43 yr old male in very good physical shape. 6'1" 212# muscular, weight train 5 days per week. Don't smoke, rarely drink alcohol, no drugs, eat better than most. Sleep well every night, overall very healthy. No illness and not taking any medications.
I take a multi vitamin every day, pre-workout before the gym (C4), protein/carb drink while at the gym, then maybe a high protein shake some time after the gym.
When I was 40-41 I started noticing my sex drive was not what it used to be. I chalked it up to getting older and brushed it off. After a while it started to become a problem. I would end up arguing with my wife because I just wanted to go to sleep and she was always in the mood. At the same time I started to notice some erection issues. Once in a while it wouldn't happen at all, other times it would happen but only last for a minute. So I went to a urologist.
I don't remember exactly but my testosterone level was in the low 300's. He explained that this is probably low, but without a baseline from when I was younger there was no way to be positive. But based on my symptoms he said let's get that number higher and see if it helps.
I started with the gels and underarm application and complained about it right away because it was too much of an annoyance so he switched me to injections. 200mg Cypionate every 14 days. My initial blood tests had my level in the 1,200 range 3 days after injection. I started to notice morning erections again and my libido got somewhat better. I still didn't want to have sex every minute like I did when I was 18, but I guess that's just gone forever. But it was still better. And when I did have sex I was a long lasting champ.
After a year on this dosage my testicles basically disappeared. They shriveled to a disturbing size and I wasn't happy about it. Also, after a lot of talk we decided to give it one year to see if we could have a baby. I went to the doctor to see how my sperm was doing and it was zero.
I stopped the Cypionate and within a few months my testicles were back to a normal size and another sperm count showed everything was back to within a normal range.
But now the problems really started. When I say I have zero sex drive, it's an understatement. I have ZERO interest in sex, which is pretty fucked up considering my wife is a gorgeous cover model. Literally, it would be ok if I never had sex again. And of course you can't force it to happen because if I try, it's just a frustrating experience because now I'm concentrating on it and my dick just hangs there like a soft noodle.
So... That's where I am. I'm getting more blood work next week then I'll go see my urologist again. But I have a few questions in the mean time.
1) Can testosterone alone be the cause of my sex drive issue?
2) Is there anything I can do while also going back on the Cypionate that will prevent my nuts from shrinking and allow sperm production to continue?
3) Is there something I'm missing that I should ask my doctor about? Some other test, or maybe some other treatment he could try?
I'm in the US for what that matters.