It has been a very hard year for me. I have been experiencing low T symptoms since February 2016. I have now been on Tamoxifen for only 2.5 weeks and already it has already helped with most of my symptoms. The only big thing that remains are sudden anxiety attacks that appear out of nowhere and are uncontrollable. I still also suffer from social anxiety, but it too has gotten a little better.
I sleep better, can have sex again, although libido is still very low. Fatigue and nausea seem to have disappeared almost completely.
I have been in the labs 7 times this year. Result from my first six labs were:
Total T 9.3-12.9 nmol/l (268-317 ng/dl)
Free T 121-162 pmol/l (9.4-12.6 ng/dl)
LH was 2.86-3.42 (1.5-9.3) (LH has been rising all year) FSH was only 1.5 (1.4-18.1)
After an almost year in torment, it drove a few hundred km to see a doctor, who is very experienced with TRT. I was diagnosed with Hypopituitarism (pituitary gland prolem) 2.5 weeks ago.
He put me on Tamoxifen. First week 10mg and then 20mg.
He said, we will start with the most convinient way first and see what happens.
Tamoxifen doubled my Total T in just 2 weeks, but it also almost doubled SHBG.
Total T is now 21,8 nmol/l (629 ng/dl). SHBG is 92, which is very high. Free T is better, but still only 207 pmol/l (16,08 ng/dl). The interesting thing is that my LH only rose from 3.42 => 3.82
My thyroid values have been tested 3 times this year and they are ok.
Prolactin levels have all been taken 3 times this year, and they have been ok 85-145 (53-360)
No CT scan has been done on my head
I have not been on the gym in 2 weeks, since before treatment, working out would always make me feel even worse. In november, i took a month of the gym, but the result was my T levels dropped even more and i felt even worse. I decided i will not go to the gym again until my T levels are ok.
Accoring to some studies, Tamoxifen will raise T levels for 2 months. But what is the use of this med if SHBG raises so much? I will call the doctor next week and see what he thinks. As my testicles seem to be working, would HCG be a good thing to try next?