In a bit of dilemna, as an active 24 year old, 6' 190 lbs, 12-14% Bodyfat, I've had symptoms of low T (Low libido, constantly feeling tired even after sleeping well and taking naps, little progression in the gym, little facial hair growth) for awhile but never realized Low T may have been the cause. A few weeks ago, I went to my general doctor explaining my symptoms and they gave a basic blood test (taken in the afternoon) that showed a total T reading of 255 ng/dL range (280-1110). General Doc referred me to an Endocrinologist for more tests.
The Endocrinologist did a thorough examination including additional blood work taken first thing in the morning while fasting, MRI to check the pituitary (came back fine). Endo initially suspected secondary hypogonadism. Fasted blood results are below:
Follow up Blood Work (8AM Fasting):
Testosterone, Serum (Total) 310 ng/dL [350 - 1030]
% Free Testosterone (Dialysis) 2.1 % [1.5 - 3.2]
Free Testosterone, Serum 65 pg/mL [ 52 - 280]
Prolactin, Serum 19 ng/mL [ 3 - 18]
LH 5.3 mIU/mL [1.7-8.6]
FSH 5.0 mIU/mL [1.5-12.4]
TSH 2.18 uIU/mL [0.27-4.2]
Prostate Specific Ag, Serum 0.6 ng/mL [0.0-4.0]
Sex Horm Binding Glob, Serum 18.3 nmol/L [14.5-48.4]
The Endocrinologist said that although my Total T is below range and my Prolactin is above range, my Free T is in range and that I'm normal. She also said that she would be hesitant to put a 24 year old on HRT as it is a life-long treatment. I told her that I understood but was tired of feeling like this and asked what else we could do. She offered to refer me to a male urologist who I will be seeing next week.
At this point, I'm in a tricky spot as I don't wanna commit to HRT until I've exhausted all my non-HRT options. I'm hoping the urologist is familiar with the potential benefits of hcg or clomid for a natural restart without resorting to HRT. I've never taken any kind of steroid or OTC natural test booster.
Any opinions or insight into my situation would be greatly appreciated. Thanks!