T Nation

25 y/o with Low T

I recently went for bloods after having symptoms of low T.

Turns out my suspicions were correct and the results came back and I do have low T.

My GP is open towards TRT and prescribes it for a lot of his patients, but he has referred me to an urologist to get a second opinion.

Reason being he is a bit hesitant to prescribe TRT for someone of my age since it will impact my fertility.

I am married and my wife and I are still on the fence of deciding if we want children or not, but at this stage in life I care more about feeling better than having kids. She also feels the same and would also rather have me feel better.

So how do I convince my doc that we can go forward with the treatment.

Labs: https://imgur.com/a/lK07j

More info:



-describe body and facial hair
Underarm, pubic, chest I have a lot
Some hair on stomach
Able to grow a beard

-describe where you carry fat and how changed
Have always carried mostly around my stomach and lower back area

-health conditions, symptoms [history]
No major conditions
Symptoms I have been gaving due to low T:

  • depressed
  • no libido
  • easily agitated
  • loss of motivation and ambition
  • weak erections

-Rx and OTC drugs, any hair loss drugs or prostate drugs ever
I have used PEDs. But last time I used was about 4 years ago. Never did pct and cycles were moderate.

-describe diet [some create substantial damage with starvation diets]
Have only been craving junk and fast food the last few months. Have gained some weight over the past years.

-describe training [some ruin there hormones by over training]
Haventvtrained for 3 months. No motivation.

-testes ache, ever, with a fever?
Left testicle is tender at times

-how have morning wood and nocturnal erections changed
I do get morning wood. Around 3-5 times a week.

You shouldn’t have to choose to suffer the horrible symptoms just to be able to have children, what’s the point of having kids if you can’t enjoy life and be there for them in a healthy fashion? HCG in combo with TRT works to help keep fertility. Some don’t even need HCG to conceive on TRT.

You will need to inject 250iu hCG SC EOD to preserve your testes. hCG activated LH receptors just like LH. TRT shuts down LH and FSH.

Your doctor obviously does not understand this. You will need to educate yourself, then your doctor or find another doctor.

Please read the stickies found here: About the T Replacement Category

  • advice for new guys - need more info about you
  • things that damage your hormones
  • protocol for injections
  • finding a TRT doc

Evaluate your overall thyroid function by checking oral body temperatures as per the thyroid basics sticky. Thyroid hormone fT3 is what gets the job done and it regulates mitochondrial activity, the source of ATP which is the universal currency of cellular energy. This is part of the body’s temperature control loop. This can get messed up if you are iodine deficient. In many countries, you need to be using iodized salt. Other countries add iodine to dairy or bread.

KSman is simply a regular member on this site. Nothing more other than highly active.

I can be a bit abrupt in my replies and recommendations. I have a lot of ground to cover as this forum has become much more active in the last two years. I can’t follow threads that go deep over time. You need to respond to all of my points and requests as soon as possible before you fall off of my radar. The worse problems are guys who ignore issues re thyroid, body temperatures, history of iodized salt. Please do not piss people off saying that lab results are normal, we need lab number and ranges.

The value that you get out of this process and forum depends on your effort and performance. The bulk of your learning is reading/studying the suggested stickies.