If anyone has read my previous post, it is obvious I have had problems with chronic pain for a while. I managed to get the chronic pain under control, I have been able to lift weights again and I am finally on the path to recovery. However, my testosterone levels in the past two years have dropped from 1049ng/dl (36.4nmol) to 292ng/dl (first thing in the morning test), I have erectile dysfunction, I have completely lost interest in girls, I store all my fat around my hips and stomach, I am tired and lethargic all the time and I believe I have somehow acquired hypogonadism.
I have gotten tests for my TSH, T4, DHEA-S Total and free testosterone, Luteinizing hormone and follicle stimulating hormones. Recently, my TSH was around 1.5 (which is an improvement compared to my last test), and my T4 was well within range, my total testosterone was 9.1nmol in the afternoon (263ng/dl) and in the afternoon and 10.2nmol first thing in the morning after waking up.
My free testosterone came in at 200pmol/l in the afternoon and 259pmol/l in the morning (I used to live in the states so getting used to the nmol and pmol measurements has been a bit confusing). My SHGB is quite low at 20nmols. I have a good diet, I exercise as much as I am physically able to and I get a consistent 8-15 hours of sleep a night (I like to sleep). I went to an endocrinologist to talk about my erectile dysfunction a few months ago and he ordered a blood test which came out at 14nmol, which he completely dismissed even though he had a previous test of me at 36.4nmol, a few months later (now) I got another blood test from my GP as my sexual problems were getting much worse.
My GP said he couldn’t treat me with testosterone as I was not below 8nmol, and he is probably the coolest doctor I have ever met but said he cannot treat me unless I am under 8nmol (232ng/dl) due to legal reasons. Being below 8nmol would have given me a private script and under 6nmol (173ng/dl) would have given me a PBS script. The tests from the GP came out at 9.1nmol in the afternoon and 10.2nmol first thing in the morning.
I know how difficult it is to get Testosterone replacement in Australia as it is ridiculously backwards here when it comes to understanding men on a hormonal level (but 14-year-old girls can get birth control pills…) A diagnosis of delayed puberty is not possible as I had precocious puberty (my ephysial plates are closed, I have x-rays, I hit puberty at age nine, possibly related to a premature birth). I am literally the last person that I would expect to have hypogonadism, and I am worried I have testicular failure or a tumour on my pituitary or something sinister like that. I have no problem going on TRT, I just need to find a doc who will treat me. If I live in Australia, am I able to get treatment from a private clinic in the US or am I too young/need to be in the States?
I think quite a few Australian’s resort to black market testosterone due to how ridiculous doctors are about prescribing it here. My mother is a doctor and believes I have acquired hypogonadism and would benefit from testosterone replacement, however since she is my mother she is unable to prescribe it to me. I have an appointment with an endocrinologist, however the things I have read about endocrinologists in Australia are not very positive.
My DHEA-S came in near the top of the reference range at 9.8 (not sure what that means). I very rarely drink alcohol and I don’t partake in any kind of illegal drug use. My oestradiol levels came in rather low, even though I am not on anastrozole anymore (was given it because my growth plates were closing early, was given to try delay the closure due to my short stature). I am quite aware a case like mine must be quite uncommon, and it really sucks, so what do I do? I supplement with Vitamin D, Fish oil, all the essentials etc. I turn seventeen very soon, I had my early teenage years robbed from me due to years of chronic debilitating pain, I cannot let my adulthood be taken from me too.
I also have tests of my LH and FSH, which are in mid-range. I have never touched any anabolic steroids or prohormones in my life, however I am quite educated on the topic as I am interested in medicine in general. Please do not flame, I just want opinions and advice.