You can't usually continue testosterone supplementation for the long term. This is really an endocrinology question and not a urology question. There's something else going on that needs more expert analysis.
Determining what regimen works for your system is going to be 100% unique to you.
Suppression of testosterone from long-term opiate use affects about 5% of people and may elevate other hormones. These are all discussions for your endocrinologist. Please call that office.View Thread
The veiny appearance of your penis changes over time. It's very unlikely that the visibility of capillaries is anything to be concerned about. Again, you're probably noticing things more because you're scrutinizing the area. It's like sitting in a theater, and when suddenly someone asks you to notice your shoes and asks what the floor feels like, you notice. Before then, you were just sitting in the chair and not even thinking about the floor.View Thread
I don't think that any scan or scope is going to reveal much about the cause based solely on your symptoms, but you can certainly ask the urologist what kind of tests would be appropriate based on your description of symptoms. You of course have the right to have any procedure fully explained and refuse any test or procedure you don't want to have, even if you go straight to the office without information beforehand.View Thread
Temperature is not an indication of nerve function. You should expect your genitals to be cooler than the rest of your body, that's why they're external. And if injured, your body is ignoring your genital functions more than usual, which means less circulation. You're only noticing differences because you're scrutinizing the area. These same temperature differences probably exist frequently but you don't pay attention because there's nothing else drawing your attention to your penis.View Thread
WebMD Exchanges are a public forum, and WebMD does not allow direct or private communication between participants in the public forum for a whole host of reasons.
I do understand that the discomfort has limited your activities. I'm very familiar with the CrossFit community.
It is still possible that there was some kind of physical injury from working out. I presume that you've already been checked for hernia, but maybe you haven't. Your symptoms aren't typical of that. A pelvic floor dysfunction is a more likely source of some (not all) of your symptoms, and while it's difficult to injure yourself in a way that causes such, it's not impossible, particularly with extreme athletics. This does not show up on any scan or exam, and requires a specialized physical therapist to treat.
You may be able to find an interlibrary loan on a book called "a headache in my pelvis" or you might decide to buy it. There's a lot more information in there about strange and unexplainable pains in the groin area.
Preoccupation isn't a solution for stress, especially physical stresses. As you know, your body does its repair work while you sleep, so not surprising that you have more soreness on waking than after daily activity.
It's not as clear that stresses would be the root cause of the issues you've described, but they can certainly amplify and prolong such an issue.View Thread
Coldness is probably a misperception of the sensation. The brain does not register sensations of the penis very accurately. Because there are so many nerve endings in this area, and they're mainly designed to be processed locally, not by your brain, what your brain registers can often be false in location, intensity, or type.
What your brain says is hot or cold is more likely something else like pain from the inflammation/irritation. The relief you feel from the cold water is from cutting the constant noise of the signal. Not from the temperature of the water. Like walking out of a stadium, the buzz of the crowd is constant and doesn't seem nearly as annoying until it's disrupted by moving to a quieter space. It's not nerve damage, it's just nerve noise. The same kind of interruption of signal happens when you pinch a different part of your body to distract from somewhere else, like a doctor grabbing your toe when they inject your arm, breaks the signal processing for the shot in the arm pain by surprising your brain with a toe grab.View Thread
It sounds most characteristic of non-specific urethritis, which just means an irritation or inflammation of the urethra with no sinister cause. While it's unclear what would have caused it, there are a number of things that would perpetuate it, primarily anxiety.
It's an interesting connection, but stress and anxiety are a top cause of urinary symptoms, and one of the unfortunate things about penis pain is that it causes additional anxiety that perpetuates and prolongs the problem.
I do understand that it can be quite difficult to isolate a focus point for the discomfort and the main reason for this is that there are so many nerve endings in your penis, that the noise of a pain signal spreads and can be very difficult for your brain to accurately sort as to location. This can make an irritation in the root of your penis feel like a burning sensation on the tip, even though the location is false, and so on.
The kind of urinary symptoms most common to the cause of anxiety/stress/life changes is frequency and urgency of urination. I don't say that to be dismissive, rather as an alert that additional stress caused by your health concern can make the urinary symptoms worse. An unfortunate cycle.
My suggestion temporarily is to try some AZO Standard (an OTC product that desensitizes the urethra) to see if that changes your symptoms. And I don't know what kinds of things you enjoy doing for stress relief, but it would likely be helpful to break that cycle. Here are 5 teas for different manifestations of stress https://www.youtube.com/watch?v=IiHdRYYyj3w as an example of something to try if you don't have a regular stress relief method or tool.View Thread