Hey guys. I am new here and found my way here because I am experiencing a reduction in sex drive. Here is some information about me. I am 43 yrs old, 6’2", 200 lbs. I have worked out my whole life. I had a vasectomy about 2-2.5 years ago. My sex drive has decreased noticeably since then. My wife says that the vasectomy was like getting neutered with regards to my sex drive. It seems like just 5 years ago that I wanted sex about 3 times a week and would still rub one off usually once a week as well. Now we have sex only once every 1-3 weeks, and I vary rarely rub one off. I even occasionally have mild difficulty obtaining an erection when trying to rub one off. I went to a local HRT clinic and had blood work taken. My total T was 543. I was expecting it to be lower considering how I feel. She said they find that their clients feel best in the range of 700-1,200. She gave me three options. Clomid pills, weekly test injections, or pellets. She recommended Clomid if there is ever a chance of us having more kids, but my wife and I are done with kids. I am thinking either injections or pellets. I am not sure what I am going to do. I never make important decision quickly, so will likely think on it for at least a couple of months.
My work checks my cholesterol every year, and it has always been low. I eat a very healthy diet, and do not drink alcohol. This past year it was 108 with my HDL coming in at 53. My wife is a nurse and thinks it might be too low, so I started eating more healthy fats, but have not noticed any difference in how I feel.
My blood pressure was 98/58 during the health check.
Here is the list of things that they tested:
F TSH 1.180 0.450-4.500 (uIU/mL) BN
F Triiodothyronine,Free,Serum 3.0 2.0-4.4 (pg/mL) BN
F Reverse T3, Serum 17.3 9.2-24.1 (ng/dL) BN
F T4,Free(Direct) 1.25 0.82-1.77 (ng/dL) BN
F Prostate Specific Ag, Serum 0.4 0.0-4.0 (ng/mL) BN
- Roche ECLIA methodology.
- According to the American Urological Association, Serum PSA should
- decrease and remain at undetectable levels after radical
- prostatectomy. The AUA defines biochemical recurrence as an initial
- PSA value 0.2 ng/mL or greater followed by a subsequent confirmatory
- PSA value 0.2 ng/mL or greater.
- Values obtained with different assay methods or kits cannot be used
- interchangeably. Results cannot be interpreted as absolute evidence
- of the presence or absence of malignant disease.
F Testosterone, Serum 543 264-916 (ng/dL) BN
- Adult male reference interval is based on a population of
- healthy nonobese males (BMI <30) between 19 and 39 years old.
- Travison, et.al. JCEM 2017,102;1161-1173. PMID: 28324103.
F Estradiol 21.4 7.6-42.6 (pg/mL) BN
- Roche ECLIA methodology
F WBC 3.9 3.4-10.8 (x10E3/uL) BN
F RBC 5.18 4.14-5.80 (x10E6/uL) BN
F Hemoglobin 15.4 12.6-17.7 (g/dL) BN
F Hematocrit 46.0 37.5-51.0 (%) BN
F MCV 89 79-97 (fL) BN
F MCH 29.7 26.6-33.0 (pg) BN
F MCHC 33.5 31.5-35.7 (g/dL) BN
F RDW 13.2 12.3-15.4 (%) BN
F Platelets 184 150-379 (x10E3/uL) BN
F Neutrophils 47 (%) BN
F Lymphs 41 (%) BN
F Monocytes 8 (%) BN
F Eos 3 (%) BN
F Basos 1 (%) BN
Immature Cells BN
F Neutrophils (Absolute) 1.9 1.4-7.0 (x10E3/uL) BN
F Lymphs (Absolute) 1.6 0.7-3.1 (x10E3/uL) BN
F Monocytes(Absolute) 0.3 0.1-0.9 (x10E3/uL) BN
F Eos (Absolute) 0.1 0.0-0.4 (x10E3/uL) BN
F Baso (Absolute) 0.0 0.0-0.2 (x10E3/uL) BN
F Immature Granulocytes 0 (%) BN
F Immature Grans (Abs) 0.0 0.0-0.1 (x10E3/uL) BN