Have a friend who recently started on TRT and has been amazed at the transformation. That was the push I needed to finally go and get some blood work done that I had been putting off for years.
Have been dealing with some extreme fatigue periodically as well as what felt like a slow recovery time. Aside from that, it seems to be particularly hard for me to get off, most of the time. At times this becomes full blown anorgasmia where I can’t cum at all. Erections tend to be pretty good. But will sometimes lose steam part way through.
Tend to be more anxious / withdrawn in social situations than I’d like.
Ideally I’d like to increase recovery rates, increase energy, and have more confidence in my ability to obtain an erection and orgasm during sex.
Age: 26
Height: 6’ / 183cm
Weight: 187lbs / 84.8kg
Facial hair: Beard. Not particularly thick or course
Body hair: High coverage, low density. Few stray back hairs. Less thick and dense than facial hair. Quite soft
Carry fat: seems to be fairly equal. chest, arms, hips, stomach, legs. Seems to have been this way for as far as I can remember
Health History:
- Gynocomastia as a teen (went away on it’s own. started lifting)
- Blood pressure always “normal” / “good”
- Self-diagnosed variocele in one testicle
- Tonsil stones since I’ve been young (KSMan has asked this in other threads, couldn’t find out what he was driving at though)
- Some periods of minor depression and anxiety
- Allergies to grass and mold
- Testicular trauma around age 13. Some asshole thought it’d be funny to hit me in the nuts
Symptoms:
- fatigue / slow recovery (feeling like I need a nap every day)
- high refractory period (2x a day can be challenging)
- bouts of anorgasmia (especially when going for 2nd time in a day)
- occasional issues with ED in the past (especially with new partners), but seems to have largely gone away in the past year or so
- low sex drive (2-3x / wk on average)
- periods of low drive
- high appetite, high metabolism. feeling of needing to drink more water than most
Diet: Relatively low on veggies and fruit. Lots of meat, butter, pasta, eggs, nuts. Little sugar / junk.
Morning wood: inconsistent. Ranging from nothing to plump to can’t lay on my stomach. A soft erection most mornings.
Training: 2-3 days a week in the gym. 2-3 days a week rock climbing
RX / OTC Drugs:
- No TRT
- No medications
- No hair loss / prostate drugs ever
- D3 semi-regularly (5-10k IU / day, when I take it)
- Fish oil when I have it around
- Magnesium / Zinc / B6 when available
Misc:
- Some periods of relatively high stress, but low overall
- Never been particularly strong (hoping for a 1RM 225lb bench within the next month)
- No testicle aches, even when sick
- More dribble and less shooting on ejaculation over the past few years
Bloodwork
Taken 9:00am, ~1 hour after waking up. 3 hours behind “normal” time zone. Was in the area for ~3 days before draw.
No orgasm for about 3 days prior.
Item Results Units Range
--------------------------------------------
Triglycerides 63 mg/dL 50-150
Cholesterol 143 mg/dL 100-200
HDL 55 mg/dL >40
LDL (calculated) 75 mg/dL <100
Item Results Units Range
--------------------------------------------
FSH 4.800 mIU/mL 1.4-18.1
LH 4.7 mIU/mL 1.5-9.3
E2 (non sensitive) 30 pg/mL 2-54
Cortisol (random) 14.1 ug/dL 4.8-19.5
DHEA-S 596 ug/dL 240-549
Total T 465 ug/dL 250-1100
Free T 91.7 pg/mL 35-155
Prolactin 6.9 ng/mL 2-18
Item Results Units Range
--------------------------------------------
D25 OH 54 ng/mL 30-100
B12 582 pg/mL 200-950
Folic Acid 12.7 ug/L >=6.0
The high DHEA-S levels immediately stuck out to me. No thyroid or other markers at this time. Total T is also quite a bit lower than I had expected.