Hello, Im 33 yo male and I have had a rough time lately. In early November I was having testicular pain and in the general area. After many trips to the Doctors/ER all they could find was some minute varicose. By this time I was so worked up my PCP prescribed me with Ativan. I had several family issues come up during that time as well which were very stressful. The ativan did not seem to help. I was on it for 2.5 months with a 3 week taper. I have been off of it for 8 weeks now. I had many issues while on it and off of it.
I am still having issues with brainfog, insomnia, energy, drive to do things, anxiety/depression, appetite and poor sex drive. I have been using sleeping aides off and on a very low doses. I have not used them for a few weeks now and my sleep is still not what it used to be. I also saw a psychiatrist during that time and did not think i was a candidate for an anti-pyscotic which was good news to me. I have also been going to therapy once a week since this all started and it doesn’t seem to help but it is nice to talk to someone without criticism.
After being off the ativan and still feeling symptoms I started to find that my symptoms were symptoms of low-t. I then sought out an endocrinologist. I had all the proper blood work done as follows. My PCP did prescribed me Testim I have not used it yet due to the end saying hold off until the test results come back. The doctor gave me two choices of injections/w AI or climid. He prefers the injections because of all the problems he has had with the use of clomid. He even calls me daily to see how I’m doing and talk for 45 minutes. What should I do?
REE T4 1.33 ng/dL 0.82 - 1.77 ng/dL
HEMOGLOBIN A1C 5.7 % 4.8 - 5.6 %
Vitamin D,25-Hydroxy,Serum 49.8 ng/mL
TSH 2.690 uIU/mL 0.450 - 4.50 uIU/mL
FSH 3.1 mIU/mL 1.5 - 12.4 mIU/mL
LH 1.6 mIU/mL 1.7 - 8.6 mIU/mL
PROLACTIN 7.2 ng/mL 4.0 - 15.2 ng/mL
TESTOSTERONE, TOTAL 267 ng/dL 1st test
TESTOSTERONE, TOTAL 222 ng/dL 3 days later
VITAMIN B12 527 pg/mL 211 - 946 pg/mL
CORTISOL - AM 15.9 ug/dL
TSH PM 3.770 uIU/mL 0.450 - 4.50 uIU/mL
Estradiol 13.5NORMAL Reference Range: 7.6-42.6 pg/mL
Prostate Specific Ag, Serum 0.3NORMAL Reference Range: 0.0-4.0 ng/mL
Triglycerides 156HIGH Reference Range: 0-149 mg/dL
HDL Cholesterol 38LOW Reference Range: >39 mg/dL
LDL Cholesterol Calc 127HIGH
All my other blood work came back normal.