Hello guys, i am a 20 year old male, 175 cm 71 kg, i go to the gym from about two years, never used steroids, i store fat mostly on my belly and have gyno from puberty . Since about 2 years i have been feeling very lethargic, no energy , getting tired really easy, no desire for sex and more symptoms that could be related with low testosterone. Moreover one year ago i broke my arm and had a surgery done, after which the healing is going insanely slow.
Thats why i decided to take some action and check my hormones and my suspicions were right my endocrinologist said i have low testosterone. So she decided that she must find the reason for that and put some other tests to be done and she thought it was all due to my thyroid glands, so she put me on levothyroxine for four months. However, after 3 months i didnt feel any improvement so i went to another endocrinologist and he said my thyroids were absolutely fine and its a mistake that i am taking that medicine. I went to a third one and when he confirmed that it was a mistake i completely stopped. But both of them didnt comment on my testosterone.
Then i went to a fourth endocrinologist and he made extensive blood tests. The hematology results - Leucocytes, Hemoglobine and 10 more were all normal and in range thats why i wont list them all. Also Chemic tests including Calcium, Kreatinine, Natrium , Kalium and more were also all in range, except Bicarbonat which was 32 nmol/l of range from 22 to 30.
The Vitamins tests:
25-Oh Vitamine D nmol/l range: 50-250 result: 63
Vitamine B12 nmol/l range: 130-500 result: 878
Vitamine B9 nmol/l range: 6-30 result: 29.8
Hormone tests :
Testosterone nmol/l range: 6.9-28.1 result: 7
DHEA SO4 umol/l range: 2.2-16 result: 8.3
SHBG nmol/l range: 10-70 result: 6.8
LH U/l range: 0.8-7.6 result: 6.2
FSH U/l range: 0.7-11.1 result: 5.7
ACTH ng/l range: 0-50 result: 32
Cortisol nmol/l range: 150-700 result: 560
Prolactin is also mid range but i dont have the numbers with me now.
The ACTH and Cortisol tests were done because of suspicion of adrenal fatigue, but it turns out this is not the problem. However, what the endocrinologist said is that although my testosterone was in the low range and SHBG as well, the LH and FSH were fine , as well as the cortisol and ACTH , so she said everything should be normal and i dont have to be treated. I dont agree with her because i am feeling all the symptoms and i just cant live like this anymore, feeling sleepy and without any desire for activities at all at such young age.
I am determined to find out the root of the problem, and now i am going to search for Urologist in my home country since all the endocrinologists have disappointed me so far. I have ruled out that the cause is Thyroid problem , and most probably it is not Adrenal Fatigue as well.
My question is what should i look for next and what tests should the next doctor i go to appoint ? I think what needs to be tested as well is my Estradiol and possibly i could check whether there is something wrong with my growth hormone secretion. But what else should i look for ? Thank you in advance.