Need some advice

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AH2088

New member
Hi 24 years old here 6 foot 200 pounds decent shape 15% body fat been experiencing a lot of symptoms of low t such as no sex drive at all some ED issues with gf maybe feeling good once every couple weeks about it, lethargy, no motivation. Thought I would get a blood test done from my fam doctor results were :

TSH: 1.920 uIU/mL
(T4): 7.6 ug/dL
(FT4): 1.20 ng/dL
Total Testosterone: 349 ng/dL
free test: 8.92 pg/mL
Vitamin D 82 ng/mL

Def seems my test is low doctor said its normal of course this lack of drive and not caring about girls is really messing with my head. Started happening about 2 years ago and just thought I was stressed and it would come back. Have not done any cycles or anything before and would like to add I get anxiety really easily, feel down and depressed really easily also Should I look into testosterone replacement therapy (TRT)? Would I be a candidate?
 
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Welcome to the board.

What did your Dr say? Yes you should be concerned. There is a reason that it's low, find out why it's low first. It could be thyroid, pituitary, or gonads. 24 is pretty young to start Hormone Replacement Therapy (HRT) for life. If you think your feeling bad now, just do Hormone Replacement Therapy (HRT) for a year, then stop, then see how bad you'ld be feeling.

The good news is your Vit D is awesome. You must drink a ton of milk, and suplements.
 
Dr just said no idea gonna go to a urologist on wed to find out more haha yea def drink a lot of milk always loved it
 
Well just went to a urologist he just kept saying I am just on the low normal side and should be good gonna do another blood test to see if the numbers are right
 
Just got results of second blood test

TOTAL TEST: 313 ng/dL
FREE TEST: 64.1 pg/ML
BIOAVAILABLE TEST: 134.6 ng/dL
SHBG: 17 nmol/L

LH: 6.0 mIU/mL
PROLACTIN: 18.2 ng/mL

Went in urologist just said I might have a pituitary tumor because my Prolactin is high and wants me to go to Endo to get it checked out and pretty much just said goodluck
 
Typical runaround. I am all for finding root causes, but 313 total test for a guy that is 24?! I would think you should be double to triple that. Don't give up on your health. No one is going to care more about it than YOU. Keep after them until they find a real fix (not depression or ED meds, at least by themselves).

BTW, my doc wants to see my total test at 600-700 at least, and I am a 38 year old fat guy :D
 
Yea this is getting really frustrating now I can't even seem to get an appointment with an Endo until 3 months from now
 
AH2088 said:
Yea this is getting really frustrating now I can't even seem to get an appointment with an Endo until 3 months from now
Click to expand...

You must live in my town. LOL Same story. To speed things up, go to your PCP, get an MRI, and complete physical including DRE, along w/Maximus physical for the Dr.. That's all the endo will do anyways. If their is something, then you'll have to see a neurosergeon anyways. It took me many months to get where I'm at. This is the very reason my username is Frustrated1. Between the BS Dr's and the stupid wait and feeling like hell, all the while my body was shutting down. I was having a cascading effect. So be a man and insist on an MRI and physical from your PCP. Tell him you feel like shit and get the show on the road.

The other option is to do what you are doing and add 6 months to the equation.
 
My doctor wants to do a clomid restart protocol to see if that will help me but if my LH is 6.0 mIU/mL isn't that decent enough meaning I am probably not secondary?
 
Yea your primary hypogonadal, the question is why. Maybe thyroid. At least an endo should be good at that. Your LH is commanding the leydig cells to make more testosterone, and your thyroid is saying it needs more testosterone. But your nads are saying that's all folks.
 
I was also tested for a pituitary tumor, which actually is common. No you don't need surgery, your endo can give you meds to shrink it so your lh hormone can get through. My urologist was doing all of this for me, sounds like your urologist was quite useless. Turns out for me, my nuts just don't work. But like others have said be Damn sure you need testosterone replacement therapy (TRT) before taking that route.
 
Just had another blood test done with results:

TOTAL TEST: 124 ng/dl Range: 250-1100 ng/dl
FREE TEST: 23.7 PG/ML RANGE: 46-224 ng/dl
LH: 3.4 mIU/mL Range 1.5-9.3 mIU/mL
FSH: 1.3 Range: 1.6-8.0 mIU/mL
PROLACTIN:10 ng/dl Range: 2-18 ng/dl
Estradial: 28 ng/dl

Is my prolactin still too high? Doctor is considering maybe hcg monotherapy but I think my LH is still decent enough for that not to work any opinions and yes def feel tired all the time with those levels.
 
Found a doc starting me out at 200mg weekly started exactly two weeks ago def feeling the energy in the gym and just more leveled overall but libido is still pretty much zero when does that usually start picking up?
 
My preference is to start men on testosterone, for a couple of reasons. First, if a man has successful return of his own erections, it’s like a home run for him. He doesn’t have to take a pill in anticipation of having sex. He can have sex whenever he wants. Second, the benefits of testosterone-replacement therapy often go way beyond erectile dysfunction. That may be what brought the patient into the office originally, but then he comes back saying how much better he feels in general, how much more energetic and motivated he is, how his drives on the golf course seem to be going farther, and how his mood is better.

But if somebody fails testosterone therapy, meaning that their erections aren’t any better, I’ve said, “Well, let’s stop the testosterone and try one of the PDE5, or phosphodiesterase type 5, inhibitors — sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra).” A lot of patients then say, “Well, actually, I’d like to stay on the testosterone. True, it’s not helping my erections, but I’m more turned on, and I’m getting these other benefits.” So we often continue the testosterone and add a PDE5 inhibitor.

There’s a significant failure rate of the PDE5 inhibitors for erectile dysfunction, something on the order of 25% to 50%, depending on the underlying condition. It turns out that a third of those men will have adequate erections with testosterone-replacement therapy alone and another third will have adequate erections with the pills and testosterone combined. There’s still a third who don’t respond, but normalizing their testosterone level has definitely rescued many men who had failed on PDE5 inhibitors.
Click to expand...

A Harvard expert shares his thoughts on testosterone-replacement therapy - Harvard Health Publications
 
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