Here is my story. 23 years old (almost 24) and have suspected secondary hypogonadism. I did 2 steroid cycles in my early 20s. After the first, I got bloodwork done a few months after PCT, and discovered my T levels were in range but at the lower end. Had all the classic symptoms of low T. Didnâ??t investigate further because the doctor said my levels were fine. Started another cycle 3 months later and decided to not PCT after the 12 weeks I planned to be on. I stayed on for about 8 months and then did a PCT with HCG followed by a SERM.
Got bloodwork done about 4 months after PCT because I had low T symptoms again, and I was hoping to get my wife pregnant. T levels were even lower, and LH and FSH were also low. I decided to try a restart. Took 10,000 IU of HCG over a 3 week period starting at 2500 IU per shot tapered down to 500 IU per shot. Got my wife pregnant. So I decided to run Clomid after the HCG. I didnâ??t feel well on Clomid so decided to jump back on Testosterone @ 200mg/week and felt good.
Had an appointment with a Urologist and I told him my story. He advised to stop taking Testosterone for a month and go for bloodwork, if my levels were low I would get TRT. Went off for 5 weeks and got bloodwork done, here were the results:
Prolactin: 10 ug/L (Ref: 3-13)
LH: < 1 IU/L (Ref: 1-9)
FSH: < 1 IU/L (Ref: 1-19)
Estradiol: 47 pmol/L (Ref: 40-160)
Total T: 3.9 nmol/L (Ref: 6.1-27.1)
Free T: 111 pmol/L (Ref: 110-660)
Bioavailable T: 2.6 nmol/L (Ref: 2.8-15.5)
SHBG: 13 nmol/L (Ref: 13-89)
TSH: 2.35 mIU/L (Ref: 0.5-5)
I felt awful during this time. I have been fatigued, noticed very achy shoulders and stiffness upon waking, anxiety, heart palpitations/arrhythmia, and lost muscle + gained fat in midsection.
Surprisingly, I didn’t get the prescription for Testosterone. My Urologist wants to investigate a little further to find the cause of my low T (he obviously was not surprised by my results above since this was all to be expected with a hormone crash). He suspects I may have had low T even before I started using steroids (I have gyno that never went away from puberty). Looking back, I agree with him. I had all the same symptoms of low T before ever using steroids, and when I was on cycle, all those symptoms disappeared.
My Urologist is sending me for an MRI of my pituitary, and in the meantime if I wanted therapy, he offered either Clomid or HCG. So I opted for HCG therapy. My Urologist wanted to prescribe me 2500 IU injections 3x per week, but I thought that was a little excessive, so we agreed upon 1000 IU 3x per week. I have 4 months worth, and will be getting bloodwork done in June.
How worried should I be about my E2 levels spiking? Luckily my Urologist will prescribe Arimidex if needed, but only if my E2 levels appear elevated. Can I stay on a protocol like this longterm? Will my leydig cells desensitize over time at this dose?