I am 34, in good physical shape and have been having problems with tiredness and ability to maintain erections during sex, I read the “Lab work, blood testing and symptoms post” on this site as well as a number of other sites which seemed to give similar data. I produced a list of tests I would like run and managed to get a doctor to agree to testing my androgens. This was something my normal doctor wouldn’t do as they felt a basic TSH test was enough. Both doctors thought these symptoms could be the result of depression and this is a possibility as I have been treated for depression and only recently came off Pristiq which is an antidepressant a month before my tests and the symptoms I have have not really changed, I want to have sex but physically have issues doing this I have been on antidepressants for 15 years so have no base to assume what normal is. I find that if I take my vitamins morning erections are stronger, if I don’t sometimes they are not there.
Details
age: 34
height: 5 foot 9 inches
waist: 31 inches
weight: 80 kg or 175 pounds
body and facial hair: hair on chest, little hair n back, full beard
where you carry fat and how changed:relatively lean most fat stored around mid section and some around lower back though not noticeable
health conditions, symptoms: Pernicious anaemia take B12 injections, depression and OCD for 15 years
Rx and OTC drugs: SSRI
diet: varies but does not change the symptoms
describe training: train 3-4 times per week, weights
Symptoms
-Brain fog- Yes
-Social withdrawal- Yes
-Why do I have boobs- No
-Why am I a moody bitch- Yes
-Can’t get it up- Depending on vitamin intake
-It is up, now it’s gone- Yes this is what caused me to get help
-My penis is numb -your nerves love T too- not really
-My testes are softer and smaller- not sure
-My testes ache 24x7- no
-My scrotum is up-tight, gives “how are they hanging” a whole new meaning- no
-“morning wood” -things are working- Occasionally
-Why do really hot looking women and girls now look like art instead of lust?- No
-I felt great when I started TRT, where did that go? Neural transmitters rule your life- Have not been on TRT.
-My TRT seems ineffective or never was. Things that crash in the night.- Not on TRT
-On TRT and still do not feel right, something else is wrong.- Not on TRT
-Loss of hair on lower legs, skin below the knees is smooth and shiny.- No
-Why do I feel cold easily or all of the time?- Occasionally
-Why do really stressful situations leave me feeling physically beat up. Adrenal fatigue.- Possible
-Dry skin, brittle hair and nails- No
-Skin on the back of hand is thin, crinkly. Pinched skin does not recover- Not a problem
-Gum disease, the ugly killer- No
-Why do I have a chronic cough [when taking a statin drug]- No
-I have visual field disturbances such as reduced peripheral vision- No
-My joints have started to ache- Occasional
-TRT and now leg cramps- Not on TRT
-TRT and wife says I am snoring more- Not On TRT
-I am not depressed, I just don’t care about anything, no joy, no motivation, no reward- Yes
-Skin does not heal quickly if broken- Yes
-testes ache, ever, with a fever- No
I asked about adrenal fatigue and the doctor says they would not diagnose that. I also asked if circulation and arteries could be the issue and was told it was not likely.
Test conditions:
I normally take the below as they help with my depression and ability to think
No multivitamins the day before- VITAFORM MEN - Allmax Nutrition | Perform Workout At Highest Level
Stopped calcium and vitamin D 2 days before
Stopped Inositol 2 days before
Fasted
test at 7:57 am
I received the below test results and the doctor said it was normal due to the ranges stated but that is not an answer.
Results- High levels in Bold
Total testosterone: 13.3nmol/L Ref. range(10 - 35)
SHBG: 28nmol/L Ref. range (13 - 71)
Calculated free test: 295pmol/L Ref. rang (225 - 725)
Vitamin B12: 629 pmol/L Ref. range (150 - 700)
TSH: 1.50 mIU/L Ref. range (0.50 - 4)
PSA: 0.10ug/L and Ref. range (0.0 - 2.5)
Sodium: 140mmol/L Ref. range (136 - 146)
Potassium: 5.1 mmol/L Ref. range (3.5 - 5)
Chloride: 104mmol/L Ref. Range (95 - 110)
Total Bilirubin: 10umol/L Ref. Range (<20)
Bicarbonate: 33mmol/L Ref. range (22 - 31)
Total Protein: 70g/L Ref. range (65 - 85)
Urea: 8mmol/L Ref. range (2.3 - 7.6)
ALT: 24 U/L Ref. range (<55)
AST: 18 U/L Ref. range (<40)
ALP: 74U/L Ref. range (35 -110)
Gamma Glutamyl Trans: 17U/L Ref. range (<40)
Est. GFR (mL/min): >90 per 1.73 sqm Ref. range (>60)
Globulin: 29g/L Ref. range (22 - 40)
Albumin: 41g/L Ref. range (36-49)
Creatinine: 85umol/L Ref. range (60 -110)
Serum glucose 6.3mmol/L Ref. range (4 - 7.8) I was fasting so range is (4 - 6)
Full Blood Examination
HB: 154g/L Ref. range (130 - 180)
RCC: 5.32x10^12/L Ref. range (4.5 - 6.5)
MCV 86fL Ref. range (80 - 96)
PCV: 0.46 L/L Ref. range (0.4 - 0.54)
MCH: 29pg Ref. range (27 -32)
MCHC: 336 g/L Ref. Range (320 - 360)
RDW: 12.6% Ref. range (11 - 16)
White cell count: 5.8x10^9/L Ref. range (4.0 - 11)
Neutrophils: 60% 3.5 Ref. range (2.0 - 8)
Lymphocytes: 29% 1.7 ref. Range (1.0 - 4)
Basophils: 1% 0.1Ref. range (0.0 - 0.2)
Monocytes: 8% 0.5 Ref. range (0.0 - 1.0)
Eosinophils: 2% 0.1 with Ref. range (0.0 - 0.5)
Platelets: 196 Ref. range (150- 450)
Ferritin: 150uG/L Ref. range (20-300)
Does anyone have any possible explanation for the symptoms based on the results?
If it is a hormone issue, is there a doctor in Melbourne, Australia who would be able to help? Is Clomid a way to solve this? I ask as I have read the restart protocol.
Thanks.