First: all natty, and 33 years old.
Been chasing this one around for a while. Basically I’ve had some libido/ED issues off and on for a few years, sometimes hitting the level I used to be at but not consistently. But there are 3-4 day stretches where nothing will happen down there.
My T is generally fine (580), but recently started turning up lower (380, but was tested later in the day, retesting today). I’ve got literally all the signs of low T too, even to the point now where my friends and girlfriend say I’m getting increasingly more moody and irritable. I’m tired out, depressed, demotivated, and losing confidence. Balls no longer get huge if I don’t bust a nut for a few days like they used to. I typically have to rely on a PDE5 inhibitor for morning wood or to give an all-star sex performance.Then there’s a few random days where everything is great that I’m yet to figure out.
My TSH has been dropping over the past year, now <1 the past couple tests. I have a pituitary tumor, and I hear this can impact TSH, causing hypothyroidism, causing low T.
My prolactin and E2 are slightly high (22 and 38) but not alarming. I do seem to function better sexually if I get them down, but it takes either a drug like cabergoline or a lot of vitamin E. Caber didn’t go well, and 800IU daily vitamin E tanked my E2, making me even more moody, fatigued, and depressed. But my libido was ripping during this time.
I haven’t had cortisol checked yet, but for the past couple months this has been going on, I consistently awaken in a state of high stress. It fades as the day goes on. This is totally new to me. I admit I’ve been taking phenibut every weekend, and probably need to stop that in case it’s causing some sort of rebound.
The depressed state is getting progressively worse which makes me wonder if it’s a chemical thing, not just me. I’m missing more days of work, spending more time in bed, and doing less with my free time - despite lots of support from friends and a generally good life. I did recently try memantine, but the results were negligible and I think it toasted my libido and ability to get it up entirely.
I uploaded my last few T checks - not including the one I just went for today. A couple caveats:
12/28 - this was a few days after trying aromasin for the first time. My libido actually fell afterwards, and I haven’t touched it since. E2 dropped to 22 from 38.
1/23 - I was on cabergoline
2/9 - this test was done around 4:30pm, which surely didn’t help my T levels. All other tests were done around noon. I was also on 800IU vitamin E at this time.
Screenshots of recent bloodwork:
Thoughts? Interpretations? What would you guys try?