Hi! First of all, sorry for the lengthy post. Unfortunately, I feel problems for years and I'm really determined now to resolve what's wrong and hot to fix it (if there's a way).
Height: 6' 2Â½"
Weight: 184 pounds
Scroll down for lab readings.
After I finished college and started working, my health started to gradually decline. It started with male pattern baldness, chronic lower back pain and a growing belly. I attributed these to age and prolonged sitting. Note that I gained belly without big increase in body weight. I did drink a lot of beer these days. Psychologically, I was under stress and not very satisfied with my job and private life. I went to a general physical exam every year, but nothing ever showed up as an significant issue. Note also, my general health was fine most of my life.
After couple of years I noticed ED problems. I could get it up only alone with hand stimulation. With a girl, it was a problem. My libido also diminished. I saw here "women as an art" expression, and it accurately describes the issue. There were no spontaneous or morning erections. I was also regularly fatigued at work and had problem concentrating.
In gym I was struggling putting muscle mass. Eating for mass resulted mostly in increasing belly. Getting up in the morning was a challenge. On weekends I'd sleep 10 hours at least.
I decided to visit an urologist. After talking with him, he suspected a psychological cause for my ED, but soon started suspecting psycho-organic one. He took a blood sample for T levels and those showed at the bottom normal range, too low for my age (I don't remember the number). DRE sample showed urinary infection (I said I was urinating frequently). Intracavernosal injection test didn't produce a strong erection. Doc prescribed Cialis, antibiotics and a multivitamin. Fortunately, this worked. Doc also said that TRT is an option if I decide to do it. Not as a lifetime option, but a short time kick. He theorized my condition will improve after I started having regular sex.
I got on with my life and after a while returned to this doc for another Cialis prescription. He did another T levels test and they were somewhat improved (note, no TRT). He ordered a spermiogram. I postponed this one for a long time. I was scared of the result. Finally, I took it and result was normozoospermia.
Several months ago I did another general physical exam covered by employer. This one included thyroid ultrasound.
My blood work was all in ranges, except:
MCHC 358 g/L (320-345)
MPV 10.7 fL (6.8-10.4)
Iron 35 micromol/L (11-32)
UIBC 11 micromol/L (25-54)
TIBC 46 micromol/L (49-72)
Please tell me if I should post the scan of the full results.
My thyroid ultrasound revealed "size at the LIMIT, with no visible nodules, no increased vascularization...". My thyroid hormones in the serum were:
TSH 1.39 (0.34 - 5.60)
T3 1.51 (1.34-2.73)
T4 115.2 (78.0 - 157.0)
1) Iron, UIBC, TIBC and Feritin in a month
2) Thyroid ultrasound and hormones in 6 months
I did the 1). Feritin was 141 (20-250). I guessed this ruled out hemochromatosis, so I didn't even bother to get the results for the rest (were I wrong?).
I started heavily with self educating and decided not to rely too much on the doctors. I really don't know now, why my urologist didn't take more tests, like FSH/LH to see if I'm primary/secondary? Was he saving me money? Or he figured I'm primary with other tests?
Anyway, I ordered my supplements and started taking them
- arginine 5g/day + pycnogenol
- panax ginseng
- zinc picolinate double strength
- vitamin D 5000 UI (not taking it yet, current levels test first)
I concentrated on my thyroid now. I'm measuring oral temperatures. I don't remember ever being this low:
Day Morning Afternoon
1 96.3 97.3
2 96.8 97.7
3 96.3 97.3
Over the last year I used "gourmet" non-iodized sea salt at home called "sea salt flower". Claims to have natural iodine. I'm ditching it right away. Note that my problems are much older than my use of this salt. Where I live, salt is mostly iodized and only half of my meals are cooked at home.
I don't follow a specific diet regimen, but I avoid sugar and most of junk food. I eat veggies regularly, healthy fats, etc.
- testing sex hormones FSH/LH, free/total T, prolactin, E2
- vitamin d test + dosing accordingly
- thyroid panel TSH, T4, T3, fT3, fT4
Does IR make sense?
Should I check adrenals?
Any other suggestion?
I'll get back with the results soon.