What lab values could be looked at to potentially figure out why I might have low libido IF it has to do with hormones?
I have been on TRT for nearly a decade after a medical catastrophe where my hormones kept going lower and lower and lower. Strange thing is, as sick as I was with low T, chronically ill, chronic fatigue, obese for a period of time due to the medical issues and low hormones, adrenal fatigue, and was on handfuls of harsh meds (narcotics, muscle relaxers, sleep meds, psych meds,anti biotics etc), I never recall libido issues or ED. Getting on the TRT helped me get my brain function back, energy, immune system and digestion improved, body composition, etc and my libido continued to be its "normal" for years.
Fast forward many years and happily on TRT, with steady TT and E2 levels, yet the past few years my libido has gradually diminished it seems with ED issues as well (the very little I am even interested in sex).
Or maybe its just getting older or lifestyle changes can lower libido or change dopamine response? I am a lot more mellow at everything, even my workouts. I used to have a high action, adrenaline/dopamine lifestyle and hard core competitive workouts. Now I do a lot of reading and am not doing anything to get adrenaline dumps. I would prefer some meditation, a long walk, yoga or tai chi over power cleans or MMA these days ha. I still lift weights to maintain my muscle and keep bodyfat low but do not feel like tearing up the gym anymore and just do it for health reasons. But it is odd to have low libido and lack of aggression for the weight room...
My diet and supplements have been consistent with no major changes, no changes in medications for years either. So it does not seem like any variables changed other than a few years of super high stress, which I sort of am thinking is the issue. This all started during a devastating period of stress that I had no control over. But even if it is high stress what would show up on labs shutting it down and what would I need to boost it?
Anyone else on long term TRT at some point experience their libido crashing? I've only read issues with libido and ED when guys aren't using HCG or are using nandrolone. Even those guys it seems just say they up their T dose to combat it but I do NOT want to increase my T dose. All these tesitmonials for TRT guys rave about being as horny as a teenager. I have been steady with same doses of T, adex and HCG protocol for years.
Figured KSman might have some insight on where to start digging in my labs or what to get done for labs and try to resolve this.