I’m a 33 y.o. male. 2 years ago I began having all the symptoms of low T - suddenly, no morning erections, weaker erectile quality, weaker ejaculation, low libido, sleep became fitful, lack of motivation, etc. When I went to the doctor, he insisted it was grief and offered antidepressants. I didn’t take them.
I returned to the doc 1.5 years later with the same symptoms - he still said it was grief, and offered me Viagra. I went to another doc, asked for all the requisite tests - which he performed, reluctantly. He also offered Viagra and said “Hmm! Weird” when I enumerated my symptoms. Upon reviewing my bloods, his only commentary was that my iron was low.
Anyway, I went doctor shopping, and I found a urologist who (I hope) takes these things seriously. I’d like to know what to question and push him on when I go in, based on my labs. I don’t know what’s wrong with me beyond that I feel 33 going on 70.
Results (with ranges on the right):
T3, free 2.97 pg/mL 2.52-4.34
TSH with Reflex 3.396 uIU/mL .270-4.200
Reverse T3 20.0 ng/dL 9.0-27.0
Cortisol 15.8 ug/dL .4-22.6
Iron 49 ug/dL 50-212
Ferritin 66 ng/mL 24-336
Prolactin 5.6 ng/mL 2.64-13.13
FSH 5.18 mIU/mL 1.27-19.26
LH 6.52 mIU/mL 1.24-8.62
SHBG 68.48 nmol/l 13.3-89.5
Total T 455.3 ng/dL 175-781
Free T 23.07 35-92.6
Estradiol 12.6 pg/mL 10-42.0
Estrogens, total 32.4 pg/mL 19-69.0
Estradiol, Sensitive 16.86 pg/mL 0-31.5
Vit D, Total 31.1 ng/mL 30-100
Current supplementation: fish oil, Vit D3 5,000 IU, ZMA, Niacin.