Hi everybody! I will try to keep this as short as possible to give you an overview over my problems: I am 33 years old and have been experiencing sexual problems the past 2 years. My libido is pretty darn low and erectons als significantly weaker. I have been single and alone now for close to 3 years and it is getting pretty tiresome. I started collecting multiple blood tests over the past two years. At first I had no clue about all this hormone stuff and thus only went in for Total testosterone measurements. I took like 8 seperate blood test over 18months which revealed my Total testosterone to be like this:
5 times blood taken between 7-9 a.m. : Always came back consistently at around 550-600. Mostly around 580 (reference range 250-830 always).
2 times blood taken in the afternoon: Both times it came back at 350 (same reference range).
1 time it was taken at 6.30a.m. and that time it came back at 700 (250- 830).
I couldn’t believe that as I had very obvious and clear symptoms. On top of the sexual stuff I had lost like 30% in strength. I used to easily benchpress 180-190lbs. but the last two years have struggled to press above 150lbs.
I then started reading more and more stuff about testosterone and decided to take free testosterone as well. Last two blood tests had both total and free testosterone in it:
TT: 450 (250-830)
FT: 11 (10-40)
Then I remeasured but labs forgot measuring free testosterone:
TT: 727 (250-830)
SHBG 76 (15-89)
Free androgen index: 46%
last blood test:
TT: 562 (250-830)
SHBG 42 (15-89)
Free Testosterone: 2.11 (3.4 - 32.3) LOW
Estradiol: 47 (range <40) HIGH
So essentially it seems as if my free testosterone is pretty low , although my total Testosterone has always been pretty solid. I am 6’2/170lbs. so I am not overweight or anything. I live a healthy life, exercise , don’t smoke and rarely drink. I have rarely morning erections—and if so then very weak ones. I tried adjusting my diet and everything but didn’t notice much difference in symptoms. I had a grade 2 left side varicocele which I fixed once at the age of 22 and then at 30 again.
I am not into bodybuilding etc. and am overall happy with everything except my sexual problems. Is it normal to not have good morning erections at the age of 33? I actually have decided to give TRT a shot but am a little hesitant because my LH/FSH levels were always in the midrange of the reference range as well as my total testosterone so that I’m neither primary or secondy hypogonadal but unfortunately it does not translate into my symptoms.
I was thinking injecting 50mg testosterone enanthate twice a week along with 250IU HCG twice a week along with 0.5mg Anastazole (overall weekly 100mg testosterone and 500IU HCG). What do you guys think? Is this a reasonable regimen? I actually want to do that for 2-3 months, gain some confidence back in the bedroom and then go off, hoping that my “system” readjusts and decides to keep more of the produced testosterone unbound. I want to be ultra careful and cautious about everything in order to not mess arounnd with my HPTA too much. Still I’m scared about this, fearing to do permanent damage. Any advice would be much appreciated.