One of the things that is so very important to us as we age is the availability of hormone replacement therapy as males. In a male as you age it is normal for your testosterone production and your ability to utilize what you make to fall to ever decreasing levels. Those of you who are in your late teens and early 20's are the ones who will be most victimized later if you do not have regular documentation on this progression in aging. I made a couple of monster errors myself on this one and it has cost me dearly based on current rules. The first thing is to have you understand that you ARE with little doubt going to get an argument from your MD's on this one and they are going to sit like pious idiots with no understanding. Those dealing with HIV will have it better because their MD's bother to understand the endocrinological ramifications of the drugs they prescribe as a whole. The problem with these standard MD's as individuals is that they themselves rarely understand the rules on male hormone replacement therapy. Because male HRT is relatively new and not taught to everyone unless they themselves sign up for continuing education classes beyond what is required of them, they do not have the new information. Secondly, there are two distinct and separate tests and you need to have both of these in your records not just one. The first and most common is called a "Serum Testosterone Test" and what this does is to document what you are producing between your testicles and the tiny amount that is produced in your liver. That is the standard test that everyone knows about. The second and actually more important test is "Free Floating Testosterone Test" and that second test shows what you are able to utilize. You could for example have a very high testosterone level as you age showing normal on the serum test, but your "free-floating" can be in the cellar and this means that you are not able to utilize what you are producing. Surprisingly the MD's most current on all of these different things are those treating advanced HIV infection. Most other MD's do not even know what is going on in this area and that is indeed sad. Old research has indicated that increasing the DHT level in a man will cause prostatic enlargment. What is strange is that there is some new research coming out of the Scandanavian countries indicating that this research is flawed and that it is an imbalance created by the decrease in testosterone production and it's CORRECT conversion that is the culprit. If the prostatic argument was absolutely true we should be seeing vastly increased numbers of men receiving HRT in HIV that would be growing prostate glands the size of basketballs. In case most of you have not noticed this is NOT happening. Also of note is that we are NOT seeing HIV patients in constant "roid-rage" and this is something else that is a mystery. The other mystery is that we are not seeing tons of new prostate cancer diagnoses in these men either which is very loudly pointing a finger at some groups stating; "Your research on male hormone administration is to say the least flawed look again." You need to start having these two testosterone level tests performed when you are 25 and then at least every 5 years after that age. In time, I see things changing on male HRT, and it will be the HIV patients who will have paved a road to better health and a longer and satisfying sex life for all of us. The main thing here is Document! Document! Document! so that you qualify and that any interested regulatory agencies can medically see the decline in production and as a result they will not question your Doctors decision to replace or supplement your hormone production. I did not know where else to post this, but it is so important especially to you fellows under age 30 to get this as part of your medical records that you carry through your lifetime. Remember that as this evolves and replacement in males becomes more common, we will all owe the HIV patients for the research that they started and provided on this issue.