Thanks in advance for any insight you can provide.
Height: 5' 9"
Hair: Very little body hair. Patchy sideburns if I let it grow. To look neat I can shave once a week. I could not shave my stache for a year and I'd be okay.
Fat: hips and stomach hold most of my bodyfat. no change that I've noticed.
Conditions/Symptoms: No morning wood. Ever. Seriously. Can't get an erection usable for sex and haven't been able to since I became active at 18. Have to take Cialis or something similar. Never very firm, even when alone. Serious mood/depression issues for years. Various anti depressants did nothing and the side affects made me worse. Extreme fatigue where no matter how much I sleep I'm still exhausted. Overwhelmed with the urge to cry often.
RX: No prescriptions. I currently take a multivitamin, vitamin D, and fish oil. Protein shakes after workouts.
Labs: this lab was taken at 19 when I tried to go to a urologist to fix the erection issues.
TESTOSTERONE, FREE SERUM: 15.7 ng/dL Ref: 9 - 30
TESTOSTERONE, TOTAL SERUM: 475 ng/dL Ref: 240 - 950
Diet: I avoid carbs as matter of taste preference and it makes it easy for me to keep weight off. Very little fast food.
Training: was definitely better about this in my past. Currently I make it to the gym 2x a week for heavy compound lifts
Even when my diet and training were on point all the symptoms were the same.
Testes ache ever: Nope.
Morning Wood: None. ever. At least for the past 2 years.
Just looking for general advice I guess. Been wrestling with these problems for years and just want to get other opinions since my old doctor wasn't concerned. My T numbers aren't abysmal but this was taken when I was 19. I feel like I should be at the higher end if I'm only going downhill from here.
Any advice on what to discuss with a doctor? The only thing I can think to do is have another test done and have E2 checked. Thanks for any advice you can give me.
New Test Results as of 9/2
FSH 2.0 1.6 - 8.0 mIU/mL
LH 3.4 1.5 - 9.3 mIU/mL
Prolactin 6.9 2.0 - 18.0 ng/mL
Testosterone, Total 801 241 -827 ng/dL
TSH, 3rd Generation w/ Reflex to FT4 1.38 .40 - 4.50