Possible Hypogonadism/Pituitary issues?

[Soochers88]

Hey guys I am a 23 yr. old male with pretty much all of the symptoms of low testosterone. I am beginning to wonder if I have hypogonadism. I recently had my testosterone checked, my free testosterone was 13 ng/dl (range is 9-26) and my total testosterone was 400, (range is 300-1100). Estradiol was low. Now I realize that these numbers are in the normal range but they are relatively low for someone my age, and on top of that I have the following symptoms: difficulty maintaining erections, sensitivity to cold, hard time putting on muscle no matter how much I work out, brain fog, depression, low confidence, low sex drive, fatigue/feeling and looking tired, apathy, premature ejaculation, little facial and body hair...just to name a few. I have had this problem since puberty and it's really messed me up...haha

Now I have been to see several endocrinologists and urologists about my issues and they believe that everything is normal. I really want to try out HCG and hormone replacement just to see if it makes a difference. What do you guys think? Could I possibly have hypogonadism/low T?

 

[Soochers88]

bump

 

[Zero V]

Sorry to see you are having a hard time. Not sure about "Trying out TRT" because its a one way road. Once you try testosterone replacement therapy you actually begin to finish off the bodies natural ability to produce it.

If its already unable to be adequate this is not an issue, but if there is another rouet I suggest it.

There have been some experiments by docs with clomid in helping this, long and short term ideas, etc.

My questions to you...and it is personal.

How often do you ejaculate? From yourself or a sex partner, doesnt matter which.

 

[MeatHead96]

You already posted this before. Did you not get the answers you wanted? Zero is right, you don't just try trt. It is for life. You will have a hard time getting a doctor to put you on testosterone replacement therapy (TRT) at age 23 with test levels in the 400's. They did it for me at 22 but mine were in the 200's. Going on testosterone replacement therapy (TRT) is a huge decision and should not be taken lightly. Do a lot of research and decide if this is what you really want. And even if you do make that decision, you will be hard pressed to find a doctor to comply with you at the test level and your age.

 

[TR2838]

Lift heavy weights 3 x week and eat good.. refer to diet section.. Don't overtrain! IF this doesn't get your levels up in a few months then try a clomid restart.. There is a lot of threads on this that I have just read recently.. This appears to work for a lot of people.. You're too young to find a doc to put you on testosterone replacement therapy (TRT) with those levels.. Good Luck

 

[Soochers88]

Thanks for the input guys. If I can't find a doctor who is willing to put me on T I might just buy my own...do you guys have any experience buying this? Any recommendations/suggestions?

 

[Soochers88]

recently (the past few years) I have cutback on ejaculation...but before that I would do it a dozen times or more a week. Currently I would say once or twice a month max. I can relate most of my symptoms back to masturbating too much...at least that's when I noticed that they started.

 

[Teutonic]

What other meds are you taking...be fkn honest.

Partying ?


Weed, alcohol, ..all of em lead to low test..and low esteem be honest.

SSRI s s benzo s ambien pain meds ALL change you physiologically.

Ergo..low test..sex drive..and all the other maladie s described..self medicating testosterone replacement therapy (TRT) with your obvious lack of knowledge as to what your doing is NOT the way to go..

It could exacerbate all the above and add testicular atrophy, mood swings, lipid profile problems, cholesterol issues, this is not beer and weed. Your tweaking the hpta and in order to maintain a semblence of homeostasis you need to learn a shit ton more on your own..read and come back with q s that have proven your willing to work and I ll answer personally dude..but I will not GIVE you a damn thing.

 

[Soochers88]

Currently I am on Celexa (SSRI). I have a problem with premature ejaculation, so that is why I am taking this. I recently had a neurotransmitter test performed to get to the bottom of why I am feeling so shitty. My serotonin, gaba, and dopamine were all extremely low. I don't party much, I haven't smoked weed in about two years, and if I have alcohol I will only drink a beer or two. I would say I drink once every two months at the most.

I am also taking GABA, 5-HTP, Catemine, AdreneVive (for adrenal fatigue), Iodoral, Multi-Vitamin (Nature's Way Men's), L-Theanine, and Thyroid medication.

The problem is that I am almost positive that the problems I am having are related to low T, so I would at least like to see if it makes a difference. Human Chorionic Gonadotropin (HCG) treatment seems to be a legitimate way to raise testosterone and increase pituitary function.

I am just searching for a backup plan in case the Human Chorionic Gonadotropin (HCG) doesnt work out. I'm not exactly sure what you want me to prove to you? My Test is already out of balance and I know a decent amount about cycling and the male response to testosterone treatment. It shuts down your testicular production of testosterone and can lead to primary hypogonadism if you don't cycle correctly.

 

[Soochers88]

Sorry to see you are having a hard time. Not sure about "Trying out TRT" because its a one way road. Once you try testosterone replacement therapy you actually begin to finish off the bodies natural ability to produce it.

If its already unable to be adequate this is not an issue, but if there is another rouet I suggest it.

There have been some experiments by docs with clomid in helping this, long and short term ideas, etc.

My questions to you...and it is personal.

How often do you ejaculate? From yourself or a sex partner, doesnt matter which.

Why do you ask zero? just wondering...I posted the answers above

 

[Zero V]

Currently I am on Celexa (SSRI). I have a problem with premature ejaculation, so that is why I am taking this. I recently had a neurotransmitter test performed to get to the bottom of why I am feeling so shitty. My serotonin, gaba, and dopamine were all extremely low. I don't party much, I haven't smoked weed in about two years, and if I have alcohol I will only drink a beer or two. I would say I drink once every two months at the most.

I am also taking GABA, 5-HTP, Catemine, AdreneVive (for adrenal fatigue), Iodoral, Multi-Vitamin (Nature's Way Men's), L-Theanine, and Thyroid medication.

The problem is that I am almost positive that the problems I am having are related to low T, so I would at least like to see if it makes a difference. Human Chorionic Gonadotropin (HCG) treatment seems to be a legitimate way to raise testosterone and increase pituitary function.

I am just searching for a backup plan in case the Human Chorionic Gonadotropin (HCG) doesnt work out. I'm not exactly sure what you want me to prove to you? My Test is already out of balance and I know a decent amount about cycling and the male response to testosterone treatment. It shuts down your testicular production of testosterone and can lead to primary hypogonadism if you don't cycle correctly.

I would avoid testosterone replacement therapy (TRT) if at all possible. Try getting your other health issues in line before TRT...it may take care of itself. What thyroid medication? Man the combo of things they have you on such as an SSRI and thyroid meds(T3/T4???) alone can play hell with you.

Why do you ask zero? just wondering...I posted the answers above

I myself suffered from an addiction of doing you know what far too much on a daily basis. The result is my nervous system and testes not functioning right. CNS fatigue, testicular fatigue, etc. I am currently fighting to try and let my body heal naturally but I know my brain doesnt feel right(If I get woken up after only sleeping a few hours it feels like claws ripping through my mind as I try to wake up). Chemically depleted.

Taking natural routes to attempt a self heal, then after a few months going to an opthologist because I have tinnitus because my brain misfires and double vision that glasses dont correct(AKA my brain not perceiving right I think).

My hopes is I will heal given nutrients, rest, and time. As well as some natural supplements.

I am finding in others my age who are having issues, some have had my same problem. Too much sex or an addiction to porn, and it fries the body.

 

[Pumpedd]

Zero V, just curious (not doubting you), how does too much sex or addiction to porn fry the body?

 

[Zero V]

Zero V, just curious (not doubting you), how does too much sex or addiction to porn fry the body?

Testicular fatigue(your balls quit working) and chemical depletion in the brain/over stimulation.

Not a lone case...browse some prominent forums, there are a few guys I have seen warning and trying to tell people how it messed them up. Never listened....

That being said, it takes alot. Alot.

 

[MoparMuscle]

Great posts

What other meds are you taking...be fkn honest.

Partying ?


Weed, alcohol, ..all of em lead to low test..and low esteem be honest.

SSRI s s benzo s ambien pain meds ALL change you physiologically.

Ergo..low test..sex drive..and all the other maladie s described..self medicating testosterone replacement therapy (TRT) with your obvious lack of knowledge as to what your doing is NOT the way to go..

It could exacerbate all the above and add testicular atrophy, mood swings, lipid profile problems, cholesterol issues, this is not beer and weed. Your tweaking the hpta and in order to maintain a semblence of homeostasis you need to learn a shit ton more on your own..read and come back with q s that have proven your willing to work and I ll answer personally dude..but I will not GIVE you a damn thing.

I would avoid testosterone replacement therapy (TRT) if at all possible. Try getting your other health issues in line before TRT...it may take care of itself. What thyroid medication? Man the combo of things they have you on such as an SSRI and thyroid meds(T3/T4???) alone can play hell with you.




I myself suffered from an addiction of doing you know what far too much on a daily basis. The result is my nervous system and testes not functioning right. CNS fatigue, testicular fatigue, etc. I am currently fighting to try and let my body heal naturally but I know my brain doesnt feel right(If I get woken up after only sleeping a few hours it feels like claws ripping through my mind as I try to wake up). Chemically depleted.

Taking natural routes to attempt a self heal, then after a few months going to an opthologist because I have tinnitus because my brain misfires and double vision that glasses dont correct(AKA my brain not perceiving right I think).

My hopes is I will heal given nutrients, rest, and time. As well as some natural supplements.

I am finding in others my age who are having issues, some have had my same problem. Too much sex or an addiction to porn, and it fries the body.

Testicular fatigue(your balls quit working) and chemical depletion in the brain/over stimulation.

Not a lone case...browse some prominent forums, there are a few guys I have seen warning and trying to tell people how it messed them up. Never listened....

That being said, it takes alot. Alot.

 

[Teutonic]

OP...I m not mad at you..relax. No need to pm..unless you got a problem that is to sensitive..to post.

I just needed a full disclosure as to what your being fed to try to ascertain the root cause of the difficulties your having...and stating it in the manner I did was an old habit..interrogation 101. Good guy bad guy type shit..

Your on a bunch of stuff my man. I too, was a chemical wasteland..how the fuck are you supposed to feel normal with all that shit in you, right ? And to throw test at it now...hhhhmmm.

I got no easy answer for you..and testosterone replacement therapy (TRT) may be just the answer to all or most of this or may just finish off your ability to reach a semblence normalcey...ever.

First step i m o...is another doc s opinion.

The problem with testosterone replacement therapy (TRT) now is it s permanent. HPTA suicide if you will...have you cycled before .

I m the most mentally challenged member on this board so hang in there..keep feeding us with reports and drugs ingested..

I gave up cycling..too unstable.

Alcohol is useless..period. The diuretic effect and the mental hangover.. not to mention the toll it takes on the elctrolytes...shit scares me. I ll fuck or fight everytime I drink.

And maybe the answer is to shit can all the above and run trt..that s a docs call...not ours.

1 cc a week for me. Hang in there dude.

 

[cjw2021]

Good posts Teutonic and Zero. Well testosterone does stimulate dopamine. Some guys on here have had problems with low T and SSRI use. Did you not get these symptoms until you got on the SSRI? The reason the SSRIs can do this is because they mutate the dopamine and serotonin neurons themselves so their receptivity changes. Most people on SSRIs for a period of time probably develop Low T. I'm not saying they don't have a use, I'm just saying that this can be an unfortunate side effect, just like with other drug use such as MJ or prescription opiates/painkillers.

Since your levels are at 400, I would get off the SSRI and see if your levels rise. Just supplement with gaba, macuna pruriens for l-dopa, 5-htp(not big doses, stick to 50mg), to restore neurotransmitters.

Prejac is basically an overactive sympathetic response...a faster conversion of dopamine to adrenaline. And you can slow that down with serotonin, gaba, and maybe natural dopamine reuptake inhibitor herbs or St. John's Wort in a low dose of say 200mg (But don't take reuptake inhibitors like these with an SSRI of course). Prejac could also be due to a weak erection strength.

In any event those are my recommendations in addition to testing SHBG. Your T levels are borderline. For your neurotransmitters to be that low I am guessing you could have abused your body with stress or excessive sex or working out, or drugs or something to get there and keep burning out those NTs. You have to reduce or eliminate that trigger.

If your dopamine is that low it cannot excite the pituitary for enough LH release. And what is even more horrifying is that I've seen a guy that had normal dopamine levels, but due to his SSRI his dopamine neurons were mutated so he still could not produce enough LH with normal dopamine levels. I think Human Chorionic Gonadotropin (HCG) got his nuts up to a 700 level or so, so he definitely was not primary. And I think his LH was low. So the only conclusion I could figure was that there was a blockade in his brain not allowing him to produce the LH...probably SSRI induced. He will obviously remain anonymous but there are many cases like that on another website.

 

[Soochers88]

Thanks for the feedback guys! I have had these symptoms for about 10 years and I started my SSRI three years ago, the problem with going off the SSRI is that I end up getting nocturnal emissions, multiple times a night, which makes me feel like shit the next day. I tried going off of them last week by gradually decreasing the dose but no luck.

I have been to see 7 different doctors in the past 3 years. All of them, except for the one I am currently seeing, believe that I am fine and that there is nothing wrong with me. The doctor I am currently seeing is a naturopath and he is actually listening to my symptoms and treating them instead of basing his decisions solely on lab results.

My suspicion is that "excessive sexual activity" has supressed my pituitary function because of the increased levels of cortisol associated with sexual arousal. I also believe that it has depleted my neurotransmitters (that is what I am taking most of those supplements I listed for).

HCG treatment is supposed to jump start your HPT axis by increasing the levels of LH and thus stimulating your testicles to produce more testosterone. So basically my suspicion is that I have mild secondary hypogonadism because my testicles still appear to be producing a small amount of Testosterone.

I have had SHBG tested and it was within in the normal range. I did notice that when I had my DHT tested it was very low...do you think that this could be a sign that there is not enough free testosterone in my blood to convert to DHT? From what I understand DHT is very important as far as developing male features, facial/body hair, and mental health.

 

[cjw2021]

Yes DHT is essential. Have you been on any hair loss drugs like propecia/finasteride?

A lot of guys are successful on a combo SSRI T replacement protocol. It is very hard for me to believe that you are having rapid nocturnal emissions after replacing your neurotransmitters. Your sympathetic nervous system must be on fire. I am going to PM you a website.

 

[Soochers88]

Sorry I should have said that I just started on the neurotransmitters about a month ago, I guess it takes several months to replenish them fully. My testosterone was low even before I started on the Celexa, if anything it has risen slightly since I started taking it.

 

[cjw2021]

I feel for you bro. I had all the same symptoms. Treatment was the best thing that happened to me, granted my levels were in the 200s most of the time.