endocrinology. Phone around and speak to a few of them and make a consultation with one that you feel comfortable with. Make sure in doing so that you ask if they have hypogonadal patients, tell them about the gynecomastia and how low your levels have been and ask them specifically what you would do if estradiol is a problem. Only go with an endocrinologist who answers these questions satisfactorily.
You need this sorting out because long term untreated hypogonadism often causes osteoporosis (I have it myself as a result of a lack of treatment), and it causes a significant statistical increase in the likelihood of developing diabetes (two thirds of men with type two diabetes have hypogonadism), Cardio Vascular Disease CVD) and an increased statistical risk of stroke, Alzheimer’s, obesity etc.
Let me know if this has helped…….
Pamela L. Anderson, MD
8230 Walnut Hill Ln Ste 406
Dallas, TX 75231-4407
Directions to Office
Phone: (214) 696-9773
Interest Areas:
Reproductive Endocrinology
PCOS
Luis R. Arce, MD
910 East Houston Suite 250
Tyler, TX 75702
Directions to Office
Phone: (903) 531-5203
Interest Areas:
Adrenal Disorders
Diabetes Mellitus
Lipid Disorders
Metabolic Bone Disorders
Reproductive Endocrinology
Ridha Arem, MD, FACE
7501 Fannin St. Suite 730
Houston, TX 77054
Directions to Office
Phone: (713) 790-0102
Interest Areas:
Diabetes Mellitus
Reproductive Endocrinology
Thyroid Dysfunction
Rajesh Atluri, MD
1619 Midwestern Pkwy.
Wichita Falls, TX 76302
Directions to Office
Phone: (940) 689-8900
Interest Areas:
Adrenal Disorders
Diabetes Mellitus
General Endocrinology and Metabolism
Lipid Disorders
Metabolic Bone Disorders
Parathyroid Disorders
Pituitary Disorders
Reproductive Endocrinology
Thyroid Dysfunction
Osteoporosis
Sorin Gheorghe Beca, MD
UTMB Endocrinology Division
301 University Blvd, MRB 8.126
Galveston, TX 77555-1060
Directions to Office
Phone: (409) 772-1922
Interest Areas:
Diabetes Mellitus
General Endocrinology and Metabolism
Lipid Disorders
Obesity
Pituitary Disorders
Reproductive Endocrinology
Thyroid Dysfunction
Osteoporosis
Sandra Margaret Bello, MD
703 N. Hancock
Odessa, TX 79761
Directions to Office
Phone: (432) 580-4500
Interest Areas:
Ectopic Endocrine Syndromes
General Endocrinology and Metabolism
Parathyroid Disorders
Reproductive Endocrinology
Endocrine Surgery
Maya B. Bledsoe, MD, FACE
11111 Research Blvd Ste 485
Austin, TX 78759-5283
Directions to Office
Phone: (512) 338-8181
Interest Areas:
Adrenal Disorders
Parathyroid Disorders
Pituitary Disorders
Reproductive Endocrinology
Thyroid Dysfunction
PCOS
Jeffrey Stuart Brown, MD, FACE
909 Dairy Ashford St Ste 205
Houston, TX 77079-5306
Directions to Office
Phone: (281) 589-2681
Interest Areas:
Adrenal Disorders
Diabetes Mellitus
General Endocrinology and Metabolism
Lipid Disorders
Metabolic Bone Disorders
Parathyroid Disorders
Pituitary Disorders
Reproductive Endocrinology
Thyroid Dysfunction
Osteoporosis
PCOS
Zaven H. Chakmakjian, MD
910 N. Central Expwy
Dallas, TX 75204-5735
Directions to Office
Phone: (214) 823-6435
Interest Areas:
Adrenal Disorders
Diabetes Mellitus
General Endocrinology and Metabolism
Growth Disorders/Growth Hormone
Metabolic Bone Disorders
Parathyroid Disorders
Pituitary Disorders
Reproductive Endocrinology
Thyroid Dysfunction
Osteoporosis
PCOS
Ulupi A. Choksi, MD, FACE
920 Medical Plaza Dr # 460
Spring, TX 77380
Directions to Office
Phone: (281) 419-3820
Interest Areas:
Diabetes Mellitus
General Endocrinology and Metabolism
Hypertension
Pituitary Disorders
Reproductive Endocrinology
Thyroid Dysfunction
Osteoporosis
] Brian M. Cohen, MBChB, MD,, FACE
National Fertility Center At Med City Dallas
7777 Forest Ln Ste C638
Dallas, TX 75230-6858
Directions to Office
Interest Areas:
Obesity
Pituitary Disorders
Reproductive Endocrinology
Thyroid Dysfunction
PCOS
Jacqueline Ellen Cohn, MD
1521 S Staples St Ste 801
Corpus Christi, TX 78404-3150
Directions to Office
Phone: (361) 888-5794
Interest Areas:
Diabetes Mellitus
General Endocrinology and Metabolism
Pituitary Disorders
Reproductive Endocrinology
Thyroid Dysfunction
PCOS
Glenn R Cunningham, MD
St. Luke's Episcopal Hospital
6720 Bertner Ave., Suite B111
Houston, TX 77030
Directions to Office
Phone: (832) 355 7208
Visit Dr. Cunningham at AACEHost
Interest Areas:
Diabetes Mellitus
General Endocrinology and Metabolism
Reproductive Endocrinology
Osteoporosis
Robert Adriaan Christiaan DeVries, MD, PhD
11661 Preston Rd Ste 124
Dallas, TX 75230-7001
Directions to Office
Phone: (214) 368-6197
Interest Areas:
Adrenal Disorders
Diabetes Mellitus
General Endocrinology and Metabolism
Pituitary Disorders
Reproductive Endocrinology
Thyroid Dysfunction
Steven G. Dorfman, MD, FACE
10620 N Central Espressway Suite 100N
Dallas, TX 75231
Directions to Office
Phone: (214) 265-2111
Interest Areas:
Diabetes Mellitus
General Endocrinology and Metabolism
Growth Disorders/Growth Hormone
Reproductive Endocrinology
Thyroid Dysfunction
Osteoporosis
Susie Myer Estes, MD
301 University Blvd.
Galveston, TX 77555
Directions to Office
Phone: 409-772-0700
Interest Areas:
Diabetes Mellitus
Metabolic Bone Disorders
Parathyroid Disorders
Reproductive Endocrinology
Thyroid Dysfunction
Stanley Feld, MD, MACE
7310 Hillwood Ln
Dallas, TX 75248-5240
Directions to Office
Phone: (972) 233-3057
Interest Areas:
Adrenal Disorders
Diabetes Mellitus
Disease of Pregnancy
General Endocrinology and Metabolism
Growth Disorders/Growth Hormone
Hypertension
Lipid Disorders
Metabolic Bone Disorders
Nuclear Medicine
Parathyroid Disorders
Pediatric Endocrinology
Pituitary Disorders
Reproductive Endocrinology
Thyroid Dysfunction
Osteoporosis
Hans Kumar Ghayee, DO
5323 Harry Hines Blvd
Dallas, TX 75390-9018
Directions to Office
Phone: (214) 68-2851
Interest Areas:
Adrenal Disorders
Diabetes Mellitus
Reproductive Endocrinology
Thyroid Dysfunction
Farah Yasmeen Ghori, MD, FACE
Hidalgo County Medical Specialists
1001 Rone Street Suite 2
Weslaco, TX 78956
Directions to Office
Phone: (956) 447-8200
Interest Areas:
Adrenal Disorders
Cancer
Diabetes Mellitus
Lipid Disorders
Reproductive Endocrinology
Thyroid Dysfunction
Osteoporosis
Joseph W. Goldzieher, MD, FACE
626 Metropolitan Professional Bldg
1303 McCullough Ave
San Antonio, TX 78212-5609
Directions to Office
Phone: (210) 227-7228
Interest Areas:
Adrenal Disorders
General Endocrinology and Metabolism
Reproductive Endocrinology
Thyroid Dysfunction
Osteoporosis
PCOS
Menopause
James E. Griffin, III, MD, FACE
Ut Southwestern Med Ctr Dept Im
5323 Harry Hines Blvd.
Dallas, TX 75390-9012
Directions to Office
Phone: (214) 648-2447
Interest Areas:
Adrenal Disorders
General Endocrinology and Metabolism
Pituitary Disorders
Reproductive Endocrinology
Thyroid Dysfunction
PCOS
George M. Grunert, MD
7550 Fannin St
Houston, TX 77054-1911
Directions to Office
Phone: (713) 512-7851
Interest Areas:
Pituitary Disorders
Reproductive Endocrinology
Endocrine Surgery
Osteoporosis
PCOS
S. S. Habbu, MD, FACE
900 W Randol Mill Rd Ste 109
Arlington, TX 76012-2508
Directions to Office
Phone: (817) 354-0182
Interest Areas:
Diabetes Mellitus
General Endocrinology and Metabolism
Growth Disorders/Growth Hormone
Hypertension
Reproductive Endocrinology
Thyroid Dysfunction
PCOS
Michael Joseph Heard, MD
6624 Fannin Street Suite 1800
Houston, TX 77030
Directions to Office
Phone: (713) 797-1144
Interest Areas:
Obesity
Pediatric Endocrinology
Reproductive Endocrinology
Thyroid Dysfunction
Menopause
Marina Johnson, MD, FACE
8201 Preston Road Ste 570
Dallas, TX 75225
Directions to Office
Phone: (817) 358-0663
Interest Areas:
Adrenal Disorders
Ectopic Endocrine Syndromes
General Endocrinology and Metabolism
Hypertension
Lipid Disorders
Metabolic Bone Disorders
Nutrition
Parathyroid Disorders
Reproductive Endocrinology
Thyroid Dysfunction
Osteoporosis
Richard M. Lackritz, MD
4499 Medical Dr Ste 230
San Antonio, TX 78229-3712
Directions to Office
Phone: (210) 615-0866
Interest Areas:
Reproductive Endocrinology
PCOS
Benito Alberto Marranzini, MD
1201 Schuster Bldg 7
El Paso, TX 79902
Directions to Office
Phone: 915-533-5486
Interest Areas:
Diabetes Mellitus
Reproductive Endocrinology
Thyroid Dysfunction
Osteoporosis
Samuel Philip Marynick, MD, FACE
3600 Gaston Ave. Suite 506 Barnett Tower
Dallas, TX 75246
Directions to Office
Phone: (214) 828-2444
Visit Dr. Marynick at AACEHost
Interest Areas:
Adrenal Disorders
Ectopic Endocrine Syndromes
General Endocrinology and Metabolism
Growth Disorders/Growth Hormone
Hypertension
Lipid Disorders
Metabolic Bone Disorders
Parathyroid Disorders
Pituitary Disorders
Reproductive Endocrinology
Thyroid Dysfunction
Osteoporosis
PCOS
Michele T. McDermott, MD
The Austin Diagnostic Clinic, Menopause Center
12221 N MoPac Expy
Austin, TX 78758-2401
Directions to Office
Phone: (512) 901-4022
Interest Areas:
Reproductive Endocrinology
Other
Osteoporosis
Menopause
Kevin H. McKinney, MD, FACE
Utmb Div Of Endocrinology
301 University Blvd Route 1060
Galveston, TX 77555-0001
Directions to Office
Phone: (409) 772-1922
Interest Areas:
Diabetes Mellitus
General Endocrinology and Metabolism
Reproductive Endocrinology
Carlos E. Menendez, MD, FACE
4499 Medical Dr Ste 226
San Antonio, TX 78229-3712
Directions to Office
Phone: (210) 692-7684
Interest Areas:
Adrenal Disorders
Diabetes Mellitus
Disease of Pregnancy
General Endocrinology and Metabolism
Lipid Disorders
Pediatric Endocrinology
Reproductive Endocrinology
Thyroid Dysfunction
PCOS
Yomna Tarek Monla, MD, FACE
The Endocrine Center
8830 Long Point Ste 502
Houston, TX 77055
Directions to Office
Phone: (713) 468-2122
Interest Areas:
Diabetes Mellitus
General Endocrinology and Metabolism
Pituitary Disorders
Reproductive Endocrinology
Thyroid Dysfunction
Shahla Nader, MD, FACE
Univ Of Texas Med School
6431 Fannin St Ste 3604
Houston, TX 77030-1501
Directions to Office
Phone: (713) 500-6387
Interest Areas:
Diabetes Mellitus
Disease of Pregnancy
General Endocrinology and Metabolism
Reproductive Endocrinology
Osteoporosis
PCOS
Manubai Nagamani, MD
Univ Of Texas, Medical Branch
Dept Of Ob/Gyn, 301 University Blvd
Galveston, TX 77555-0587
Directions to Office
Phone: (409) 772-3985
Interest Areas:
Cancer
Reproductive Endocrinology
Endocrine Surgery
Osteoporosis
PCOS
Rakesh Patel, DO
11301 Fallbrook, Suite 200
Houston, TX 77065
Directions to Office
Phone: (832) 237-5000
Interest Areas:
Diabetes Mellitus
Pituitary Disorders
Reproductive Endocrinology
Thyroid Dysfunction
PCOS
Steven M. Petak, MD, JD, FACE
7400 Fannin St Ste 850
Houston, TX 77054-1951
Directions to Office
Phone: (713) 791-1874
Interest Areas:
Adrenal Disorders
General Endocrinology and Metabolism
Lipid Disorders
Metabolic Bone Disorders
Reproductive Endocrinology
Thyroid Dysfunction
Osteoporosis
PCOS
Henry Michael Prost, MD
1601 Lancaster Dr
Grapevine, TX 76051-2109
Directions to Office
Phone: (817) 410-9993
Interest Areas:
Diabetes Mellitus
Pituitary Disorders
Reproductive Endocrinology
Thyroid Dysfunction
PCOS
Meg Reitmeyer, MD, FACE
910 E Houston St Ste 250
Tyler, TX 75702-8369
Directions to Office
Phone: (903) 510-1173
Interest Areas:
General Endocrinology and Metabolism
Reproductive Endocrinology
Osteoporosis
PCOS
Luis J. Rodriguez-Rigau, MD, FACE
7400 Fannin St Ste 850
Houston, TX 77054-1951
Directions to Office
Phone: (713) 791-1874
Interest Areas:
General Endocrinology and Metabolism
Reproductive Endocrinology
PCOS
Sohaila Roshan, MD, FACE
1801 Dickinson
Rusk, TX 75785
Directions to Office
Interest Areas:
Reproductive Endocrinology
Osteoporosis
PCOS
Simone M. Scumpia, MD,FRCP, FACE
Bldg 3, Suite 300
2200 Park Bend Dr.
Austin, TX 78758
Directions to Office
Phone: 512-467-2727
Interest Areas:
Adrenal Disorders
Diabetes Mellitus
General Endocrinology and Metabolism
Hypertension
Lipid Disorders
Metabolic Bone Disorders
Parathyroid Disorders
Pituitary Disorders
Reproductive Endocrinology
Thyroid Dysfunction
Osteoporosis
PCOS
Lorie Margaret Shapiro, MD, FACE
909 Dairy Ashford St Ste 205
Houston, TX 77079-5306
Directions to Office
Phone: (281) 589-2681
Interest Areas:
Diabetes Mellitus
General Endocrinology and Metabolism
Lipid Disorders
Metabolic Bone Disorders
Pituitary Disorders
Reproductive Endocrinology
Thyroid Dysfunction
Osteoporosis
PCOS
Keith D. Smith, MD, FACE
7400 Fannin St Ste 850
Houston, TX 77054-1951
Directions to Office
Phone: (713) 791-1874
Interest Areas:
Adrenal Disorders
General Endocrinology and Metabolism
Pituitary Disorders
Reproductive Endocrinology
Thyroid Dysfunction
Osteoporosis
PCOS
LaDale Kacey St. Clair, MD
One Baylor Plaza, MS 700E. BC
Houston, TX 77030
Directions to Office
Phone: (713) 798-8654
Interest Areas:
Adrenal Disorders
Diabetes Mellitus
Disease of Pregnancy
General Endocrinology and Metabolism
Reproductive Endocrinology
Emil Steinberger, MD, FACE
1111 Hermann Dr Unit 15F
Houston, TX 77004-6930
Directions to Office
Phone: (713) 520-1971
Interest Areas:
Adrenal Disorders
Pituitary Disorders
Reproductive Endocrinology
Thyroid Dysfunction
Osteoporosis
Randall J. Urban, MD
University of Texas Medical Branch
301 University Blvd, Rt. 0569
Galveston, TX 77555-1060
Directions to Office
Phone: (409) 772-1176
Interest Areas:
Diabetes Mellitus
Reproductive Endocrinology
Thyroid Dysfunction
PCOS
Batul Valika, MD
Stark Diabetic Center-Suite 115
301 University Blvd
Galveston, TX 77555-1188
Directions to Office
Phone: (409) 772-0700
Interest Areas:
Reproductive Endocrinology
Sofia E. Vasquez-Solomon, MD, FACE
Valley Internal Medicine, Geriatric & Diabetic Center
1200 E Ridge Rd. Suite 7
McAllen, TX 78503
Directions to Office
Phone: (956) 631-3982
Interest Areas:
Diabetes Mellitus
Parathyroid Disorders
Pituitary Disorders
Reproductive Endocrinology
Thyroid Dysfunction
Osteoporosis
PCOS
E. Russell Weidman, MD, FACE
7400 Fannin St Ste 850
Houston, TX 77054-1951
Directions to Office
Phone: (713) 791-1874
Interest Areas:
General Endocrinology and Metabolism
Reproductive Endocrinology
Thyroid Dysfunction
PCOS