Sorry in advance for the long story.
I’m 38 years old and currently on a TRT gel prescribed by my primary doc- here’s my story. 4 years ago I made a dr appointment to discuss the embarrassing ED issues I was having, the Doc ordered blood work and I came back in for a follow up. She said my T levels were normal (did not share the numbers, and I didn’t ask) and she recommended ed meds. I started using those and it helped for sure but did not address the other issues, mood, lack of morning erections, energy level, libido, focus etc.
Fast forward 4 years and I’m still having similar issues. My dr. office sends me an email inviting me to a “patent portal” that I logon to and find a wealth of information- all of my past lab results etc. I noticed my T levels from back in 2013 and see that it’s clearly in the low range:
Testosterone Total 276 ng/dl
Testosterone Free 6.5 pg/ml
I got online and started reading everything I could about testosterone and quickly learned that my numbers were not good and this could be the cause of my ongoing issues. I asked the doc to order updated blood work and the results were even worse.
Feb 2017 numbers:
Testosterone Total 84 ng/dl
Testosterone Free 2.6 pg/ml
TSH 1.58 uiu/ml
FSH .9 mIU/ml
Prolactin 7.3 ng/ml
Doc puts me on T-Gel 25mg/2.5gm 1% once daly. Which I find out later is a very low dose. After nearly 3 months on that protocol I don’t FEEL any different so I get blood work again and the Doc calls and says my levels are back to the “low end of normal”. When my results post to the portal I was shocked to see what she called “normal”.
April 2017 numbers:
Testosterone Total 189 ng/dl
Calc Testosterone Free 4.6 ng/dl
Calc Bioav. Testo 107. ng/dl
Free Androgen Index 31.8%
SHBG 20.6 nmol/L
More about me:
I’m 6’4” 207 lbs, I workout 5x/week (weight training) and have not had much success in muscular gains. I have a very healthy diet and lifestyle, I track all of my calories but still have excessive abdominal fat. I also get 7-8hrs of sleep every night. I have fathered 2 children and wish to maintain fertility.
Any constructive advice would be much appreciated!