Scrotal TRT - PFS
Hi Dr. Powers and all,
I was very excited to hear about the advancements that came from the PFS congress, thank you and everyone there for your work. It gives me hope.
I recently crashed again very badly after 3-4 very good years of stability, and I am now trying to fight my way back. The main thing that worked for me last time was a slightly supra-physiological dose of atrevis 20% scrotal TRT cream and HCG. I crashed now because I was convinced to lower my dose, but resuming it is rocky. I responded horribly to traditional weekly injections, feeling good the first day then horrible the rest of the week.
When I originally crashed from finasteride (2019, took topical for 3 days), I kept getting worse for a year despite all interventions until I tried this. Within a week I felt like I turned a corner, and steadily, painfully slowly, improved over the next few years.
I know a couple TRT providers treating PFS this way, often seeing people from more of a body building / TRT optimization background, and I know of a couple others I’ve been in contact with with similar experiences to me.
I have always been confused as to why this worked for me though. I read the studies on the androgen receptors and throwing more TRT at the problem didn’t seem like a good answer, but it was the only thing that worked and I didn’t really question it when it did. It saved my life.
How might my experience and those who did well long term on TRT, specifically a very controlled and carefully optimized scrotal trt protocol with daily or twice daily application, fit into this new PFS theory?
My experience on the injection fits it pretty well, one good burst then horrible fallout, but holding the high cream long term doesn’t as clearly to me. Did it just up regulate some beneficial pathways through high DHT? Was there something about its dosing pattern that helped?
Given that it worked before for years, is it safe to say it would be my best bet at a second recovery despite it going bad now?