This is my first time posting, was wondering if some of you hormone gurus could assist me in shedding light on fixing my low libido /ED predicament. Can someone take a look at my labs below and provide their take or any recommendations they would pursue please?
I took antidepressants over 6 years ago for a few years on and off. Towards the end around 2010 I noticed a drastic decrease in my libido and ability to get aroused and pop wood. That's when these medications freaked me out and I quit them cold turkey. For years I survived by utilizing cialis and other PDE5 inhibitors but recently they seem to have lost their effectiveness. I had visited Dr's over the course of the years and some said it was all in my head, another Dr. recommended testosterone cream but he really didn't seem to understand hrt at all and I wanted to use that as a last resort. I even tried clomid on the recommendation of a urologist which boosted my T but really didn't seem to do much for my libido.
I have a plethora of labs to share hopefully someone can gleam some obvious insights. For background purposes I'm 35, 6"4 195 lbs with about 13.5% bodyfat which seems to all gather in my abdominal and chest region. The chest fat appears to be a very mild case of gynecomastia. I've worked out at the gym quite religiously since I read that compound movements boost low T which is what I suspected that I suffered from, when I'm not in the gym I try to do T boosting exercises like sprinting and hill sprints with a weighted sled. I also cycle for cardio health for about 4-6 hours a week so I stay very active and eat very clean, in hopes that this would assist with my low sex drive.
The first time I went to the urologist he tested my total and free T. and gave me some cialis trial packs, below were the test result figures.
1/23/2014 Total Testosterone 399 ng/dL 348-1197 Free Testosterone 10.7 pg/mL 8.7-25.1
After a month I had another test which revealed the following. At this point I didn't know much about labs I just supposed if you were low the Dr. would tell you and assist. I never started analyzing them for myself until now. Those fucks barely look at them.
2/15/2014 Total Testosterone 513 ng/dL 348-1197 Free Testosterone 7.6 pg/ml 8.7-25.1
After a trial of clomid 25 mg every other day my total T came back as, but I had no improvements whatsoever in my ailments of low libido & ED.
5/4/2015 Total Testosterone 784 ng/dL 348-1197
Recently the cialis I was using appeared to fail to work with a decent looking gal I began a real push to find out how to fix this and I have some newer more robust labs (below). Some things I gleamed from this were that my TSH was high 5.450, the endo recommended that I was mildly hypothyroid and could possibly begin taking synthroid which might help with some of my symptoms, I began synthroid a bit after these results thinking they could assist with sex drive, which doesn't see to have helped after 1 month of 50 mcg per day.
TSH 5.450 High uIU/mL 0.450 - 4.500 01
T4,Free(Direct) 1.22 ng/dL 0.82 - 1.77 01
Testosterone, Free+Total LC/MS
Testosterone, Total, LC/MS 468.7 ng/dL 348.0 - 1197.0 02
Free Testosterone(Direct) 8.8 pg/mL 8.7 - 25.1 02
Luteinizing Hormone(LH), S
LH 6.2 mIU/mL 1.7 - 8.6 01
FSH 6.3 mIU/mL 1.5 - 12.4 01
Prolactin 11.7 ng/mL 4.0 - 15.2 01
Ferritin, Serum 176 ng/mL 30 - 400 01
Sex Horm Binding Glob, Serum 34.6 nmol/L 16.5 - 55.9 01
Below are my most recent labs. I knew my chest fat I was showing wasnt extremely high but was not normal so I pushed to have my estrogen checked on these most recent labs. Below are the results. This is before I began my trial of thyroid meds which I have been on for a month.
TSH 3.780 uIU/mL 0.450 - 4.500 01
T4,Free(Direct) 1.42 ng/dL 0.82 - 1.77 01
Testosterone, Free+Total LC/MS
Testosterone, Total, LC/MS 497.0 ng/dL 348.0 - 1197.0 02
Free Testosterone(Direct) 15.0 pg/mL 8.7 - 25.1 02
Estradiol 32.3 pg/mL 7.6 - 42.6 01
Roche ECLIA methodology
Thyroglobulin Antibody 0.2 IU/mL 0.0 - 0.9 03
Thyroglobulin Antibody measured by Beckman Coulter Methodology
Thyroid Peroxidase (TPO) Ab 15 IU/mL 0 - 34 03
Estrone, Serum 75 High pg/mL 12 - 72 02
The one figure from all these labs that stands out is my Estrone at a level of 75 pg/ml above the range for adult men. Does anyone have any experience with Estrone levels? I rarely see them spoken about on any forums, I only hear about Estradiol. I see that my estradiol isnt out of the range but I hear 20-30 is ideal.
I was thinking of trying an aromatase inhibitor to get my estrone levels down and possibly my estradiol in the 20-30 pg/ml range. From what a have gathered these test levels are pretty damn low especially someone who hits the gym 4-5 times a week focusing on deads, squats, bench and other compound movements. I eat very healthy, lean proteins, un processed carbs high fruit and vegetable content. I track all my foods almost daily in my fitness pal eating anywhere from 1800 to 3000 calories depending on my activity for the day. I get around 140-180 grams of protein a day, at least 200-400 grams of carbs and 40-80 grams of fat per day. I focus on eating at least 2 servings of vegetables per day, usually cruciferous and I sleep 8-9 hours religiously per day.
Im sure if the average guy did all the things that I do his gains and test levels would be off the charts. The only thing I think I can improve is stress. It seems like my life is dedicated to finding a cure to my ails and it definitely takes a toll stress wise. From what I have showed here what would you recommend. The only options I can see are trying a aromatase inhibitor to lower my very high estrone to see if that solves some of my symptoms or go on hrt.
It seems to be that testosterone with HCG and an AI is what many of the hormone shops are doing nowadays, is this a sound plan? Any recommendations or insights would be very much appreciated. I don't know what else to do. Just want to move on with my life. Don't want to further damage my body just want to live with a normal sex drive and abilities again.