Susan's Place Transgender Resources

Community Conversation => Female to male transsexual talk (FTM) => Transsexual talk => Testosterone => Topic started by: FTMax on March 10, 2015, 09:40:26 PM

Title: Let's talk levels!
Post by: FTMax on March 10, 2015, 09:40:26 PM
The only person I have to compare with is my boyfriend, who just had his dose changed because it was too low, so that's probably not the fairest comparison.

My labs came back with total testosterone at 809 (no free T number, just the total). According to the internet, that's on the high side of average. I've gotten tons of changes and only one negative side effect (light acne). Overall, I'm quite happy with where I'm at. Everything else on the other tests is within the recommended range as well.

- Anybody out there in a similar range?
- Is it likely that my doctor will have me maintain or lower my dose?
Title: Re: Let's talk levels!
Post by: DragonBeer on March 10, 2015, 10:12:31 PM
Not sure if this is total T but I got my levels checked recently and it said 1,215 ng/dl.
Title: Re: Let's talk levels!
Post by: Ayden on March 11, 2015, 06:59:06 PM
My dose wasn't adjusted until I hit way over the healthy T level (I'm talking over 1000), but my old doctor wasn't that experienced with HRT for trans guys.

I think my last test was in the normal range but I would have to dig up my paperwork to tell you the exact number. Depending on when your blood test was done (beginning, middle or end) of your hormone cycle they may change your dose. If you aren't having any other health problems, they might not. It really depends on the doctor and your personal situation.
Title: Re: Let's talk levels!
Post by: FTMax on March 11, 2015, 07:01:01 PM
I'm on gel, so no real cycle to speak of. I had applied my gel probably 4-5 hours prior to the test. I didn't see any other issues on the other test results. One issue that I've struggled with for years actually went away.
Title: Re: Let's talk levels!
Post by: Ayden on March 11, 2015, 07:15:32 PM
Ah, that probably makes it easier then as far as gauging your actual level. From my understanding, as long as its not over the recommended healthy level and your doctor doesn't seem worried they probably won't make you change your dose. I will say that when my dose was being adjusted I had to take a few blood tests and I ended up being lowered and then raised again. My doctor lowered me temporarily due to my blood being thick.
Title: Re: Let's talk levels!
Post by: FTMax on March 11, 2015, 07:55:55 PM
Yeah, they had some difficulty taking my blood this last go round, but I think I was significantly less hydrated than I've been in the past. Was the thickness related to your red blood cell count?
Title: Re: Let's talk levels!
Post by: aleon515 on March 12, 2015, 12:22:13 PM
You are in a good range, imo. The average, let's say therapeutic range, is between 300-1000. That just means you are going to get the most changes with the least side effects.
I'd say the big thing, is are you getting changes, how you are feeling, and whether you are having side effects (the big one is high red blood count). Since all seems well I'd just carry on, and not worry re: if you could go higher or lower. I'd think your doctor would want to keep you in this range, unless they were issues.

I'm a bit lower, but it's what I want (more in the 500 range). I'm a little happier with this given my age.

--Jay

Quote from: ftmax on March 10, 2015, 09:40:26 PM
The only person I have to compare with is my boyfriend, who just had his dose changed because it was too low, so that's probably not the fairest comparison.

My labs came back with total testosterone at 809 (no free T number, just the total). According to the internet, that's on the high side of average. I've gotten tons of changes and only one negative side effect (light acne). Overall, I'm quite happy with where I'm at. Everything else on the other tests is within the recommended range as well.

- Anybody out there in a similar range?
- Is it likely that my doctor will have me maintain or lower my dose?
Title: Re: Let's talk levels!
Post by: AndrewB on March 12, 2015, 12:32:44 PM
I just got bloodwork done for the T levels at the end of my shot cycle, and am going in Tuesday to discuss results with my endo, so I'll be sure to ask for the specific number when I go in (if my endo doesn't give me it anyway) for you! I guess I'm mostly just posting here so I'll remember to return with a solid figure. ~2.25 months in and I have tons of blonde face fuzz, so that has to bode well, right?
Title: Re: Let's talk levels!
Post by: Beth Andrea on March 12, 2015, 12:34:57 PM
OMG...there's just too much testosterone in this thread!

;)

(I heard that so often when a woman would come into a room when guys were talking "guy stuff"...LOL!)

Enjoy it, guys!  8)

Title: Re: Let's talk levels!
Post by: FTMax on March 12, 2015, 02:13:51 PM
Quote from: AndrewB on March 12, 2015, 12:32:44 PM
I just got bloodwork done for the T levels at the end of my shot cycle, and am going in Tuesday to discuss results with my endo, so I'll be sure to ask for the specific number when I go in (if my endo doesn't give me it anyway) for you! I guess I'm mostly just posting here so I'll remember to return with a solid figure. ~2.25 months in and I have tons of blonde face fuzz, so that has to bode well, right?

Yay! Come back and share! Mine has an online portal where I can see things, which is probably not good given my propensity to google medical jargon and come to the conclusion that I'm dying. I'll drop back in tomorrow and give everyone the rundown of my doctor's analysis on my results.
Title: Re: Let's talk levels!
Post by: AndrewB on March 12, 2015, 02:58:19 PM
Quote from: ftmax on March 12, 2015, 02:13:51 PM
Yay! Come back and share! Mine has an online portal where I can see things, which is probably not good given my propensity to google medical jargon and come to the conclusion that I'm dying. I'll drop back in tomorrow and give everyone the rundown of my doctor's analysis on my results.

Okay! So just as a matter of coincidence, the bloodwork for my T finally showed online (I just figured it was one of the exceptions in the online portal where "not all test results will be available." But I just got it back, so here's my number: 191 ng/dL. Granted, this is at the end of a cycle, but I feel like that's kind of (read: really) low. Guess I'll see what the endo thinks, though!
Title: Re: Let's talk levels!
Post by: Proton on March 12, 2015, 03:27:59 PM
I'm at 703 ng/dl at the end of a cycle. I also found my second blood test and I was at 537 back then.

And yet, no real facial hair to speak of. Gotta love genetics...
Title: Re: Let's talk levels!
Post by: AndrewB on March 12, 2015, 04:56:21 PM
Quote from: Proton on March 12, 2015, 03:27:59 PM
I'm at 703 ng/dl at the end of a cycle. I also found my second blood test and I was at 537 back then.

And yet, no real facial hair to speak of. Gotta love genetics...

I've always had pretty low estrogen levels so maybe that plays a role in it, too? Genetics probably play a good portion of it, though, I agree -- I've been sprouting up little blonde hairs everywhere (not to mention a 'dirty' upper lip), so I can only imagine what a normal range's effects might hold. Now I'm excited! Lol
Title: Re: Let's talk levels!
Post by: Proton on March 12, 2015, 05:27:51 PM
Quote from: AndrewB on March 12, 2015, 04:56:21 PM
I've always had pretty low estrogen levels so maybe that plays a role in it, too? Genetics probably play a good portion of it, though, I agree -- I've been sprouting up little blonde hairs everywhere (not to mention a 'dirty' upper lip), so I can only imagine what a normal range's effects might hold. Now I'm excited! Lol

My estrogen levels are also on the normal male range, which leads me to believe it's all about genetics in my case  :\
Title: Re: Let's talk levels!
Post by: Dee Marshall on March 12, 2015, 06:21:37 PM
Quote from: AndrewB on March 12, 2015, 02:58:19 PM
Okay! So just as a matter of coincidence, the bloodwork for my T finally showed online (I just figured it was one of the exceptions in the online portal where "not all test results will be available." But I just got it back, so here's my number: 191 ng/dL. Granted, this is at the end of a cycle, but I feel like that's kind of (read: really) low. Guess I'll see what the endo thinks, though!
I was at 203 on my pre-HRT baseline(M2F). That's about 100 units above female maximum for T and 100 below male minimum. My endo also has an online portal.
Title: Re: Let's talk levels!
Post by: HeyTrace19 on March 12, 2015, 07:59:23 PM
I have had my T levels all over the place over the past four years...ranging from 200s to 1500s.  It was difficult to find a stable dose that would maintain a safe range for me.  For a while I was even DECREASING my dose and my T level INCREASED!!!  Things are much better after having the ovaries (and a giant benign tumor) removed, and I am trying to maintain something around 500-700 because I feel best at that level.  I have had to donate blood with regularity to reduce red cells, and I also have to take blood pressure medication.  For accurate comparisons, be sure you are always mid-injection cycle when having your blood drawn.  Your doc may want to do peak and trough levels as well, though.  Just a note to consider:  not everyone is able to lower T dose after oophorectomy...some may actually need an increase...(if you are a person who has that surgery in your future!)
Title: Re: Let's talk levels!
Post by: AndrewB on March 12, 2015, 08:02:54 PM
I'm not sure what my endo will want to see in the future, but for my first test as least, she specified that I was to test at the end of my cycle, likely so she knew just how low it could get, I suppose.
Title: Re: Let's talk levels!
Post by: SWNID on March 12, 2015, 09:46:24 PM
For pre-op level, my peak of the cycle was around 500~600, and now my peak is around 300-400.
Title: Re: Let's talk levels!
Post by: Bimmer Guy on March 12, 2015, 10:19:07 PM
Hey, guys.  In general when someone says that their level was 680, are they talking mid cycle (the peak level) or trough?  I just want to know where in the cycle people are usually referencing when it is not specifically desiginated.

My trough was 900 and my doc wasn't concerned about it, but that seems high to me?

Title: Re: Let's talk levels!
Post by: aleon515 on March 13, 2015, 12:30:18 AM

Mine should be similar most of the time, since I'm on topical.

--Jay

Quote from: Brett on March 12, 2015, 10:19:07 PM
Hey, guys.  In general when someone says that their level was 680, are they talking mid cycle (the peak level) or trough?  I just want to know where in the cycle people are usually referencing when it is not specifically desiginated.

My trough was 900 and my doc wasn't concerned about it, but that seems high to me?
Title: Re: Let's talk levels!
Post by: HeyTrace19 on March 13, 2015, 09:20:56 AM
Quote from: Brett on March 12, 2015, 10:19:07 PM

My trough was 900 and my doc wasn't concerned about it, but that seems high to me?

It might be high, but depends on what your peak is.  If you only reach, say for instance, 1100 at peak, then 900 might be a normal trough for you.  If you peak at 1500 or higher, then there is room for some adjustment. Some people experience larger swings than others. 

I wish my insurance would pay something toward a gel for me, as I might fare better with a more consistent level.  Actually, I wish my body would just produce enough of its own testosterone  :'(
Title: Re: Let's talk levels!
Post by: G on March 13, 2015, 02:35:34 PM
I'll share my results.. I take my shot every 7 days. My dose hasn't changed

Pre T - 30 ng/dl
3.5 months on T - 1154 (3 days after shot)
7.5 months on T - 1053 (5 days after shot)
16 months on T - 575 (Was due for my shot that day)
Title: Re: Let's talk levels!
Post by: FTMax on March 13, 2015, 04:01:59 PM
Met with my doctor today and she was thrilled with my test results (both my T level and other associated items). Unfortunately the price on my gel went up! Like, exponentially up. She wrote me a prescription for compounded T, and I found a local pharmacy that's going to attempt to work with my insurance so that I can stay on gel. If that price still isn't appealing, boyfriend has volunteered to inject me :( I'm a sad panda.
Title: Re: Let's talk levels!
Post by: Mackan on March 13, 2015, 04:21:06 PM
Last i checked my T levels I was around 50nmol right after a shot and 20nmol right before my shot. But this was pre hysterectomy so I have no idea where I'm at now
Title: Re: Let's talk levels!
Post by: Daydreamer on March 13, 2015, 10:19:29 PM
I checked my online results today and I'm at 738 ng/dl. (Pre-T: 67.90 ng/dl)
Title: Re: Let's talk levels!
Post by: AndrewB on March 13, 2015, 11:17:04 PM
Quote from: Daydreamer on March 13, 2015, 10:19:29 PM
I checked my online results today and I'm at 738 ng/dl. (Pre-T: 67.90 ng/dl)

Wow my body must just be using up T like crazy, if you're only a month in and getting those kinds of results; I didn't start on a low dose or anything, just standard starting dosage (my Dr. gave me the option of a 'conservative' dose and I decided to go against it). If you're on injections, is that a mid- or end-cycle reading?
Title: Re: Let's talk levels!
Post by: Daydreamer on March 14, 2015, 11:20:42 PM
Quote from: AndrewB on March 13, 2015, 11:17:04 PM
Wow my body must just be using up T like crazy, if you're only a month in and getting those kinds of results; I didn't start on a low dose or anything, just standard starting dosage (my Dr. gave me the option of a 'conservative' dose and I decided to go against it). If you're on injections, is that a mid- or end-cycle reading?

I'm bad with terminology, but end-cycle. My shot days are on Thursday and I almost forgot about my appointment to get my labs done the day before. What I was more surprised about was how fast my labs got sent down to Philly where my endo is. I've heard guys say it took about three days to get a response, but for me it was the next day. I was a bit worried that my thyroid issue was going to possibly tamper with my T levels, but everything looks impressive compared to my usual results.
Title: Re: Let's talk levels!
Post by: Bimmer Guy on March 15, 2015, 09:26:31 PM
Quote from: HeyTrace19 on March 13, 2015, 09:20:56 AM
It might be high, but depends on what your peak is.  If you only reach, say for instance, 1100 at peak, then 900 might be a normal trough for you.  If you peak at 1500 or higher, then there is room for some adjustment. Some people experience larger swings than others. 

I wish my insurance would pay something toward a gel for me, as I might fare better with a more consistent level.  Actually, I wish my body would just produce enough of its own testosterone  :'(

Ah, this is very helpful.  Thanks!

Anyone know where I can read more about testosterone levels for FTM? 
Title: Re: Let's talk levels!
Post by: Daydreamer on March 16, 2015, 01:21:58 AM
Quote from: Brett on March 15, 2015, 09:26:31 PM
Ah, this is very helpful.  Thanks!

Anyone know where I can read more about testosterone levels for FTM?

Does T-Vox have anything like that?
Title: Re: Let's talk levels!
Post by: HeyTrace19 on March 16, 2015, 08:56:15 AM
Quote from: Brett on March 15, 2015, 09:26:31 PM

Anyone know where I can read more about testosterone levels for FTM?

A little bit of useful information at nickgorton.org , but a nice conversation with an endocrinologist or an eager med student may reveal more insight.  Truthfully, I think hormones are still somewhat misunderstood in the medical community since their effects are widespread and difficult to measure or assign normal values. There is great variability among people.
Title: Re: Let's talk levels!
Post by: Bimmer Guy on March 16, 2015, 09:12:27 PM
Quote from: HeyTrace19 on March 16, 2015, 08:56:15 AM
A little bit of useful information at nickgorton.org , but a nice conversation with an endocrinologist or an eager med student may reveal more insight.  Truthfully, I think hormones are still somewhat misunderstood in the medical community since their effects are widespread and difficult to measure or assign normal values. There is great variability among people.

Yes, thank you.  I found some academic journal articles that were right up my alley.
Title: Re: Let's talk levels!
Post by: SyrBigDog on March 18, 2015, 08:03:44 AM
I'm 4 months on T.  Had my levels tested on Thursday, before my weekly shot and I'm 732.  Still have my ovaries, only for a week more but my estrogen was 90.  Don't understand the lingo of peak and trough though??
Title: Re: Let's talk levels!
Post by: CursedFireDean on March 18, 2015, 09:35:36 AM
Quote from: SyrBigDog on March 18, 2015, 08:03:44 AM
I'm 4 months on T.  Had my levels tested on Thursday, before my weekly shot and I'm 732.  Still have my ovaries, only for a week more but my estrogen was 90.  Don't understand the lingo of peak and trough though??
On injections there's going to be a high level early after your shot (the peak) and right before your next shot there will be low levels (the trough).
Title: Re: Let's talk levels!
Post by: SyrBigDog on March 18, 2015, 10:42:43 AM
That's what I was thinking they meant.  Gotcha!  Tx
Guess my levels are good then.   :icon_rockon:
Title: Re: Let's talk levels!
Post by: Ephemeral on March 25, 2015, 01:04:46 PM
I was around 9.7 or something? A couple of hours after application which is on the lower end like it really is minimum normal for a cisguy but if I up I will get problems associated with too much such as bad acne and very sensitive nipples. This was over half a year ago and I haven't tested recently.

It should be noted though that I don't have my ovaries left so my situation is very different from those who still do.

I haven't had any real changes associated with T for over half a year as well though, and idk if it's related to that my T is quite low or not.