Hey, I'm a new user here and this is my first post so forgive me if sound like a newbie.
I have been experiencing libido problems for nearly two years ( No morning wood, infrequent urge/disire to have sex, Problems keeping an erection and premature ejaculation when I do get one, reduced semen volume and weak ejaculations. Previously never experienced anything like this, I always woke with strong erections. Never had an issue lasting in the bedroom department and never had any problems getting a wood!
Around the same time of the onset of symptoms I started to feel a sense of detachment/depersonalization. Something I am still receiving counseling for.
I'm a 29 year old male from the UK
210 lbs / 15 Stones
Waist - 32"
Facial Hair - I have a beard but I have noticed that my pubic hair growth has slowed/ doesn't grow as thick as before, Especially under arm hair.
I eat very well - Plenty of healthy/saturated fats, protein, veg, fibre etc. I don't any eat processed foods, sugars, tinned/bottled food etc. I train 4-5 times a week (weights/boxing/football). No known underlying physiological health issues other than slightly elevated Blood Pressure.
I've had an MRI which because I was getting dizziness, memory problems and still have a feeling of severe/chronic detachment/depersonalization. it came back Normal no action
I've seen a urologist who said my bloods were normal and didn't recommend any action. The urologist performed cyctoscopy which showed no blockages and a normal prostate.
I have had an ultrasound on my testes in 2015 because my right testicle felt larger and harder. I also had an enlarged epididymis but the ultrasound came back normal.
I've had my blood work done on the NHS recently..
Total Serum Testosterone - 28.9 nmol/L - (8.7 - 29 nmol/L)
Serum FSH - 3.5 u/L - (1-10 u/l)
Serum LH - 2.6 u/L - (1-9 u/l)
Serum Oestradiol - 93 pmol/L - (40-161 pmol/L)
Serum Prolactin - 203 mu/L - (50-425 mu/L)
Serum TSH - 1.23 mu/L - (0.40 - 5.00)
I know I probably need more tests (Free test, Cortisol etc) as this is basic but the NHS are not great for blood work but my GP said it was normal.
I have previously suffered with Anxiety/Depression and I am currently taking Mirtazapine (Remeron). I am on the lowest possible dose (7.5mg) with a view to stop soon. No other prescription meds.
Never taken any form of AI/Steroid in my life, although I did take 19 Anabol Testo shortly before the issues started.
I've tried taking some supps to help such as - Nettle Root, Maca, Vit D3 (5000 IU), Zinc Picolinate, Magnesium Citrate, ZMA. - None have helped me.
I've been back in the gym for about 3 months and even though I do feel like I am getting stronger, I feel like I should be putting on more muscle mass as my diet, sleep pattern and knowledge of lifting is on point. I also feel fatigued quite often, with a distinct lack of motivation. I find it hard to get to the gym some days and have to give myself a real kick up the ass to get there.
Sorry to rant but i'm at a loose end and any help/advice from you guys would really be appreciated!!