Hi, thank you for the great overview post stickied, it helped answer some questions and I have some questions before I visit with my endo dr again.
I'm 32 and I exercise 3 days a week (barbell training, cardio, etc), I eat healthy 90% of the time, and I play sports 3 times a week... I'm active, I'm 5'10 and 152lb pretty lean but I have a small amount of belly fat and pectoral fat that just doesn't want to go away. I've always had trouble gaining weight, no matter how much I lift, eat and stuff myself with Whey protein. I'm not trying to become a body builder but for how often I workout I should be seeing more gains. This is secondary to me to all the health stuff, I just want to feel normal again.
I went to the doctor about 3 years ago because I was having trouble sexually and I was looking for answers. I wasn't having a ton of obvious symptoms that I can recall. I got an MRI, blood test etc, and the doctor told me I was low enough to go on TRT but being 29 years old it seemed like a HUGE commitment and no turning back move. My test results are below but I'd like to update with a more recent status before I get to that. I told him I'd try and go to bed earlier and hoped the issue would go away. Laziness got the best of me and I just ignored the problem, how ironic now that I've looked into low T symptoms.
I've been with the same woman for 5 years, we were recently married. I am extremely attracted to her but in the past year my sex drive has gone from I'm too tired to have sex, to I can't get an erection to save my life. After she cried a few times thinking it was her I started to really do some research online, and now I find myself here. I have a lot of symptoms that I didn't think were symptoms until I started doing more research. I'm fatigued, always yawning, I have slight anxiety and depression but nothing too crazy, it seems like I can never get a healthy night's sleep. Sexually I can't hold an erection, and lately I don't even get them. When I ejaculate it is weak and doesn't even feel that good anymore. Anyhow, that's a short list of things I've started to realize recently.
I went to the doctor today so I could get a recommendation to go back to my endo, so I should be seeing him again soon. I want to make sure I go in armed with the correct questions and information so he doesn't try to just put me on TRT and call it a day. Given my age I am really hoping that Clomiphene Citrate will be a solution and I can get things going somewhat naturally. Sorry for the long winded post, thank you for bearing with me.
The test results are below and the results of my MRI are below that. If I need to know any other levels please let me know so i can make sure to ask when I go back.
Total T 230.8 ng/DL told this was low but in range 2/6
Total T 245.2 ng/DL told this was normal 2/13
LH 3.5
Prolactin 19ng/ML
TSH 2.99
Free T4 1.3ng/DL
HGB 14g/DL
HCT 40.8%
ALT 34 intl_unit
Urine analysis everything says negative and normal. MRI results are below, and a testicle ultrasound came back normal
PITUITARY (SELLAR) MRI WITH GADOLINIUM ENHANCEMENT
COMPARISON: None.
TECHNIQUE:
Whole brain axial FLAIR. Smaller FOV coronal FSE T2 centered over the
sella turcica. Smaller FOV pre- and postcontrast spin-echo T1
centered over the sella turcica. 10 cc Optimark intravenously.
FINDINGS:
The sella turcica is moderately fluid filled. The pituitary gland
appears slightly flattened within the inferior aspect of the sella
turcica.
No MR evidence of a focal hypointense pituitary gland lesion is
identified.
The pituitary gland measures approximately 16 mm in width, 4 mm
superior inferior dimension and 11 mm in AP dimension.
No abnormal mass effect upon the optic chiasm is identified. The
infundibulum is midline. The bilateral cavernous ICA flow voids
appear grossly unremarkable.
On the FLAIR whole brain sequence, no evidence of intracranial mass
effect, acute hemorrhage or acute infarct is identified. No
extra-axial fluid collection is seen. There is no hydrocephalus.
IMPRESSION:
No MR evidence of a focal pituitary gland lesion identified. MR
appearance of mild empty sella.
I'm 32 and I exercise 3 days a week (barbell training, cardio, etc), I eat healthy 90% of the time, and I play sports 3 times a week... I'm active, I'm 5'10 and 152lb pretty lean but I have a small amount of belly fat and pectoral fat that just doesn't want to go away. I've always had trouble gaining weight, no matter how much I lift, eat and stuff myself with Whey protein. I'm not trying to become a body builder but for how often I workout I should be seeing more gains. This is secondary to me to all the health stuff, I just want to feel normal again.
I went to the doctor about 3 years ago because I was having trouble sexually and I was looking for answers. I wasn't having a ton of obvious symptoms that I can recall. I got an MRI, blood test etc, and the doctor told me I was low enough to go on TRT but being 29 years old it seemed like a HUGE commitment and no turning back move. My test results are below but I'd like to update with a more recent status before I get to that. I told him I'd try and go to bed earlier and hoped the issue would go away. Laziness got the best of me and I just ignored the problem, how ironic now that I've looked into low T symptoms.
I've been with the same woman for 5 years, we were recently married. I am extremely attracted to her but in the past year my sex drive has gone from I'm too tired to have sex, to I can't get an erection to save my life. After she cried a few times thinking it was her I started to really do some research online, and now I find myself here. I have a lot of symptoms that I didn't think were symptoms until I started doing more research. I'm fatigued, always yawning, I have slight anxiety and depression but nothing too crazy, it seems like I can never get a healthy night's sleep. Sexually I can't hold an erection, and lately I don't even get them. When I ejaculate it is weak and doesn't even feel that good anymore. Anyhow, that's a short list of things I've started to realize recently.
I went to the doctor today so I could get a recommendation to go back to my endo, so I should be seeing him again soon. I want to make sure I go in armed with the correct questions and information so he doesn't try to just put me on TRT and call it a day. Given my age I am really hoping that Clomiphene Citrate will be a solution and I can get things going somewhat naturally. Sorry for the long winded post, thank you for bearing with me.
The test results are below and the results of my MRI are below that. If I need to know any other levels please let me know so i can make sure to ask when I go back.
Total T 230.8 ng/DL told this was low but in range 2/6
Total T 245.2 ng/DL told this was normal 2/13
LH 3.5
Prolactin 19ng/ML
TSH 2.99
Free T4 1.3ng/DL
HGB 14g/DL
HCT 40.8%
ALT 34 intl_unit
Urine analysis everything says negative and normal. MRI results are below, and a testicle ultrasound came back normal
PITUITARY (SELLAR) MRI WITH GADOLINIUM ENHANCEMENT
COMPARISON: None.
TECHNIQUE:
Whole brain axial FLAIR. Smaller FOV coronal FSE T2 centered over the
sella turcica. Smaller FOV pre- and postcontrast spin-echo T1
centered over the sella turcica. 10 cc Optimark intravenously.
FINDINGS:
The sella turcica is moderately fluid filled. The pituitary gland
appears slightly flattened within the inferior aspect of the sella
turcica.
No MR evidence of a focal hypointense pituitary gland lesion is
identified.
The pituitary gland measures approximately 16 mm in width, 4 mm
superior inferior dimension and 11 mm in AP dimension.
No abnormal mass effect upon the optic chiasm is identified. The
infundibulum is midline. The bilateral cavernous ICA flow voids
appear grossly unremarkable.
On the FLAIR whole brain sequence, no evidence of intracranial mass
effect, acute hemorrhage or acute infarct is identified. No
extra-axial fluid collection is seen. There is no hydrocephalus.
IMPRESSION:
No MR evidence of a focal pituitary gland lesion identified. MR
appearance of mild empty sella.
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