ironhorse123
New member
Hello everybody, I have been googling terms of "TRT in 20's" and this forum had many threads, i scrolled through some but found nothing like mine or with any answers to help. I know this is my first post but if anybody here has any knowledge or anything they can contribute I would be more than grateful.
I am a 21 year old male and my testosterone has randomly shut down. I have never touched any recreational drugs, performance enhancing drugs (including steroids of any form), cigarettes and I dont drink alcohol. I do exercise regularly and gym 5-6x a week.
Around 8-9 months back I started noticing loss of libido and I thought nothing of it. After a few weeks of noticing I had no sex-drive or intent to masturbate I decided I should really attempt to, as I know its healthy to ejaculate once in a while. I wasnt able to acquire a proper erection and even then during the climax no ejaculate came out at all. Over the last few months I have done it 3 times in total and no ejaculate came out in each attempt which led me to seek medical assistance.
I went to a local GP and he suggested I do a blood test which tested for my testosterone levels, thyroid and a few other random things. The results came back; (Im going to write down the main ones)
-Iron levels were fine-
-Testosterone : <0.3 nmol/L [8.3-29]-
-Free testosterone : 3.8 pmol/L [25.0-120.0]-
-Thryroid stimulating hormone : 1.2 mIU/L [0.5-4.5] {results consistent with euthyroidism}-
He told me my body has stopped producing testosterone and told me I should get an ultrasound of my testicles and adrenal glands (as they produce testosterone and if there is a tumour it could be effecting the production of testosterone). I got my ultrasound and the results showed :
-Liver is normal size
-Portal venous flow is in correct direction
-Spleen, pancreas and aorta appear within normal limits
-Both kidneys are normal size
IMPRESSION: No significant abnormalities are visualised. No adrenal mass is demonstrated.
FINDINGS: Both the right and left testis are normal in size a nd appearance with no focal lesion demonstrated. There is normal vascularity. No hydrocele or varicocoele.
On may last year, me and a few friends wanted to compare our testosterone levels against each other as a competition to see whose body produces more. So we did a blood test then . My test level was 9.3nmol/L with the range of [8.3-29]. So it;s even more of a shock that my testosterone levels randomly shut down when they were healthy (within normal levels) last year and there is no visible reasons as to why my body has stopped producing it.
I went back to the GP with the ultrasound results and then he wrote me a referral to go see an endocrinologist. He also told me to get another blood test done until I go see my endocrinologist. The second blood test results showed the exact same as the first one TEST level : (<0.3) .
Im keeping my parents updated with everything and after I told my mum about the ultrasound she insisted I get a second opinion and to go see our family GP. Just like the first GP, this one was also shocked at whats happening. He told me if the problem isnt related by a primary cause (problem from the actual testicles) that it has to be related to the brain. He suggested that the pituitary gland could be the reason why my testosterone has shut down and said that the endocrinologist would most likely then want to check my pituitary. To save time he told me to get a MRI scan of my brain before I visit the specialist to receive quicker treatment. The MRI results showed:
- The pituitary gland is of normal size and shows normal signal intensity. There is uniform enhancements with no masses seen. The pituitary stalk is in the midline. No suprasellar mass is demonstrated. No abnormalities are seen in the whole brain sequence.
I visited the endocrinologist and presented him all the blood tests, the ultrasound results and the MRI. He checked my blood pressure, checked my scrotum then ordered a blood test which would test for more specific hormones. He asked if I had taken steroids and I told him I havent and he booked me to come back in a few days when his blood test results come back. The results from his test:
-Tests 17 hydroxyprogresterone and Insulin growth factor 1 still are being examined and final report to follow.
-Thyroid stimulating hormone : 1.74 [0.35-5.50] mIU/L
-Cortisol - rndm : 269 nmol/L
-Testosterone : 0.6 nmol/L (8.0-30.0)
-DHEA Sulphate : 10.6 umol/L [3.7-10.2]
-FSH : <1 IU/L [1-8]
-LH : <1 IU/L [2-8]
-Prolactin : 7.2 ug/L [<20.0]
When I went back he examined the results then told me he is certain that Ive previously taken steroids . He said the pattern of results follow the same pattern as someone who has taken steroids;. I tried explaining to him that I have no reason to lie, he isnt the police nor my parents.. that if I had taken steroids I would tell him so he can fasten the process to start TREATMENT . I tried explaining to him that there is no logical reason why I would lie to him, why I would waste money and time doing all these different tests like the MRI if I knew myself the reason it has shut down is because of steroids. I told him my testicles were of normal size (according to the ultrasound) and that someone on steroids would have their testicles shrink in size and also asked him if he had checked my estrogen to make such an accusation. He then made a smart remark saying ; you seem to know a bit too much steroids;. I tried explaining going to the gym and researching the human body/nutrition is a hobby to me but he seems convinced otherwise. He told me he is going to speak to a few colleagues of his and for me to call him back the day after.
I called back the day after and he told me that he spoke to a few colleagues and they all agree with him that I must of taken steroids in order to be like this. I tried my hardest to keep calm and ignore his accusation and asked him to put aside his suspicion and to try follow up what;s happening. He wants to now test my Gonadotropic-releasing hormone [GnRH/LHRH]. This test would also have to be done at a hospital. I have limited knowledge but apparently they have to administer a drug and they check the relationship between what they inject and other hormone(s) to see what happens? But he told me that the drug they administer is hard to get and he needs to send a letter to get the drug approved then transported from another state to here.
Right now I am currently waiting for the drug to be approved and then book in a time with the hospital to test how my GnRH responds. I honestly have no reason why my testosterone has randomly shut down and have been attempting to research causes online but to find no answer. The reason im posting this is maybe someone on here has had a similar experience or knows of someone that has and may know what it could be. My friend says it could be genetic and could be something like [Adrenoleukodystrophy] .
If anyone has any idea on what it may be or could give any advice at all I would greatly appreciate it. Its honestly taking a toll on my normal life routine but I am trying my best to stay optimistic.
I am a 21 year old male and my testosterone has randomly shut down. I have never touched any recreational drugs, performance enhancing drugs (including steroids of any form), cigarettes and I dont drink alcohol. I do exercise regularly and gym 5-6x a week.
Around 8-9 months back I started noticing loss of libido and I thought nothing of it. After a few weeks of noticing I had no sex-drive or intent to masturbate I decided I should really attempt to, as I know its healthy to ejaculate once in a while. I wasnt able to acquire a proper erection and even then during the climax no ejaculate came out at all. Over the last few months I have done it 3 times in total and no ejaculate came out in each attempt which led me to seek medical assistance.
I went to a local GP and he suggested I do a blood test which tested for my testosterone levels, thyroid and a few other random things. The results came back; (Im going to write down the main ones)
-Iron levels were fine-
-Testosterone : <0.3 nmol/L [8.3-29]-
-Free testosterone : 3.8 pmol/L [25.0-120.0]-
-Thryroid stimulating hormone : 1.2 mIU/L [0.5-4.5] {results consistent with euthyroidism}-
He told me my body has stopped producing testosterone and told me I should get an ultrasound of my testicles and adrenal glands (as they produce testosterone and if there is a tumour it could be effecting the production of testosterone). I got my ultrasound and the results showed :
-Liver is normal size
-Portal venous flow is in correct direction
-Spleen, pancreas and aorta appear within normal limits
-Both kidneys are normal size
IMPRESSION: No significant abnormalities are visualised. No adrenal mass is demonstrated.
FINDINGS: Both the right and left testis are normal in size a nd appearance with no focal lesion demonstrated. There is normal vascularity. No hydrocele or varicocoele.
On may last year, me and a few friends wanted to compare our testosterone levels against each other as a competition to see whose body produces more. So we did a blood test then . My test level was 9.3nmol/L with the range of [8.3-29]. So it;s even more of a shock that my testosterone levels randomly shut down when they were healthy (within normal levels) last year and there is no visible reasons as to why my body has stopped producing it.
I went back to the GP with the ultrasound results and then he wrote me a referral to go see an endocrinologist. He also told me to get another blood test done until I go see my endocrinologist. The second blood test results showed the exact same as the first one TEST level : (<0.3) .
Im keeping my parents updated with everything and after I told my mum about the ultrasound she insisted I get a second opinion and to go see our family GP. Just like the first GP, this one was also shocked at whats happening. He told me if the problem isnt related by a primary cause (problem from the actual testicles) that it has to be related to the brain. He suggested that the pituitary gland could be the reason why my testosterone has shut down and said that the endocrinologist would most likely then want to check my pituitary. To save time he told me to get a MRI scan of my brain before I visit the specialist to receive quicker treatment. The MRI results showed:
- The pituitary gland is of normal size and shows normal signal intensity. There is uniform enhancements with no masses seen. The pituitary stalk is in the midline. No suprasellar mass is demonstrated. No abnormalities are seen in the whole brain sequence.
I visited the endocrinologist and presented him all the blood tests, the ultrasound results and the MRI. He checked my blood pressure, checked my scrotum then ordered a blood test which would test for more specific hormones. He asked if I had taken steroids and I told him I havent and he booked me to come back in a few days when his blood test results come back. The results from his test:
-Tests 17 hydroxyprogresterone and Insulin growth factor 1 still are being examined and final report to follow.
-Thyroid stimulating hormone : 1.74 [0.35-5.50] mIU/L
-Cortisol - rndm : 269 nmol/L
-Testosterone : 0.6 nmol/L (8.0-30.0)
-DHEA Sulphate : 10.6 umol/L [3.7-10.2]
-FSH : <1 IU/L [1-8]
-LH : <1 IU/L [2-8]
-Prolactin : 7.2 ug/L [<20.0]
When I went back he examined the results then told me he is certain that Ive previously taken steroids . He said the pattern of results follow the same pattern as someone who has taken steroids;. I tried explaining to him that I have no reason to lie, he isnt the police nor my parents.. that if I had taken steroids I would tell him so he can fasten the process to start TREATMENT . I tried explaining to him that there is no logical reason why I would lie to him, why I would waste money and time doing all these different tests like the MRI if I knew myself the reason it has shut down is because of steroids. I told him my testicles were of normal size (according to the ultrasound) and that someone on steroids would have their testicles shrink in size and also asked him if he had checked my estrogen to make such an accusation. He then made a smart remark saying ; you seem to know a bit too much steroids;. I tried explaining going to the gym and researching the human body/nutrition is a hobby to me but he seems convinced otherwise. He told me he is going to speak to a few colleagues of his and for me to call him back the day after.
I called back the day after and he told me that he spoke to a few colleagues and they all agree with him that I must of taken steroids in order to be like this. I tried my hardest to keep calm and ignore his accusation and asked him to put aside his suspicion and to try follow up what;s happening. He wants to now test my Gonadotropic-releasing hormone [GnRH/LHRH]. This test would also have to be done at a hospital. I have limited knowledge but apparently they have to administer a drug and they check the relationship between what they inject and other hormone(s) to see what happens? But he told me that the drug they administer is hard to get and he needs to send a letter to get the drug approved then transported from another state to here.
Right now I am currently waiting for the drug to be approved and then book in a time with the hospital to test how my GnRH responds. I honestly have no reason why my testosterone has randomly shut down and have been attempting to research causes online but to find no answer. The reason im posting this is maybe someone on here has had a similar experience or knows of someone that has and may know what it could be. My friend says it could be genetic and could be something like [Adrenoleukodystrophy] .
If anyone has any idea on what it may be or could give any advice at all I would greatly appreciate it. Its honestly taking a toll on my normal life routine but I am trying my best to stay optimistic.
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