I am 43yo, good shape, healthy diet, weight training 3 times a week.
Since one year i started to have symptoms : difficult to sleep all night long (waking up at 3 am every night), fatigue in the gym where i couldn’t do the same volume i did before, sometimes difficulty to get erection or keep it, low libido, no morning wood (i can’t recall the last time i woke up with an erection…problably more than 1 year). After 4 months waiting to the things to pass by themselves nothing changed and actually symptoms got more intense,so i went to doctor who prescribed blood test.
TSH. 1.2 (0-4)
FT3 and FT4 in the upper 1/3 of the range
Total Test: 370 ng/dl (270-860)
E2: <5 pg/ml (25-50)
SHBG: 40.7 nmol/l (20-60)
PRL: 8 (5-15)
LH: 4.8 (1.5-8)
FSH 4.5 (1-10)
Free Test (calculated): 6.1 ng/dl (7-25)
I retested and basically got same values except E2 which was at 8 pg/ml (25-50).
All the rest was good (cholesterol, blood, etc).
I can compare these tests with the same i did 3 years ago. All the values were the same except E2 that was around 20 and Testosterone that was 680, SHBG 33.
I did eco to testis and they found a varicocele (but small enough not to be operated expecially since i already have kids) and nothing else.
I am confused how to proceed. Do you think my symptoms are related to hormones or my level even if lower are ok ?