Hey there everyone I’m a long time lurker of these forums and have just now decided to join and share my story and see if I can get any more insight. It amazes me the amount of people that will post a question without first researching the internet. There is a 99% chance someone else has asked the same question that you have.
Anyways I have been having these hormonal issues for almost 2 years now. They all began with me feeling very cold all the time with progressively worsening fatigue and sexual issues. Before all of this began I had an outstanding sex drive and happiness in life. I always had a healthy diet with a steady workout routine. I’m around 6ft 187lbs with a nice amount of muscle and strength. I ordered my own comprehensive blood work off of privatemdlabs on 8/15/2016, and have done so many times throughout the past two years. The first round of blood work showed a TSH level of 5.8 with a Prolactin level of 21 which was outside the scale. Total Test levels were normal around 600 and free testosterone was mid range on the scale. SHBG was always around 20-30 on every round of blood work I have had.
I began supplementing with iodine and waited a couple more months to get another round of bloodowork. TSH remained elevated and Total Testosterone levels were now coming in at 360 which baffled me that it could drop so rapidly within two months. After the shock of seeing my levels so low I began to seek out help from an endocrinologist because my primary doctor would not help. The endocrinologist was even worse than my primary doctor and said my test levels and tsh were normal and that he couldn’t understand what was wrong with me. He ordered blood work that tested for inflammatory markers and celiac disease as well as ferritin and iron levels. All of those came back completely normal and I made sure to get copies of my values so I could research myself. I took matters into my own hands and ordered research grade clomid to see if I could restart myself.
After 4 weeks of 50mg a day of clomid my Test came back at 890 and I felt great besides the side effects from clomid. The clomid made me feel highly emotional and I haven’t had emotional breakdowns so it was terrible and I promptly tapered off and quit it. I began seeing a wellness clinic here in Birmingham, Alabama that is very well known for its intergrative approach towards health. I told this doctor everything that I have done and he decided the best thing to do was try to treat my Thyroid first and wait on testosterone due to my age. The months after clomid all of my test levels stayed steady at 600 but eventually had a slow decline back into the 400s.
The nature Throid helped my tsh levels get back down to 1 but test levels never improved. My doctor decided to try HCG MONOTHERAPY at 100iu a day and it worked great for 3-4 months but I eventually got fed up with trying to control the estrogen levels that it caused. My doctor prescribed Arimidex at 0.25 twice a week but I could never dial it in. Erections were either fantastic or sorry. I eventually decided to quit my thyroid medication and the hcg in hopes of treating myself naturally. The thyroid medication was making me feel hyperthyroid anyways. I stopped everything almost 3 months ago and have been feeling just fine. I have actually felt better while off of my thyroid medication. Body temperature is always a consistent 98.6 and recent blood work has shown a natural Tsh of 1.8 which I’m happy with for the time being.
What is concerning is that my test levels of never improved back to my natural levels of 600 even after 3 months of being natural. My LH and FSH are always around 6 or 7 yet my total testosterone has fallen back into the 300-400 levels again. They held steady in the 500s for a short period but have fallen again. Erections have been perfectly normal and the only side effects from my test levels is my terrible energy levels and headaches I get every day, and not to mention worsening performance in the gym.
My doctor wanted me to start on 60mg of Test Cyp twice a week with 500iu of hcg and 0.25 of Arimidex on the days of test injections, but I never started due to being weary of starting this long road at the young age of 22. I know this was ridiculously long but I would love to hear some insight from this amazing community
TLDR: 22 Years old with test levels in 300-400s and considering trt even though very unsure if I want to begin this long journey.