i'm 38 years old. the last two years i'm stuggling with fatigue, weakness, depression, low libido.
when i first realized the problem i thought it was due to bad mental health.
so i visited a psycologist and he prescribed me 20mg ED citalopram for a 5-6 months course.
i felt better, depression went away but difficulties in orgasm occured and low libido stayed. that was two years ago. after the treatment i did nothing and waited to see if the symptoms have gone away. libido went to zero and i gained body fat. in fact i broke up with my girlfriend because of zero libido.
after 7 months i couldn't stand the bad mood and i tried again citalopram on same dosage but only for two months. i stopped it and all bad symptoms were present. but the main problem that made me mad was zero libido. so i decided to do a blood test without prescription from a doc.
i woke up an nice morning, went to a local lab and asked to check my hormones.
T4 10.38 (5.1 - 14.1 μg/dl)
T3 137 (80 - 200 ng/dl)
TSH 1.03 (0.27 - 4.7 μIU/ml)
PRL 4.7 (4 - 15.2 ng/ml)
E2 18 ( <60 pg/ml)
FSH 6.9 (1.5 - 12.4 iu/l)
LH 5.8 (1.7 - 8.6 iu/l)
T 270 (249 - 836 ng/dl)
CHOL 175 (130 - 200 mg/dl)
TRIGLYC 169 (<150 mg/dl)
i felt a little bit relaxed because i figured out what the problem was. low testo. one thing i couldn't understand was the low TSH when in fact i always gain weight easily especially at my belly. (and still don't understand)
next move i went to an endo. he said to calm down and that the problem is not so bad. he said that the thyroid is perfect and he asked for new labs after 15 days.
HDL 39 (>40 mg/dl)
LDL 134 (135 - 195 mg/dl)
TRIGL 154 (0 - 150 mg/dl)
thyroid gland normal
PRL 9.3 (4 - 15.2 ng/ml)
FSH 5.6 (1.5 - 12.4)
LH 3.0 (1.7 - 8.6)
T 363 (249 - 836)
F 10.5 (6.2 - 19.4 morning)
GH <0.1 (<8 ng/ml)
PTH 50 (15 - 65)
1,25-D3 24 (18 - 80)
IGF-1 194 (114 - 492)
89% abnormal spermatozoa (<86%)
sperm volume 2.3 (>2 ml)
sperm count 20 millions (>20)
sperm motility 34%
i went to see again the endo. he looked at my labs and he said "you' re fine. i can't do anything to help you. everything is in range". i argued that i had still bad symptoms, especially fatigue and zero libido. he said that only thing i need is D3 supplement and vacation. i insisted that i needed his help because my problems was real and he answered that i should see a psychologist and an uro for my sperm. i told him about HRT and he was upset. he even told me about my libido that theoretically i could prefer men!!! i got angry and i left his office. i'm not gay.
i asked a new endo and he said that the only thing i need is psychotherapy.
i went to an uro for my sperm and said it's not that bad and he cannot do something. i told him about HRT and said he could prescribe me testo but i don't need it. i explained i didn't want TRT in order to maintain my fertility. well, he said there isn't anything else to help you besides cialis for your libido and a good psychologist! i left in frustration.
i was deeply dissapointed from the doctors here in Greece.
i ordered a new lab test in order to prove that there weren't everything in my mind.
T 3.02 (4.00 - 11.00 ng/ml)
SHBG 34.9 (10.0 - 60.0 nmol/l)
FT 56.1 (47 - 244 pg/ml)
i was thinking seriously to start a therapy myself until i found a doc that is a retired bodybuilder.
i went to him with all my labs. he looked at them and he said things could be worse. he prescribed me a PCT like therapy in order to wake up my body in conjunction with weight lifting.
one month therapy
1500iu HCG E3D for three weeks
clomiphene 100mg ED first week, 50mg ED second week, 25mg ED third week
tamoxiphene 40mg ED first week, 20mg ED second week, 10mg ED third week
anastrozole 1mg EOD forth week.
i did all that for 18 days and stopped the HCG. i didn't feel anything special in libido, maybe a little better, more energy but very bad mood. so i thought that all these drugs together were too much for my LH and i started searching the internet.
today (day 19) i didn't take any medication. i just took yesterday 0.25mg anastrozole fearing excess E2 with so much clomiphene and HCG together.
the question now is should i just stop or continue and tapper clomiphene and nolva?
which is the most proper therapy with my labs results?
i'm thinking of taking clomiphene 12.5mg EOD and anastrozole 0.25mg EOD as HRT therapy.
i don't want to visit another doctor. i'm tired. i just want my energy and libido back.
any thoughts will be welcome. thanks a lot.
(i have done tones of reading across internet and this site)