This is an important question I would like to get an answer from both from guys under current treatment and under diagnosis.
One of the things that have made me postpone pushing for TRT is that during these last years I`ve been wary of something being off in my body, I have experienced periods of relief where I actually feel great and have a raging libido. Typically a day or two, but often periods as long as a week as well.
Is this normal?
For a long time I thought it indicated hope that my body had the potential to function on it`s own, but I did not get any wiser.
Most things go in cycles, and your body does too. Maybe it's caused by Testosterone, maybe it's something else. More probably it's a complex interaction between several factors. But it's what happens to all of us who survive our youth.
Your question is so vague it is difficult to comment. Age, lab numbers, more concrete symptoms, etc. will elicit more concrete and helpful responses. Could be low T, could be low free T, could be high E2, could be a myriad of other problems.
There are a lot of bright people on this forum who generouslly take the time to share their knowledge and genuinely help people. Read all the stickies, scour the posts on this forum and then go back and re-read your post. Vague questions such as yours will likely receive vague answers or none at all.
I`m sorry if I came across vague, so let me try again:
"Did or do any of you guys, either now under treatment or being currently diagnosed, experience your symptoms as being cyclical with periods where you actually felt good and normal? Or were your state consistently depressed without any relief?"
As for me personally, at the age of 27 years, the fact that I have had periods, although typically short, where I feel normal is what has postponed any decision with regards to going down the TRT route, since it have given me hope that I may actually function on my own and can find a natural explanation. I have given up that now, so it was merely a question of curiosity.
I already made a thread on my own specific situation with blood work and all relevant details. Probably too detailed since I did not get any replies there either. Maybe I smell bad.
No. I have not been consistently depressed without any relief, and maybe you do smell bad. You don't ask much that we can answer here.
At twenty-seven? You're supposed to be out scamming the trim! Even at eighty seven something's wrong if you're constantly depressed. Find out what it is. No, wait! Have somebody professional find out what it is. They just might do a better job of it.
And apparently, your comprehension of the written word is rather poor if you can`t fathom my simple question. I never spoke about depression either, I spoke about a "depressed" state of being, i.e., low testosterone levels, fatigue, etc.
As for "professionals", I`ve been seeing several of those the last years without receiving any help, so thank you very much. I was hoping to receive some guidance here, but apparently that will not happen.
I'm surprised at the hostility you're receiving here, It seems like a simple and valid question to me!
I've been diagnosed with low T and feel pretty consistently crappy, however, like you describe I do also experience periods where everything seems to be going ok! I've had libido return, but most frequently I'll experience it in an alleviation of the brain fog I usually experience. I'm doing engineering in college so the difference on a "good day" or "bad day" is particularly apparent. I will quite literally go from being so well versed in a subject that I can tutor it to struggling to answer basic questions and making stupid mistakes in the course of a week.
It seems to indicate that my body COULD function better on its own, but I'm not willing to experience those wild fluctuations and be perpetually waiting for a "good" day so I've decided to go on TRT.
The only reason I have not weighed in on the thread is because frankly I don't know the answer. I stay out of topics that I am not at least basically versed in. Though I do browse it and weigh in when I can.
I think VT is spot on. It is easier to deal with lab numbers and specific symptoms and that is why there was not much response. I am sorry, I did not recall your previous post with your lab results.
Now that I read your re-stated situation it would lead me to guess that your system is functioning to some extent. I know Dr. Shippen had some success restarting natural production using clomid. I researched it and experimented with it last summer when I was using a weak concentration of gel. My doc at that time thought a TT of 450 was just fine. Sorry I can't recall the doses of clomid I used or the exact protocol but I can tell you it worked. I had bloodwork done after three weeks of clomid and my TT was 1350. The downside was my E2 was 62. I stopped the clomid but I do believe it boosted my natural production because now that I self- inject, I only use .75 mg per week and my TT is consistently around 1100 and my E2 is in the mid 20's.
If I would have known it was going to be that effective I would have documented the protocol. All I can say is it worked well for me, a 54 yo man. The research is out there so if you are interested you can do a little research and figure out what might work for you. I doubt you could find a doctor who would be on board with it, but clomid is easy to obtain ( and cheap). Just a suggestion. Good luck.
Actually, I already tried clomiphene therapy and have read quite a bit research on it. Initially I got a great boost in well-being and serum testosterone increased significantly as well, although far from the magnitude you experienced. The problem was that SHBG increased as well, such that from my calculations, free testosterone did not really improve by much. I wonder if it could be placebo. Anyways, after a while it seems like it stopped working and my doctor did not want to renew my prescription.
Got another prescription from a new doctor, but did not feel well on it after a few weeks, so I quit.
Right now, Im trying HCG monotherapy as a last shot at stimulating my body to produce on its own, but I don`t notice anything after one week. May have to still give it some time.
Ive done my best to see if there is a pattern to the cyclical nature of my symptoms, but I cant find any. It should be said that I typically feel down and the down periods seems to last longer lately, although there have been periods where I felt good for so long that I thought I was cured.
Not sure if my libido and crappy state necessarily are related though, as there are times where I feel physically fit, but with zero libido. Others time I may be tired, but have good libido.
With regards to a pattern, I dont think it is food. But I have noticed that counter-intuitively, I often feel better when I work hard, sleep less than ideal and dont necessarily eat the best food. Periods of low stress, lots of sleep and excellent food are often my worst periods. Actually, that is how I discovered that something was very off three years ago.
I looked at your bloodwork on the other post and I think the HCG is probably a good last-shot attempt before trying full-blown TRT. Hopefully one of those work for you. Wish I had more to offer than hope but it seems like you have tried a lot of different ways to boost your natural production to no avail. Keep us updated on your progress. I am curious to see if the HCG yields results and, if not, TRT alleviates your problems.
I think one of the concerns Ive had with TRT is that I want to know for sure that I actually need it and that I dont end up fixing the symptoms of something else.
I was convinced that I had hemachromatosis since I had very high ferritin levels earlier and the symptoms are exactly the same as low testosterone. I`ve heard a lot of guys who actually suffer from HH which end up with TRT treatment and does not actually treat the real problem. That is potentially very dangerous in the long term.
After eliminating that, I`m not really sure what else it could be. Thyroid seems to be ok. I think the adrenals are okay as well, although I should probably see if I could get a 4X saliva test for cortisol. My doctor did not even check blood cortisol.
I still wonder if I could have gotten some permanent damage after long-term abuse of my body by stress, work and very little sleep. Regardless, Ive been resting for a long time and dont improve, so I guess it may be permanent.