Im 35 M and have noted a drastic change in the past few years. I’m 5’7, 165 around 15% body fat. I try to exercise at least 3-5 times per week and it includes lifting weights, boxing, yoga, and tennis. No kids. Not married. May consider freezing sperm- I guess.
Physical symptoms: fatigue, lack of energy, poor exercise tolerance, not much muscle tone nor results from working out. Erections are good (prob 70% of what they were but it takes me a while to get there and I do have to really be in the right state of mind- def takes time nothing like the immediate hard-ons I had in my 20’s). I really have to push myself beyond 20-30 minutes of lifting weights when I exercise.
Mental symptoms: lack of motivation, diminished libido but not bad, definitely much less assertive/confident, mild chronic depression and anxiety.
I decided to get some blood work:
Total Test 351
Free Test 41 (L)
Ultrasensitive Estrogen 7
TSH, T3, T4 all normal
Liver, kidney creatinine normal
Cholesterol panel normal
Vitamin D 15 (very low)
I did not get an FSH and LH.
I’m seeing a urologist next week- he briefly mentioned clomid which I am reluctant to take based on my research and on many of the posts on this site. I feel overall healthy but just tired, depressed and not very motivated. Been feeling this way for a few years and I have no history of depression. My dad is 70 and his total Testosterone is 301 and his free T was 51.
Any suggestions? Should I just take some zinc and vitamin D and see if lifestyle modifications can work? Bite the bullet and request TRT?
Some people on another forum have mentioned my estradiol is very low. This was from the ultra-sensitive Estradiol test.