Hi Guys, I am considering TRT and would appreciate your input:
32 years old
175cm
Waist 106cm
I have very little facial hair. Am only able to grow on chin and moustache with sparse hair on sides. Very little hair on chest and overall body.
I carry fat heavily on my obliques. I also have really fat thighs and pseudogynecomastia. Endomorph.
Health - depression, anxiety, fatigue, brain fog. I have a large varicocele on left side of testicle.
Medication - I have been taking an SSRI since forever. At the moment I only take a tiny dose of SSRI to lessen anxiety.
Labs -
October 2017 Morning
FSH 5.9 IU/L (1.5 - 9.7)
LH 5.7 IU/L (1.8 - 9.2)
Oestradiol (E2) 55 pmol/L (<160)
Prolactin 244 mIU/L (90 - 400)
Total T 19.7 nmol/L (12.0 - 31.9) This is 568ng/dL
SHBG 52 nmol/L (17 - 56)
Free T 312 pmol/L (260 - 740) 89.9 pg/ml
March 2017
TT 17.4 nmol/L (12.0 - 31.9) 502 ng/dl
SHBG 51 nmol/L (17 - 56)
Free T 277 pmol/L (260 - 740) 79.8pg/ml
When I was 25 I had a reading and my free T was approximately 560 pmol/L - so there has been a substantial drop off. With age comes increased stress and responsibilities which is surely contributing.
Diet - I eat fairly clean and try to get healthy fats in with enough cholesterol consumption and adequate calories.
Training - I have been doing HIIT for a year and am now doing more traditional weight training so no over training concerns. I am unable to lose much bodyfat despite good diet and exercise.
My testes have never ached either with or without fever.
I have morning wood on some days.
It would seem that if I can control SHBG then maybe symptoms would improve. However, I have no liver issues so am not sure how to lower it. There is anecdotal evidence that the varicocele could be increasing SHBG.
Getting the varicocele repaired seems like a lot of effort for very little improvement, therefore I am considering TRT.
Do you think this is a smart option considering the above? Thanks for any input,