Hello everyone, I am going post my background and the last paragraph or two will contain my questions.
I am 22 years old, 6’5" and 255 pounds. Most of my weight is from muscle with some fat around the midsection and lower back. My body fat has decreased some since starting TRT, but I still carry the most fat in those two places. I have decently hair legs with medium hair on my chest and stomach, and almost no hair on my shoulders and back. I have a mostly full beard except for hair around the goatee.
I was originally put on TRT because I was dealing with bad depression, nonexistent libido, ED, loss of muscle mass (despite being a division 1 offensive linemen), increased fat, mood swings, brain fog, hot flashes, passive nature, and a few other, more minor symptoms I can not remember at this moment.
Before seeing my endo i was receiving TT levels between 180-220. My baseline test results were:
Free T: 1.60 Range: 1.68-7.46ng/mL Low
Prolactin: 6.3 Range: 2.6-13.1ng/mL
LH: 0.7 Range: 1.2-8.6mIU/mL Low
FSH: 4.8 Range: 1.3-19.3mIU/mL
Psa: 0.42 Range: 0.00-4.00ng/mL
VitD 25: 21.9 Range: 30-100ng/mL Low
TSH: 2.44 Range: 0.49-4.67
Free T4: 1.00 Range: 0.61-1.60
Free T3: 3.66 Range: 2.50-3.90
I am currently on 120mg/week of Test cyp split between two doses and 50,000units/biweekly of Vitamin D. My last lab results at the end of August had me at:
Free T: 5.76 Range: 1.68-7.46ng/mL
Vit D: 43.3 Range: 30-100ng/mL
I try to eat as healthy as possible, only eating whole grains, high protein, healthy fats, and eating plenty of fruits and vegetables. While staying away from sugars and junk food. I exercise 4-5 days a week for 1-2.5 hours a day. My testes very rarely ache, maybe one day every month or couple of months. Morning wood and nocturnal erections were frequent and consistent the first 2 months of TRT, but have since been reduced drastically.
Now on to my current issues. When I first started TRT all of my symptoms disappeared. I felt amazing, out going, confident, full of energy, high sex drive like I used to have, I had motivation to do things, desire to work out again, no ED, hard erections, frequent morning wood, clear mind, and I felt like I was on cloud nine. After the first two months my libido dipped down, i felt less motivation, too low of aggression, less energy, almost non existent morning wood, and I felt like I needed to sleep 11 hours and still be tired. After splitting my dose to twice a week, I felt some relief of the symptoms but lately they have gotten only worse.
Currently I have almost no interest in sex unless a woman attempts to turn me on. I have not experienced ED during sex, although my erections are noticeably weaker and smaller during sex and masturbation. I also have less energy and motivation, especially in the gym. I feel fatigued often, and I still feel tired even after 9-12 hours of sleep. I am lucky if I have a random erection through out the day or if I wake up with morning wood. I realize through reading some threads that I need to have my E2 checked during my next bloodwork.
So my questions are do I need to start using HCG at my age if I plan on having kids in the distant future (around 26-30 y/o)? Based on the information I gave how likely is it that E2 is the cause of my problems? Is there anything else that I should be monitoring that might cause my issues? During those first two months of TRT I felt like myself for the first time in years, I just want to return to feeling that way.