Hello everybody. I hope some people here can help me as my life quality is currently at a very low point and I am starting to get more and more depressed.
Btw I am from Germany so some values are different from yours and I attached the full labs if you wanna take a look of some of the other stuff I have no idea about
I never had to complain about anything when I was 15, „sex life“ (i used to be “over potent” I would call it, always horny and therefore had many sexual encounters at that age) has been great and I was extremely energetic and fully motivated on a day to day basis therefore it was no problem for me going to the gym 5-6 times a week and building a great physique for someone at that age. Always been extremely into bodybuilding and therefore I always used to read a lot so nutrition and training is on point.
I always had some gyno which at first bothered me a lot but then I learned to live with it, although the endocrinologist back in the days told me it is only because of puberty and that it will go away later which never happened. Got blood work done I wrote down the ones that seem important, many more that I have no clue what they are, will attach pics
FT3=4.1ng/l FT4=1.5ng/l FSH=1.5IU/l TSH= 2.55mIU/l Estrogen17=39ng/l Estrogen=86pg/ml Prolactin=157mIU/l ProlactinSI=7.4ng/ml TT=432ng/dl SHBG=20nmol/l DHEA=4181ug/l ANDR=1.37ug/l
I was told that everything looks fine, estrogen kinda high but this is because of puberty. Almost 2 months later I kinda started having problems with my erections, nothing too bad but I just noticed because it was difference from going 150% to 110% in that sense so I went to the endo again and got new bloodwork done.
FT3=3.6ng/l FT4=1.7ng/dl FSH=1.9IU/l LH=5.1IU/l TSH=2.68mIU/ l Estrogen17=25ng/l Estrogen=50pg/ml Prolactin=219mIU/l ProlactinSI=10.3ng/ml TT=489ng/dl SHBG=32nmol/l DHEA=3685ug/l ANDR=1.13ug/l Albumin=46.4g/l
Again I was told everything was fine and I really didn’t care at the time because I was still on 110% sex life and gym going great. Over the next year sex life got worse and I started to struggle getting an erection while maintaining libido so I got blood work done withing two months twice
FT3=3.5ng/l FT4=1.6ng/dl FSH=1.6IU/l TSH=1.65mIU/l LH=3.3IU/l Prolactin=246mIU/l ProlactinSI=11.6ng/ml TT=467ng/dl SHBG= 34nmol/l ANDR=1.16ug/l
FT4=1.7ng/dl FSH=1.4IU/l TSH=3.10mIU/l Estrogen17=23ng/l Prolactin=169mIU/l ProlactinSI=8.0ng/ml TT=467ng/dl SHBG=29nmol/l ANDR=1.57ug/l Albumin 48.7 g/l
After this is just got worse and worse, I started to feel worse, losing energy and slacking off in the gym, losing libido, no erections.
Today I have absolutely no sex life as no erections and no libido at all furthermore I went from 5-6 times in the gym to 2-3 times as I am just not motivated and energetic anymore. This puts me into a depressive state and I sometimes even have suicidal thoughts. I didn’t ger the symptoms from depression but I developed depression because of the symptoms. Lastly I always feel tired and lazy and I start to put on mostly fat weight and no muscle even though my diet and nutrition is even better than back in the day. To sum it up: my life quality is almost zero!
I went to the endo again getting bloodwork done hoping that I will be diagnosed with low T and prescribed TRT… this was at 3pm and not fasted
FT3=2.9ng/l FT4=1.6ng/dl TSH=1.89mIU/l FSH=1.4IU/l LH=1.9IU/l Estrogen17 is called E2 here so I think its estradiol=16ng/l Prolactin=258mIU/l ProlactinSI=12.1ng/ml TT=154ng/dl SHBG=34nmol/l
Obviously the TT was very low so she ordered another test in order to get fasted results in the morning, I know TT goes down during the day but this value is really fucked up for a 19yo I think all in all I think my T values are fucked up for such a young age I literally feel like an old man.
FSH=2.1IU/l LH=6.6IU/l TT=508ng/dl SHBG=36nmol/l free T=17.55pg/ml
Sorry for the mess and the sometimes missing values, it was different labs and sometimes she did not order full blood work and sometimes I was just missing some values.
The doc told me my values are good and that I have nothing to worry about, she told me I should go and do sexual therapy… Guys can you please help me I am so lost and so disappointed by my doctor that she really did not care about my symptoms at all only about the numbers even though my numbers are literally similar to an elder man but of course still in range, everything they care about is this stupid range. I have no other endocrinologist in town so I won’t be able to get TRT prescribed. So I thought about doing TRT myself, I am scared to do so since it would be without medical supervision. I might be able to do some basic bloodwork but a full blood with hormones and thyroid will be very difficult and if not very expensive here. I am a student and live on budget I would barely be able to afford T OTC.
Can you please help me and advise me what to do and if I should do TRT myself or try something else and what exactly my protocol at the beginning should look like.
I am really desperate!
To sum it up:
Low T levels but still in range, feel like absolute shit, no motivation, no sex life= no life quality. Doc does not prescribe TRT, what should I do and if TRT how exactly should I do it.?
Every input is appreciated