Background: 24 year-old male, lean, muscular. I took an SSRI (fluoxetine/prozac) for a period of time, and after discontinuing it (over a year ago), I now suffer from low libido and ED (to a degree). I’ve been lifting heavy and eating well. Before starting the drug, I was hypersexual.
I would greatly appreciate it if anyone could help me interpret the following results, as well as give me some guidance with regard to how to improve my numbers (and consequently my sexual function).
Test taken at noon while somewhat stressed/anxious (probably high cortisol/adrenaline - hate doctors)
Testosterone, Serum 532 ng/dL 264 - 916
Free Testosterone(Direct) 8.8 Low pg/mL 9.3 - 26.5
Dihydrotestosterone 49 ng/dL [ Reference Range: Adult Male: 30 - 85]
Prolactin 6.1 ng/mL 4.0 - 15.2 (on low end of spectrum)
Estradiol 7.8 pg/mL 7.6 - 42.6 (on low end of spectrum)
Estrone, Serum 78 High pg/mL 15 - 65
Adult male reference interval is based on a population of
healthy nonobese males (BMI <30) between 19 and 39 years old.
Travison, et.al. JCEM 2017,102;1161-1173. PMID: 28324103.
EDIT: Took a testosterone test earlier in the week, but I was stressed and it was taken in the late afternoon (4pm), so I don’t think the results were reflective of my normal levels. As such, I had it redone (and the results are above).
1st test results:
Testosterone 3.7 ng/mL|2.2 - 7.8 ng/mL
Sex Hormone Binding Globulin 51 nmol/L 13 - 90 nmol/L
Testosterone Free 52 pg/mL 30 - 140 pg/mL