Glad I started reading this site. Been having the usual symptoms for many years and every year the doctors would tell me that everything looks good. I havent felt good for a long time and had somewhat resigned myself to dealing with feeling beat down. Would appreciate any insight you guys could provide.
Describe body and facial hair: average body hair, male pattern baldness, average facial hair
Describe where you carry fat: all throughout the trunk, gyno, love handles, gut
Health conditions: have had anxiety issues for 10+ years, kidney stones 1x
Rx / OTC: took celexa and xanax ( as needed )for 3-4 years for anxiety. No hair loss drugs nor any statins, etc
Describe diet: 2,500-3,000 calories per day. Generally healthy although perhaps a bit too many bread based carbs
Describe training: 3-5 days lifting per week, 1-2x cardio per week
Testes ache ever, with fever. Definite ache, not sure about fever. Confirmed varicocele, I believe on both sides.
How have morning wood and nocturnal erections changed: Occur less frequently although they still happen
Symptoms: significant brain fog, anxiety problems, low lidibo, seem to have difficulty dealing with certain stressors, motivation is low, confidence lower than it should be, difficulty shedding fat and gaining muscle.
Some History: Had T levels ( total t only ) checked about 5 years ago and they came back at 350. Doctor offered me androgel but I chose not to take it. Had a recent test about 6 weeks ago that showed total T levels of 300 and my urologist immediately gave me clomid. Took clomid for about a week and felt much worse while taking it. I quit taking the clomid once I had done enough recon here to realize that I needed to understand what the issue is before starting treatment.
LH: 1.8 ( 1.7-8.6 )
FSH: 1.7 ( 1.5-12.4 )
Testosterone: 350 ( 348-1197 )
Free Testosterone: 9.2 ( 8.7-25.1 )
DHEA: 146 ( 31-701 )
TSH: 1.45 ( .450 - 4.500 )
Estradiol: 24.2 ( 7.6-42.6 )
Vitamin D: 48.7 ( range unknown )
Cholesterol Total : 131 ( 100-199 )
HDL: 39 ( >39 )
LDL: 77 ( 0-99 )
T. Chol / HDL Ratio: 3.4 ( 0.0 - 5.0 )
I am trying to understand these results but could use some help from the wealth of knowledge here. It seems like at a minimum I probably need to get the doc to prescribe an MRI to rule out anything bad with the pituitary. Is this correct?
Test levels need definite help. Since I saw a 50 point gain six weeks after taking a weeks worth of clomid does that indicate I might respond to a SERM or is that a pretty normal fluctuation?
HDL levels need some help. They have always been borderline low.
Any insight would be greatly appreciated.