Hello anyone and everyone reading this post! I’m in serious need of some crucial advice as to whether I should even attempt to pursue TRT, as I exhibit classic symptoms, which I will list in no particular order
-Almost complete loss/lack of libido/sex drive
-NO spontaneous erections, and I mean NO erections, I don’t even get morning wood
-SERIOUS sleep issues: trouble falling asleep, staying asleep, and not feeling refreshed even after 7-8 hours (I rarely even get 7-8 hours because of my sleep issues, it used to be so bad that I would sometimes get 2 or 3 hours of sleep in 2 days and sleeping pills did little to help)
-Mood and anxiety issues that have not been helped or resolved with prescription drugs;
I’ve had some pretty severe issues with poor mood/depression and very high general anxiety. Medication was not effective and they were found to be unnecessary by my shrink*.
*I’d been thoroughly examined by a psychotherapist from Johns Hopkins who was finishing her residency at a local, highly reputed state university (University of CA, Davis). After around a dozen visits spread over a couple months, she said I was completely normal, just suffering from stress + sleep deprivation, and that I was wasting my time and money seeing her.
-Patchy hair in general (facial, body, and pubic) that I also note as being thinner compared to even just a year ago. I’ve had bald patches on my legs, arms, and face for as long as I can remember.
-Urinary incontinence (?) I have trouble emptying my bladder and sometimes urine leaks out minutes after I had just gone to the bathroom. This is involuntary and highly worries me.
-Hot flashes and sensitivity to cold/heat: This is very common and very noticeable, I sweat ridiculously easily and have trouble dealing with extremes or sudden fluctuations in temperature.
I am suspecting that this is due to either low T or a general hormone imbalance…
Here are my vital stats:
Age: 22 yrs
Height: 5’10" and some change
Weight: Fluctuates around 180-185 lbs
Waist: ~30 or 32, I’ve always been husky but I hold most of my fat around my abdomen
Describe body and facial hair: Patchy and thinning
Grow fast or slow/steady as a teen? I had growth spurts, those stopped, then I grew slowly
Testes ache or hurt? Ever? Currently no tenderness or pain. I think they may have in my mid or late teens
Mood: I experience mood swings and frequent low mood, lack of motivation, etc
Depression: YES, that’s all I have to say (I’ve tried 3 prescription AD meds and NONE worked)
Libido: Non-existent…no spontaneous boners, no morning wood, no physical desire, NOTHING.
Get cold easily? Yes, I am very susceptible to sudden fluctuations in temperature, but more-so, I experience frequent hot flashes and bouts of sweating, besides sweating ridiculously easily.
Dry skin/brittle nails? Yes, I have overly dry skin and have really messed up hands (I almost always have screwed up cuticles and frequent hang-nails)
Use iodized salt? Yes, I also take a once daily iodoral supplement at 12.5 mg per dose
Eat much sea food? I work in a Japanese restaurant so I have easy access, but I eat only very moderate amounts if anything, and I actively do my best to steer clear of soy and mercury-rich fish.
Exposure to chemicals? I was exposed to a bunch as a kid, I suppose. I huffed a lot of fumes but not by choice (I lived in an industrial city in Central California), but I also had a few incidences of my dumbass young self trying to do woodwork. I had a few guitars that my parents bought me, and in a stroke of what I thought was genius, I sanded off the paint and primer “so I could paint them a nicer color myself”. I ended up inhaling the chems in the paint and whatnot for a good while (I “worked” on them for months).
Ever used hair loss drugs? No, maybe I used my dad’s “hair-thickening” shampoo once or twice when I was young and we ran out of normal shampoo, but that’s about it.
Rx and OTC drugs: Not taking any Rx at the moment, in the past though, I’ve taken a few. As far as OTC stuff, I do take a bunch of supplements. I’ll list all below:
Rx: NOT CURRENTLY TAKING ANY RX, HAVE NOT FOR MANY MONTHS
Taken in the past:
SSRI’s Fluoxetine (Prozac) and Sertraline (Zoloft)
Lunesta *(only used around 15-20 times when sleep was almost impossible)
Lorazepam *(only took for like a week on a handful of occasions)
Iodoral (mixed form iodine)
Garum Armoricum (another type of fish supplement, but different from fish oil)
Spinal injury (Thoracic spine, bulged discs)
Torn/injured Tommy John Ligament
Spinal injury (same from teen years, it’s been an annoying, lingering injury that causes physical pain to some extent on most days)
Insomnia/Sleep issues that were not resolved with pharmaceuticals (sleeping pills, benzos, melatonin, anti-histamines, anti-depressants did NOTHING to help)
Anxiety/Depression/Fatigue: Again, no pharmaceutical relief. No improvement from any of the meds those pill-pushers gave me. My psychiatrist did a behavioral analysis and found me to be very stressed out but more or less completely normal. Any problems I had were due to sleep deprivation or gross exacerbation of anxiety that I had since I was a kid.
Weakness/Inability to put on muscle mass/Joint pain/Inability to adequately lose weight: Despite my best efforts, I get sort of big and then plateau no matter what I do. More rest, more food, trying harder/doing my best, more weight/more reps…less of these things doesn’t exactly help either. On top of that, I get sick very easily now.
Severe stabbing headaches that are typically unresponsive to even prescription migraine medication. I’m worried this may be a sign of a prolactinoma or other brain tumescent growth. I recently went on a camping trip, suffered a crippling tension headache and actually blacked out. The pain was unbearable and it seems they’re getting more frequent and more severe. I’ve always suffered from them but never assumed they meant anything medically serious.
These “usual suspects” have been ruled out:
-No active mono (apparently I do in fact carry the virus, but had no idea of this)
-No OBVIOUS or SEVERE thyroid symptoms, i.e. no obvious goiter, no bulging eyes
-No distinct memories of me having head or testicular trauma severe enough for me to factor
-No autoimmune disease markers in my blood stream
-No markers of elevated general inflammation in my blood stream
-No family history of MS, cancer, mental illness
-No severe/limiting food allergies with obvious symptoms
PAST TEST RESULTS (DURING SUPPLEMENTATION OF LONGJACK, TRIB, MACA, DIM, RESVERATROL, FENUGREEK, FORSKOLIN)
Component Your Value Standard Range
Testosterone, Total 575 ng/dL 240 - 871 ng/dL
FREE TESTOSTERONE 0.413 nmol/L 0.091 - 0.579 nmol/L
LH 6.7 mIU/mL 1.5 - 9.3 mIU/mL
FSH 5.1 mIU/mL 1.4 - 18.1 mIU/mL
Cortisol, AM Level 17.7 ug/dL 5.0 - 25.0 ug/dL
RECENT TEST RESULTS (TAKEN AT A DIFFERENT HOSPITAL THAN PREVIOUS TEST, I HAD ALSO CYCLED OFF OF ANY “ENHANCEMENT” PRODUCTS FOR ALMOST 30 DAYS):
Component Your Value Standard Range
TESTOSTERONE, TOTAL 397 ng/dL 160 - 726 ng/dL
SEX HORMONE BINDING GLOB 32 nmol/L 10 - 57 nmol/L
TESTOSTERONE, FREE CALCULATED 82 pg/mL 20 - 135 pg/mL
TESTOSTERONE, FREE PERCENT 2.1% 1.5 - 3.2 %
The fact that my total testosterone dropped so sharply made me so worried. My dad has a serum level of 899 ng/dL at 55 years of age and I get to sit here wondering why I’m feeling so crappy and dejected all the time…
Any insight or help would be greatly appreciated. If any of you would have suggestions, tips, or help with finding a family doctor/doctor who accepts insurance in the greater Sacramento, CA area (or in Central/Northern California in general) who is receptive to requests for TRT, I would be indebted to you. If you’re reading this, thanks for taking the time and for hearing me out.
Edit: I should also add that I talked over my most recent tests with my doctor. He did not test E2 nor a thyroid panel. He DID however refer me to an endo and a neurologist. I’m hoping to ask for MRI testing to rule out chronic fatigue, fibromyalgia, and any tumescent growth (be it a pituitary adenoma or anything else), as well as insisting on having a thyroid panel done as well as re-testing the essentials along with adding tests for prolactin, E2, and DHEA (as well as any others you guys can suggest)
And please excuse the poor formatting, thanks again guys.