I haven't had morning wood in years despite being very young. I just turned 23 a few months ago.
I am very physically active and in great shape. I lift weights regularly and do lots of sports and cardio. I am 10-12% bodyfat. I am otherwise fully healthy so I don't know what the problem could be and why this is happening.
Symptoms of concern: no morning wood, lowered sex drive (still get horny at times.... but nothing like when I was in high school), weaker erections (I'd still give them a solid 7-8/10.... but when in high school i was off the scales hard... 10/10 if not 11/10), have not had a spontaneous erections (i.e. "no reason boner") in years.
Despite the above symptoms, I have a lot of muscle mass (avid bodybuilder - 5'11, 185 lbs at about 11% BF), do not have man boobs, gyno, or puffy nipples, I have tons of energy, and no mental fog. All of this combined - with my testicles being a very decent size and very hard to the touch - has me hopeful that my body IS still capable of producing adequate testosterone. However, it makes my negative symptoms (non-existent morning wood for years on end, etc) all the more complexing
I suspect this is all hormonal of course.... but I have never ran a cycle that could have throw my hormones off. The only thing I have ever "taken" is protein powder which I am sure is fine. I have now started zinc supplements, however, to try and get the wood back. So far, this has yielded no success.
My E2 seems to be in the high range of normal and my free test in the low range of normal. I think these two things could be related. Either way, I suspect this is the cause. Everything I am reading suggests you should not be in the low range of normal for test / high range of normal for E2 as a 23 year old male in excellent physical condition. Yet, as my results are all "in normal range", my doctor is convinced I am fine.
I had one thorough test done recently. The results are below. This was done after finally demanding to be referred to an endo. Prior to this my GP would only test for testosterone and also FSH+LH+TSH(which of course is not enough on their own to tell the whole story). These results are also posted.
I am getting another thorough reading done in the coming months and will post the results. I am in Canada so the wheels move slowly with the medical system. On the plus side, all my tests are free.
A few questions:
- Would and AI like arimidex be something to pursue?
- Should I continue with zinc supplementation(I started today) or will this risk seeing future tests giving a false reading?
- Could this be thyroid related even if my TSH seems normal? I do sweat a lot. Although I have no idea if that is due to an overactive thyroid or me just being a sweaty guy.
- Is my low range free test / high range E2 fine? Or is it a problem? I think the latter. Doctor seems to think former.
Thanks to all for any help!
Test results follow (all tests taken in the AM; for each test I have provided the entirety of what was tested for):
May 1 2013 Test Results
- DHEAS: 8.8 umol/L (ref range 2.3 - 18.7)
- Prolactin: 11 ug/L (ref range 3 - 13)
- LH: 3 IU/L (ref range 1-9)
- FSH: 2 IU/L (ref range 1-19)
- TSH: 1.88 mU/L (ref range 0.3 - 5.6)
- Total testosterone 18.8 nmol/L (ref range 6.1 - 27.1)
- Free testosterone: 333 pmol/L (ref range 110 - 660)
- Bioavailable testosterone: 7.8 nmol/ L (ref range 2.8 - 15.5)
- SHBG: 44 nmol/L (ref range 13 - 89)
- Estradiol: 132 pmol/L (ref range 40 - 160)
The less thorough tests that follow were done at a different lab, thus the different reference ranges
January 19 2013 Test Results
- TSH: 1.38 mIU/L (ref range 0.35 - 5)
- LH: 6 IU/L (ref range 2-9)
- FSH: 2 IU/L (ref range 2-12)
- Free Testosterone: 37.4 pmol/L (ref range 31 - 94)
January 12 2013 Test Results
- TSH: 1.38 mIU/L (ref range 0.35 - 5)
- Total Testosterone: 22.3 nmol/L (ref range 7.6 - 31.4)
- Free Testosterone: 46.6 pmol/L (ref range 31 - 94)
June 2012 Test Results
- Free Testosterone: 42.8 pmol/L (ref range 31 - 94)