I am a 24 year old guy. 170cm height, 63kg weight. About two years ago now I began experiencing ED. In addition, I noticed a host of other symptoms, including loss of libido, increased abdominal obesity and breast development, hot flushes, acne, bloating and loss of muscle tone. I went to my GP on numerous occasions to seek a diagnosis and was told, as many of us on here have been, that “everything is normal” and that it is purely a psychological issue. I’m sure most would agree having ED and a non existent sex drive in your 20s is in fact far from normal!
After much cajoling, I persuaded my GP to test my major sex hormones. I attach the la results below and would welcome your advice and interpretation of the same. I personally think low testosterone and potentially under active thyroid are the root cause of my symptoms, but would appreciate your insights.
Total testosterone= 17mnol on a reference range that goes from 10-30mnol (given I am at the lower end of normal, I believe this could be at the very least contributing to my symptoms)
Free testosterone= 0.343pmol/L
TSH level= 4.79mul on a reference range that goes from 0.34- 5.60mu/l
Oestrogen (E2)- 151 pmol/l- reference range goes from 73-172- this to me is higher end of normal
SHBG= 41nmol on a reference chart that goes from 10-50- higher end of normal again
FT3 = 10.1 on a reference range that goes from 7.70-15
My GP has told me that my total testosterone levels and my TSH levels are sub-optimal for a young otherwise healthy man of my age. GP said that total T for example should be a minimum of 25-30mnol for optimal sexual drive and muscle development. Oestrogen is at higher end and I have classical symptoms such as mild breast development, bloating, hot flushes and emotional disturbances.
GP has offered me Testo Gel, but nothing for fertility like HCG or indeed an AI to keep the oestrogen levels in check. Likewise, she tells me TSH is not low enough to warrant any form of thyroid replacement. Question to you guys is: if you were in my position and my stage of life, would you pursue the TRT route, or would you request a referral to an endocrine doctor for further evaluation of your thyroid related symptoms? I am desperate to feel like a young man, rather than a 80 year old!
Any guys on here recommend any private TRT clinics in the UK, preferably London or nearer, who specialise solely in TRT regimes? My fear is that, even though my GP has done the NHS proud for once by offering treatment based on symptoms as well as blood test numbers, with all the will in the world she does not know enough about TRT to develop for me an individually tailored treatment plan which takes account of my concerns regarding fertility and oestrogen dominance etc.
Given my age and the costs of accessing hormone therapies, I am keen to explore all avenues before committing to TRT or similar. However, I simply CANNOT continue living like a eunuch with no libido, ED and the cluster of other symptoms related to hormone problems. I welcome your input and your interpretations of my labs.