Hello there, i have been reading through many threads for a few months now regarding TRT and i am about to take the plunge. Im hoping that some of you guys will be able to advise. Ill try to keep this as short as possible. Here is my backstory.
Living in Canada
In 2015 at 23 years old i had pain in my right testicle so i got checked by a urologist and was diagnosed with a varicocele. Went for a varicocelectomy a month later. I was knocked out on anesthetic i guess because when i woke up they told me that i was fine and it was no big deal so i was sent home. The pain subsided but over time the varicocele got bigger (like bulging out of the side of my sac) & a small one developed on the left side. I was naive and thought because it no longer caused pain that it was fine. I was also complaining of shitty erectile quality to my doctor at the time as well as less frequent nocturnal erections but he said it was all in my head and prescibed me viagra.
My testosterone was 19.2 nmol/L at that time
Over the next few years Erection quality/frequency had dramatically dropped in terms of ridgitidy (to the point where i cant have sex without a blue pill) nocturnal erections do not occur at all anymore even when i have a full bladder. Not only that but i feel as though my brain function has dramatically decreased within the past couple years especially in the memory category. I have been feeling very depressed as of late (have been getting depressed more often) about my situation as i have a gf of 7months and she has no idea i have these problems as i mask it with the dick pills. We have a healthy relationship other than this secret of mine.
It seems as though the varicocele shrunk dramatically in the past year and thats when i realized my testicles had atrophied ALOT. They used to be healthy and heavy. Now they are the size of grapes. So i went back to the doctors to bring up my issue and got some tests done.
Current Testis Size
Left 12.3 ml
Right 14.2 ml
Testosterone - 10.4nmol/L range 8.4-28.8
Free T calculated - 259pmol/L range 115-577
Bio available T - 6.1nmol/L range 2.7-13.5
SHBG - 21 nmol/L range 10-70
T4 free - 12.3pmol/L range 10.6-19.7
TSH - 1.32mU/L range 0.32-5.04
Estradiol - 53 pmol/L
LH - 1.8 range 1.1-8.8IU/L
FSH - 4.6
Prolactin - 6.2 range 3.8-20.6ug/L
Testosterone - 7.4nmol/L
Free T - 189pmol/L
Bio available T - 4.4nmol/L
SHBG - 18.7 nmol/L
LH - 1.9
Prolactin - 8.3
I am already in contact with a fertility clinic to freeze some sperm as i have read on T-Nation that if I pursue TRT it will probably make me infertile (my doctor had no clue about this) My Endo would not prescribe me Clomid because she thinks i am not “low enough” however my GP is willing to prescribe me testosterone.
My main concerns are my balls atrophying even more than they already have, and losing my hair as i am already balding/receding quite a bit. I have ALOT of body hair on chest and shoulders as well as everywhere else.
If someone/anyone could chime in with some advice or personal experience please do!