Good afternoon everyone,
Hope all is well. New member here, but I have been a long term reader. Been an avid reader of T-Nation for about 4-5 years now. Also, thank you to all the senior members who try to help us all here. Your help and knowledge are much appreciated.
I have been dealing with low testosterone for about 3, almost 4 years now. I have never taken steroids in my life. Been training for about 4-6 yeas, however, I have a solid athletic background (soccer player) and have always been physically active. It all happened all of a sudden, which is why I am frustrated and can’t seem to find the root cause. In an attempt to self-medicate, I’ve gotten over 4 blood tests over those 4 years to try to pin-point the root cause, but no luck. I am determined on fixing the issue now because I can’t live like this anymore.
-age - 22
-weight. 180. ~ 13-15% bf
-describe body and facial hair. Both are good
-describe where you carry fat and how changed
-health conditions, symptoms - symptoms
Very low sex drive, almost non-existent. Prior to this issue emerging, I had an above-average sex drive to the point that it would distract me from my daily activities (from the moment I wake up).
Inability to gain muscle like in my younger years.
Relatively lower energy levels.
Irritability and tight chest.
No conditions. Was treated for OCD in the past with clomipramine. Stopped taking it 3-4 months after bc it gave me serious side effects. Had a root canal around the same time symptoms started. Neglected it for 1-2 years, but I took care of it a bit over a year ago.
-Rx and OTC drugs, any hair loss drugs or prostate drugs ever
None. Just clomipramine and topical acne cleanser -prescription-
-lab results with ranges
-describe diet [some create substantial damage with starvation diets]
About 2250 cals per day. Clean food. Very healthy.
-describe training [some ruin there hormones by over training]
I currently train 7 days a week. Volume and intensity are adjusted accordingly. I was symptomatic even when I was just training for 3-4 days a week.
-testes ache, ever, with a fever? No.
-how have morning wood and nocturnal erections changed
Significantly. Sometimes I get morning, most of the time I don’t. Weak(er) erections.
My blood test results often come back with normal ranges. Our normal, not doctors’ normal lol except for TT. Free testosterone is good.
Here are the results of my most recent blood test:
TSH 3.310 (0.450-4.5)
T4, Free 1.18 (0.82-1.77)
T3 92 ng/dl (71-180)
Metabolic panel - everything is good.
Lipid panel - everything is good.
Total.T 267 (348-1197)
Free.T 13.3 (9.3-26.5)
FSH 1.3 (1.7-12.4)
LH 2.3 (1.7-8.6)
DHEA-S 108.6 (164.3-530.5)
Prolactin 11 (4-15.2)
Estradiol 12.3 (7.6-42.6)
IGF-1 225 (115-355)
Cortisol 16.9 (6.2-19.4)
ACTH, Plasma 41.8 (7.2-63.3)
Test was done upon waking in a fasted state before 9 AM for max accuracy.
I am still making gains at the gym and pretty strong, however, I don’t have the same “strength”/“drive” as I had in my late teens.
It’s definitely not primary hypogonadism. I don’t think it’s thyroid related @KSman because of the following:
My oral body temp. reading upon waking (tested it MULTIPLE times) = 97.6 - 97.8 which is optimal.
My mid-afternoon oral body temp. = 98.6. Once again, optimal.
My blood pressure is 115/54 which is optimal.
I don’t know wth is causing this! I am tired of feeling like crap, especially mentally. High testosterone and high sex both run in the family. Which is exactly what I had up until this issue. If this helps, I was severely stressed around the time when this problem started and could even say that I experienced an emotional trauma (someone I love almost committed suicide and I freaked out, which isn’t my nature). But even then, everything should’ve recovered by now, correct?
My FSH is ALWAYS low! It’s always 1.2-1.3. Highest captured was 1.9 which is still very low, especially at my age.
MY LH fluctuates greatly. Highest recorded was 5.5. But ,even then, my TT was ~ 420.
Yes, I do use iodized salt.
If this also helps, prior to any issues emerging, my TSH was 1.7 and had a very good metabolism, still kinda do.
Thank you all for the help in advance. I truly appreciate all your responses.