34 year old male with 0 libido. Lab results are in, am I a candidate for TRT?

[russianluck27]

I'm 34, 5'10 155lbs, had a monster libido in my 20s and was able to have sex (but mostly masturbate) 5 times a day. It all abruptly stopped when I was 29 and I've never been able to get it back. Sexually I feel like a 70 year old man. Just no desire to have sex whatsoever. Had my testosterone tested before and doctor said everything was fine because total was so high.

I finally went to a men's health clinic and the doc ordered lab work. I have a follow-up appointment in April. I see that my SHBG is very high which is giving a very inflated total.

Maybe someone here can shed some insight as to my condition?

 

[Nicky_eye_lids]

what happened at age 29 that caused your natural levels do decrease? lifestyle change? diet change? did you have a back accident/injury?
did you startr drinking alcohol? did you start taking meds?

 

[russianluck27]

what happened at age 29 that caused your natural levels do decrease?

i have no idea what they were or if they decreased at all. i never checked my testosterone before 29.

lifestyle change? diet change?

i was always sedentary all my life until i lost my libido. i started going to the gym and put on muscle mass (went from 145 to 175) but libido never came back. i used to watch a lot of porn and jack off 5 times a day because i was horny. then at 29 one day it all stopped. i panicked and tried everything to rediscover it but to no avail.

did you have a back accident/injury?

no

did you startr drinking alcohol?

no, never was a fan of drinking.

did you start taking meds?

no.

 

[Nicky_eye_lids]

when is the first time you did a cycle?

 

[russianluck27]

when is the first time you did a cycle?

i have never done one.

 

[scorob777]

What I see is your testosterone looks good, both total and free. No problem there. SHBG is high, total T is high, free T is good in range, so don't think the problem is there.

Your prolacin is a bit high and estrogen seems to be sky high. I was looking for my own test results to check the units, but couldn't find them. Assuming your units are the same as what I'm used to - your results are super high for E2. 90 vs. a target of mid 20's to 30's.

That right there is your problem. I'd take a hard look at what you are eating and your body fat to try to see where it's coming from. Do you eat a lot of unfermented soy? Fast food? Food that's processed and/or comes in plastic packages?

I wouldn't necessarily jump on any kind of meds first thing, but if you can't find any smoking gun in what you eat or your fat level, then a tiny and I do mean tiny dose of aromasin (exemestane) taken every other day should sort you out.