37 year old male. 6'2" 270. Depression, anxiety ridden, significant weight gain in the mid section, aching stiff joints, angry mood swings, no motivation, very low libido, weak erections...
I've been diagnosed with hypogonadism by my pcp about a year and a half ago after going to the doctor for tender nipples. They hurt to touch, they itched, it was awful. He ran blood tests and then I had an MRI on my pituitary, everything ok. He prescribed androgel 5g. At first I felt 'better' (could have been in my head) but as time went on I felt more and more like I did prior to going on the gel, except the discomfort in my nips went away.
I've had multiple blood tests since then and each one has been consistently under 200 (the latest in July 09 was an all time low of 159). My doctor agreed to double the dosage to 10g a couple weeks ago. I've really felt no difference. I'm thinking that I may be one of the 5% who doesn't respond to androgel?
I am feeling a little overwhelmed by all of the information available on this site. I'm prepared to go back to my pcp and request alternatives to androgel. I'm actually thinking that I should request a referral to an endocrinologist. My pcp is a good guy and I like him a lot, but I feel like this may be a little out of his area of expertise.
I'm pretty sure that I've been afflicted all my life. I'm just miserable. It's effecting me in every aspect of my life -- all negatively. I'm hopeful seeing others on here who have similar stories who are now feeling normal.
I'm wondering if buying some l-dex would help in any way? Or is that primarily for people who have normalized their t-levels but have higher e2 levels? But everything I'm reading says that if you take any TRT you should also take something to lower your e2. Thoughts?
Also I'm concerned with sperm production (or lack thereof) - what's the realistic chance of jump starting my sperm production while continuing TRT? I've read about hcG and clomid. I'd like to have kids at some point.
When I go back to my PCP and go to a endocrinologist I want to be as prepared as possible so I can be sure that I'm getting the best treatment.