19 and I Need Advice

Hey guys, I’m 19 and over the past couple of years I’ve had quite a low sex drive. I get morning erections very rarely, maybe, once every couple of weeks. I’ve had performance issues in the past and struggled to maintain erect and achieve full erections.

I’m about 5"10, average weight and build. Have a small amount of body fat on my lower abdomen but nothing major. I went to the doctors around this time last year with my issues and she sent me off for some blood work which I will post below.

For some reason on this print out it doesn’t show my FSH, LH or E2 levels. If I remember rightly my FSH and LH levels were about a quarter off the end of the reference range and my E2 levels were just below the reference range.

Because the doctor dismissed these levels as all being normal I decided to do some of my own research. Like many others I found that although my Free test levels are within the reference range, they’re very sub-optimal for my age. It would be expected that I should be somewhere closer to 20 nmol/L.

After a year of actively avoiding sexual opportunities I decided I need to make more of an effort to get this sorted. I went back to my doctor, he told me that even though these levels might be slightly low for my age they’re still normal :sweat:. But after a long appointment he said he’d check the levels of my sex hormones again (I tried to get others which are suggested on the site but he wouldn’t let me). He thinks that I’m just stressed about it and that’s what’s causing the issues. He’s now prescribed me viagra to see if this will help me overcome my psychological set backs, if there are any. And if there are any stronger abnormalities in the blood work he’ll refer me to a urologist or endocrinologist.

Sorry for the lengthy post.
Feel free to ask questions.

I appreciate any responses or advice, thanks!

Please read these stickies:

  • advice for new guys
  • things that damage your hormones

see if anything above fits your case

where are you located, that affects your options

  • I see, UK and NHS - sucks

when a young guy has low LH/FSH, we look for a cause and also want a clue as to whether T was once high, and there are clues as suggested in the stickies

HTC - hematocrit is oddly at a higher level for your T level

I can’t see that free T was tested

thyroid problems can cause or complicate things like this.

  • have you always used iodized salt?
  • get cold easy or easier now?
  • outer eyebrows sparse?

Labs: - with ranges please

  • LH/FSH
  • prolactin
  • estradiol

You are a the start of a long learning curve and will end up knowing a lot more that almost all doctors.

Okay I’ll have a good read of them before posting again. Are you available for PMs or would you prefer I posted to you here?

Yep, NHS unfortunately.

I meant I remember my LH and FSH being in the upper quarter of the reference range, sorry.
I’m pretty sure my T was once high, during puberty at least, masterbation 2-3 times a day was the usual case.

Yes unfortunately the doctors surgery I attend doesn’t test Free T, I’d have to wait for a referral to an endocrinologist to get it tested. (Damn NHS)

  • I’ve never heard of iodized salt until being on this forum.
  • I don’t get particularly cold, apart from my hands.
  • My eyebrows are fairly thick, I do have some extra hairs which extend around the outside, I presume that’s normal.

Out of interest KSman, you’re very clued up on the subject, is your knowledge from personal study or career work?

Thank you

Also serum Prolactin is on the labs I posted, hopefully E2, LH and FSH will be tested in the bloods I get taken this week. He didn’t tell me what id being tested for though.

I am a retired engineer and my knowledge base preceded my own need for TRT. Doc was impressed 10 years ago when I seemed to know more than most all doctors.

No PM’s on this site or other legit sites in the USA as law enforcement can take down a site where there may be sharing of “sources”.

Please maintain a single thread for your case.

Try to get old lab reports and post with ranges.

Your salt might be iodized, have a look.

You can check overall thyroid function by checking oral body temperatures as per the thyroid basics sticky.

We have lots of guys your age with hormone problems.

If LH/FSH are low, the next step is testing estradiol [E2] as a possible cause. Also need AST/ALT as liver issues can reduce E2 clearance.