Oh yes, it's endlessly frustrating, although it does help to know we're not freaks
![Grin ;D](https://www.menopausematters.co.uk/forum/Smileys/extended/grin.gif)
. I'm 53, still have all my bits and I'm definitely not suffering anywhere near as badly as you and many others on here. I haven't accepted that this is as good as it gets but at least now I feel my current levels are sufficient to stave off osteoporosis (just) and possibly some longer term issues. What I can't get to grips with is the fact that I have far less energy and more aches and pains than my 84 year old dad who is still going to the gym, walks for miles and doesn't collapse in a heap afterwards!
Not sure about the Oestrogen levels 'required' before taking testosterone. My specialist seems OK with 257, wasn't with 100 but hasn't been specific (are they ever?!). She was definitely relaxed about going upto 2x100 patches 'though - very much emphasised to my GP that the only thing that counts is symptom relief and actual measured levels.
Getting the SHBG tested is useful as, together with testosterone, it gives a good snapshot of what is actually happening re: absorption (and you can use it to calculate the Free Androgen Index which is a better indicator of circulating testosterone levels). Not sure my GP would have tested for this if it wasn't for the specialist requesting it 'though.
I must admit I haven't looked into implants as I'm pretty reluctant to have anything I cannot remove easily myself
![Undecided :-\](https://www.menopausematters.co.uk/forum/Smileys/extended/undecided.gif)
. I think a few people on here have had them and there can be issues with them running out early or a massive initial surge of oestrogen. I guess they work by entering the blood stream directly, bypassing the skin? Might have to explore further. They seem to be mostly only offered privately 'though, so that plus the constant need to have them replaced is putting me off too. Urgh it's such a pain!
I do hope you find some relief TC as you seem to be having such an awful time of it
![Sad :(](https://www.menopausematters.co.uk/forum/Smileys/extended/sad.gif)
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