That being the case, it would appear sensible to establish a sample Testosterone level in the TC patient, prior to an operation for testicle removal. The patient can be tested again post-op to determine whether he needs HRT. If it is needed, an accurate dosage may then be prescribed.

At this time, such a test is *not* performed routinely. The cost of such work is roughly US$ 25.00.

Interestingly a recent study in Denmark has suggested what we propose above. To date, however, this information hasn't arrived to the point where it matters. At the patient's end. We pray that day will arrive soon !

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If it is too little, the patient can, ( and probably will), experience lethargy, depression, hot flashes and reduced sexual appetite.

Too much, and the patient will feel on top of the world. Nothing wrong with that you say, until one considers that this drug is a controlled substance, frequently abused by bodybuilders to the ultimate detriment of their health.

The side effects of Androgens and Anobolic Steroids are well known for their potential of creating serious, sometimes fatal, conditions. Over prescription leads to many court cases alleging negligence every year. Yet in this case, a dangerous drug is being treated in a rather casual manner. Does the patient not have the right to an accurate dosage? We suggest that he does!

Some men who lose just one testicle are also in need of hormone replacement, because their remaining testicle may not compensate as expected.

At the moment, there is nothing in place to determine this. Therefore, a patient is likely to "suffer in silence" until he stumbles across the answer.

Our concerns center around helping TC patients return to as normal a life as possible, as soon as possible after their operation. we believe we share that concern with the medical profession and suggest that a simple test would aid this process and prevent uneccessary distress.