Testosterone replacement therapy (TRT) needed? Age 23, no morning wood for years. Bloodwork Done.

[sphinxbrah]

Ok... This is important. The Regular E2 Assay is typically 10-15 points higher than what the Sensitive E2 Assay would have put you at. The regular assay just doesn't do as good a job of measuring the lower E2 levels that men have in comparison to women. So this means that your E2 is likely truly between 21-26 which is perfect. Don't start supplementing shit to lower your E2 further. When E2 goes below 20 it starts to become a nasty problem.

If you really want to know for sure when you are at, you have to get the sensitive assay for E2 performed.

Hmm. Well that is a good thing then if my e2 is actually at 21-26.... but it leaves me even more perplexed as to why I am not getting morning wood now! :S Any ideas?

Again, I just can't see myself sleeping through it every night. Not for 3 years straight. Without even having it when I wake up directly from a dream. Wake up to an alarm any time between 6-8 AM for work? Nothing. Wake up any time from 9AM - noon naturally on weekends? Nothing. Wake up in the night to go pee at any random hour? Nothing.

At SOME point I'm sure I'd have noticed in the night and/or woken up with one if I had nocturnal erections. I don't need them every day to have my mind at ease. Even once in the odd while would be enough to ease my mind. 1 or 2 a month and I'd just chalk it up to likely sleeping through etc. But not even once for years on end? I just can't see it.

DIM is all natural and over the counter so I may still take it and see what happens purely because I am curious and cannot see it doing anything damaging given the aforementioned (plus I could always discontinue if I notice adverse effects). I am aware of the effects of e2 going too low and they sound pretty nasty. In many instances they seem to closely mirror the effects of e2 being too high.

 

[sphinxbrah]

After doing some research, the sensitive assay is not available anywhere in Canada. Surprising to be sure, but multiple reputable sources have said this (e.g. B.C. Biomedical labs). So I guess my tests were indeed the regular test and will also have to be what I go on. :S

 

[Megatron28]

Are you having any issues getting and maintaining erections when you masturbate or have sexual intercourse with women and/or men? If not, what's the big deal over not waking up with a big boner? Makes it a lot easier to take that first piss in the morning.

Like I first said, morning wood is not a mechanism that is truly well understood.
Maybe you should get a sleep study done and ask them to monitor for erections and REM sleep.

 

[Megatron28]

After doing some research, the sensitive assay is not available anywhere in Canada. Surprising to be sure, but multiple reputable sources have said this (e.g. B.C. Biomedical labs). So I guess my tests were indeed the regular test and will also have to be what I go on. :S

Come down to the great USA and get the sensitive test for e2 done -- just don't go to New York. Using Private MD - Buy Lab Tests Online you can get the test done pretty cheaply.

 

[sphinxbrah]

Are you having any issues getting and maintaining erections when you masturbate or have sexual intercourse with women and/or men? If not, what's the big deal over not waking up with a big boner? Makes it a lot easier to take that first piss in the morning.

Like I first said, morning wood is not a mechanism that is truly well understood.
Maybe you should get a sleep study done and ask them to monitor for erections and REM sleep.

All systems are go in regards to getting and maintaining erections, be it to masturbate or have intercourse. I do not get hard as easily when I was younger. My erections are also weaker than a few years ago. They also will not stay up as long without stimulation. I also have lower libido. At age 23, this is somewhat concerning. Perhaps some slowing down from 18 is to be expected but surely nothing this notable? But yes, I am fully functional!

I will poke around and see what I can find in my city in regards to erections/REM sleep monitoring.

Also, are you sure that the sensitive assay yields figures 10-15 points higher than that of the regular test for e2? I looked around to confirm and this does not seem to be the case based on what I can find....?

 

[Megatron28]

All systems are go in regards to getting and maintaining erections, be it to masturbate or have intercourse. I do not get hard as easily when I was younger. My erections are also weaker than a few years ago. They also will not stay up as long without stimulation. I also have lower libido. At age 23, this is somewhat concerning. Perhaps some slowing down from 18 is to be expected but surely nothing this notable? But yes, I am fully functional!

I will poke around and see what I can find in my city in regards to erections/REM sleep monitoring.

Also, are you sure that the sensitive assay yields figures 10-15 points higher than that of the regular test for e2? I looked around to confirm and this does not seem to be the case based on what I can find....?

Sensitive typically yields LOWER results. The regular assay is not sensitive enough to detect levels accurately when they are low.

If you are having issues with maintaining firm erections and libido is low you should talk to a urologist. You should want sex everyday and all day at yuour age. I would be more concerned about that than not getting morning wood. Might be connected, but who knows. You might just need some Cialis. Get checked out. Good luck!

Oh.. You would ask for a sleep study. Tell them you snore loudly and worry that you may have sleep apnea.

 

[1693]

All systems are go in regards to getting and maintaining erections, be it to masturbate or have intercourse. I do not get hard as easily when I was younger. My erections are also weaker than a few years ago. They also will not stay up as long without stimulation. I also have lower libido. At age 23, this is somewhat concerning.

Since the MW concerns you maybe you should see how you feel with your estradiol at about 100, the middle of the range, could try aromasin from RUI-products, just click on the banner up top of the page. It's doesn't usually crash a guy's E2 like arimidex commonly does and aromasin doesn't have the rebound effect like arimidex. You could try just a little or you might find out what too low E2 feels like.

I figure since some guys have reported that they feel better with their E2 higher than most guys that there could be some guys who feel better with it lower than most and possibly you are one of those and so maybe you should investigate it. Maybe try Dim first.

Another thing you could do and maybe it should be what you do first is to lower your prolactin to mid range and maybe even lower.

I've read of a bunch of guys taking low dose cialis every day and loving it, most at 5mg per day. It helps in many ways.

Here's a link to another supplement that is suppose to help:

peaktestosterone.com/Pycnogenol_Erectile_Dysfunction.aspx

Problem is that there are so many things that can bother erections, high cortisol, antidepressants, probably hypothyroidism....have they been looked at yet on you?

 

[sphinxbrah]

Since the MW concerns you maybe you should see how you feel with your estradiol at about 100, the middle of the range, could try aromasin from RUI-products, just click on the banner up top of the page. It's doesn't usually crash a guy's E2 like arimidex commonly does and aromasin doesn't have the rebound effect like arimidex. You could try just a little or you might find out what too low E2 feels like.

I figure since some guys have reported that they feel better with their E2 higher than most guys that there could be some guys who feel better with it lower than most and possibly you are one of those and so maybe you should investigate it. Maybe try Dim first.

Another thing you could do and maybe it should be what you do first is to lower your prolactin to mid range and maybe even lower.

I've read of a bunch of guys taking low dose cialis every day and loving it, most at 5mg per day. It helps in many ways.

Here's a link to another supplement that is suppose to help:

peaktestosterone.com/Pycnogenol_Erectile_Dysfunction.aspx

Problem is that there are so many things that can bother erections, high cortisol, antidepressants, probably hypothyroidism....have they been looked at yet on you?

Indeed, I ordered some DIM and am waiting for it to arrive. I will try this as it is all natural and over the counter.... I don't really want to start taking what are prescription drugs without one and also with no supervision. :S

I attempted to lower prolactin again using natural methods (vitamin b6 in the applicable doses) but this did not bring about any morning wood. No idea if the b6 was actually working to lower the prolactin, however, as I didn't get any blood tests while doing so. For what it is worth, I have read that higher e2 levels can bring proclatin levels up with it. I feel this might be the case with me but it is pure speculation on my part.

Is low dose cialis a good idea at my age? Can you develop dependency? The last thing I want to do at my age is make it so I am unable to have sex without the aid of drugs :O

I have never taken any antidepressants or even any drugs for that matter so nothing external can be to blame. Something just has stopped working at 100%.

I am discussing thyorid and cortisol issues with my endo in August. Anything else I should bring up? I sweat buckets. We are talking crazy amounts. I will sweat through my shirt in 10 minutes in summer just walking around the block. Even in winter I sweat through shirts at times just walking around. I feel the two issues (over-excessive sweating and lack of morning wood) are likely related.

Is cortisol the only adrenal I need to test? Are there others that are relevant?

 

[1693]

I sweat buckets. We are talking crazy amounts. I will sweat through my shirt in 10 minutes in summer just walking around the block. Even in winter I sweat through shirts at times just walking around.

Made me think of hyperthyroidism.

 

[sphinxbrah]

Made me think of hyperthyroidism.

I am starting to think this might be possible as well. I sleep shirtless so in the summer my white bed sheets are literally stained a light yellow from all the sweat in my sleep after like 3-4 few days. Even more incriminating is that although my mom does not have thyroid issues (as to our knowledge, anyway) all three of her sisters do. I am unaware if they are hypo or hyper. I will inquire.

But my TSH levels are normal so when I brought this up with my family doctor he said I was fine and that I just was either a) a really sweaty guy or b) had hyperhydrosis which is of course a separate condition. I could see either of these being possible. I have yet to bring it up with the endo. I will on my next visit (August 24) and see if he is more receptive and (hopefully) willing to run some tests.

Is it possible to be hypertyroid with normal TSH levels? Other than no morning wood and how easy I sweat buckets I do not have any of the other symptoms of hyperthyroidism that I googled. Morning wood etc aside, I not only feel normal.... I feel extremely healthy/young/strong/energetic as any physically active 23 year old male would.

 

[Megatron28]

I am starting to think this might be possible as well. I sleep shirtless so in the summer my white bed sheets are literally stained a light yellow from all the sweat in my sleep after like 3-4 few days. Even more incriminating is that although my mom does not have thyroid issues (as to our knowledge, anyway) all three of her sisters do. I am unaware if they are hypo or hyper. I will inquire.

But my TSH levels are normal so when I brought this up with my family doctor he said I was fine and that I just was either a) a really sweaty guy or b) had hyperhydrosis which is of course a separate condition. I could see either of these being possible. I have yet to bring it up with the endo. I will on my next visit (August 24) and see if he is more receptive and (hopefully) willing to run some tests.

Is it possible to be hypertyroid with normal TSH levels? Other than no morning wood and how easy I sweat buckets I do not have any of the other symptoms of hyperthyroidism that I googled. Morning wood etc aside, I not only feel normal.... I feel extremely healthy/young/strong/energetic as any physically active 23 year old male would.

Get a thyroid panel. Not just tsh.

I can't remember... What is you height, weight and bodyfat %?

 

[1693]

You could read some about it here:

stopthethyroidmadness.com/graves/

 

[sphinxbrah]

Get a thyroid panel. Not just tsh.

I can't remember... What is you height, weight and bodyfat %?

5'11, 185lbs. About 11% bodyfat. I am rather muscular and pretty lean, although I do still have fat on me.

 

[sphinxbrah]

You could read some about it here:

stopthethyroidmadness.com/graves/

Very helpful link, thanks! I definitely have a few of these symptoms, although most I do not. With a normal TSH perhaps it is just coincidental? I will for sure push for the thyroid panel with my visit to the endo on August 24.

- Intolerance to heat: most definitely

- Sweating more than usual: most definitely. Assuming usual is vs. the normal population.... I have been sweating buckets for years.... but now that I think about it.... not in my teens when I also had morning wood each day without fail. The onset of sweating and heat intolerance might well have been around the same time my morning wood stopped. Sadly, I am not sure when exactly the latter occurred.

- Frequent bowel movements or diarrhea: yes. I never even thought of this but I take a minimum of 4 dumps a day. I did not think this was unusual but apparently most people take around 2 per day, according to my quick google search. :S