Hey guys, I am jus’ looking for more insight into my condition and hopefully get some questions answered.
Early this year, I noticed my libido dropped. I didn’t think much of it and thought it was the winter blues. During the spring, I scheduled an appointment about my symptom. She tested my testosterone and I was low. She quickly tried to put me on Androgel but I requested a referral to a specialist to look further into this. I am now seeing an Endocrinologist and awaiting my second appointment for some follow-up questions regarding TRT.
I am hesitant, yet at the same time eager, to start TRT. I am eager because I have almost no sex drive, low energy, and feel “blue”. I am hesitant because I understand that once you start TRT, your body shuts down its own natural production of testosterone. I know any of you will say, “So what, your body’s production is non-existant already.” I am jus’ wondering if my anti-depressant (Lexapro) is messing with my signals to produce testosterone. I am taking Lexapro for anxiety but want to get off. I started taking Lexapro in the summer of '03, stopped around '07 and put myself on it in the summer of '08. The endocrinologist says that the timeline doesn’t match up and anti-depressants generally create sexual dysfunction like premature ejaculation instead of lowering libido or lowering testosterone. I understand what he is saying but is it possible that since ‘03 the Lexapro has gradually been lowering my testosterone levels and it’s jus’ now that I am feeling symptoms? I don’t remember the range, and I don’t remember what exactly I scored low in (Free or Total) but it was something like a range of 9 - 28 and I scored in at 7.8.
Some more background info on me:
I had border-line elevated liver functions from a fatty liver but they are returning to normal range from weight loss.
I am 24 years old, 5’8", 252 lbs, have high cholesterol, and high triglycerides. (I know I got to lose weight. In fact, I lost 8 lbs (was 260) so it’s a start!)
Physically I can still perform sexually. Obtaining erections, ejaculation and so on are normal.
I will try to get some more info as my Endo doctor did test for various things like: LH, FSH and so on.
If anyone can give some insight, it would be GREATLY APPRECIATED!