No, I didn't have any blows to the pituitary or had any accidents.
I used Paxil for around 5 years at doses around 10-20 mg for depression .I have recently read about ssri's negative effects on testosterone. Do you think this might be a cause? I stopped using it recently ..
The first time I had a blood test done was 3 years ago, and my TT testosterone was at 3.1 ng/ml (2.49-8.36) and FT 7.3 pg/ml (5.1-41.5) . I didn't think much about it back then as I didn't have symptoms that I am having now.
This year I started having some low T symptoms such as very low libido, sleep disturbances, unstable erectile function .I can't remember the last time I had a morning erection.I can't say I had low energy , may be because I work out regularly.So I visited an endocrinologist . He asked for certain tests including T3,T4,TSH the results were ;
Total Test 3.6 ng/mL (1.75-7.8)
Free Test 7.5 pg/mL (9-55)
Free T3 (serum) 2.9 pg/ml (2.5-3.9)
Free T4 (serum) 0.64 ng/dL (0.61-1.12)
TSH 7.5 mIU/L (0.3-4.2)
FSH 2.5 mIU/mL (1.27-19.26)
LH 1.8 mIU/ml (1.7-8.6)
Prolactin (serum) 13.4 ng/mL (4.1-18.4)
E2 31 pg/mL (20-47)
DHEA 216 mcg/dl (30-333)
Vit D3 30 ng/mL (30-100)
Cortisol (serum) 14.1 mcg/dL
After these results he diagnosed me as hypothyroid and prescribed 75 mg of Euthyrox everyday. He asked for further tests in a month. He said he wanted to see my testosterone levels after fixing TSH. He also asked me to supplement with D3. The results in a month came as: (06-01-2017)
Total Test 3.1 ng/mL (1.75-7.8)
Free Test 4.6 pg/mL (9-55)
Free T3 (serum) 3.4 pg/ml (2.5-3.9)
Free T4 (serum) 0.83 ng/dL (0.61-1.12)
TSH 1.9 mIU/L (0.3-4.2)
FSH 2.9 mIU/mL (1.27-19.26)
LH 2.4 mIU/ml (1.7-8.6)
TSH dropped to its range but Testosterone was even lower. The dr couldnt offer much about the low testosterone, he said he could prescribe sustanon/nebido .I didn't want that and told him that I wanted to try clomid. So I started it on my own after taking his opinion (He didn't have much experience about it)
As you said -Suspect liver is not clearing E2 properly, I thought about many supplements I have been using for years. BCAA s , Protein Powders etc (never steroids) Can it be a reason? Those supplements damaging the liver? I have recently started supplementing with grape seed extract and broccoli extract for the E2 in addition to the Arimidex.
I'll have the other lab works you asked in my next lab visit. Thanks a lot for your help..