I had RALP in Feb2020. I have always worked out been active. My TEST before surgery was about 650. About a year after surgery I was just worn out feeling puny. I spoke with my urologist about TRT he said absolutely not. Dont risk it. My GP is mens and womens health specialist. She checked my TEST and it was 350. She said if I waited 3 years and had a PSMA PET scan with PSA tests every 6 months she would agree to TRT. I waited 3 years and had the scan. No cancer. I decided on the cream. My TEST runs about 720. I try to keep it somewhere around 700. I feel much better. I might add that my cancer was a gleason 3+3. biopsy was 1 out of 12. Post surgery diagnosis was small lesion with clean margins. My initial PSA was never higher than 1.2. All my PSA tests in last 5 years are < .01. I am 72 now.