New member here, just looking for advice. Here’s some background.
At 23 years old I developed serious cystic acne. Never had acne as a teen. Started having problems with erections, no morning wood, no energy, brain fog, needed naps every 5 hours, etc.
Got my thyroid checked out and was over the normal range. Got put on thyroid meds and it is now in range, but symptoms persisted. Tried everything to get rid of the acne for 2 years (cut out dairy, tried doxy, retin a, tazorac, etc) until I had enough and took accutane. It got rid of my acne but still wonder if there is some hormonal issue going on.
Decided to get my testosterone checked. I was 25 years old at the time. Here were my results:
testosterone: 348-1197; mine is 395
Test Bioavailable: 110-575; mine is 184
Test Free: 46-224; mine is 85.8
LH: 1.7-8.6; mine is 4.6
FSH: 1.5-12.4; mine is 3.5
Estradiol: 1.5-42.6; mine is 13
SHBG: 10-50; mine is 22
DHEA: 110-510; mine is 350
Went to a few endos but nobody wanted to treat me because I was in normal range. Something wasnt right though. I shouldnt be needing naps after a full night sleep and having erection and libido problems. Anxiety and depression. I couldnt put on muscle. I just couldnt figure it out. Did full blood panels and everything was in range nothing out of the ordinary.
Finally found a dr to put me on clomid at a mens clinic. For the first little while I felt better then all symptoms came back. I was on 50mg ED. My numbers looked good on paper but I felt like crap. Literally the only positive was bigger ejactulation. Bloods:
Here is my bloodwork after 6 months of 50mg ED
LH (1.5-9.3): 16.8 (HIGH)
Estradiol (< OR = 39): 51 (HIGH)
Testosterone Total (250-1100): 1188 (HIGH)
Free T (35-155): 270.9 (HIGH)
He didnt test SHBG or anything. Decided to lower my dose. This was my bloodwork after a year on 25mg ED:
DHEA-S: (362.0) Reference range: 160.0-449.0
Estradiol: (43) Range: 27-52
Test: (873) Range: 249-836
Test Free: (19.82) Range: 4.5-25
Test Bioavailable: (496) Range: 108-500
SHBG: (32.1) Range: 16.5-55.9
The rest of my bloodwork was in range. Cholesterol, thyroid, etc all in range. I’m at a loss. The only morning wood I’ve gotten in the past 5 years is when my clomid dose first started. I have no drive, no motivation, all symptoms still the same.
He wants to put me on 37.5mg ED and see how I feel after 2 months. And he prescribed me LGD 4033 to give me a “boost”. After looking it up that’s basically a steroid that will shut me down further so I dont want to use it. It also made me now think the dr has no idea what hes doing.
I’m at a loss idk what to do. I’ve heard clomid can look good on paper but symptoms still persist idk if that is the case though. I put off TRT for so long because I didnt know if I needed it and I know it’s a lifelong commitment. I also possibly want kids someday and didnt want to go infertile. I know HCG can help preserve me but I’ve heard it can cause a lot of side effects so if I go the TRT route I want to do just test to start. I’ve gotten to the point where I dont even care anymore about becoming sterile. If I have no sex drive and dont care about getting a gf why even care about being able to have kids.
Any ideas? Would 125mg test per week with no hcg and no ai be a good idea? I’m just lost and looking for help.