So I am beginning down this path of checking hormones, and I must admit it seems my battery of tests is lacking after looking around here a bit. However, I’m hoping maybe we can start this dialogue albeit perhaps premature.
Let me first try to give profile and symptoms:
17.5" flexed arm
37" waist (ugh! had been 36" recently which WAS all-time high)
body hair is probably moderate- normal hairy legs/arms. arm hair trails off at the elbows. normal medium hairy chest. very light back hair on erectors that has sprung up past few years. heavy beard. hairline receded in the corners, been doing this slowly last few years, actually seems to have come to a stop past year or so, though I can’t be sure.
Pretty constant fatigue- physical and mental
memory sucks as my wife tells me
possible decrease in sex drive? I used to want sex all the time/whenever, now a lot of times I feel “too tired” and fall more along the lines of “if you (she) want to”- where in my head I’m thinking more like “I’m too fucking tired and hopefully you are too”. don’t know if this is decreased sex drive or just falls under fatigue?
longer recovery between workouts
*no ED/erection problems despite possible lower drive. possibly lower “stamina”?
Strength at times has been decent, but seems to hit a wall and not make progress recently (one of my symptoms actually).
numbers, if it helps:
Squat: 425 about two years ago, had herniated disc and setbacks, been spinning my wheels in the low 300s range for months now, just feel now power in my legs.
Bench: 365 same time as the squat. numbers have fluctuated also, usually lower-mid 300s. about two months ago I had a good day at 305x8, then last week 285x7 was quite difficult.
Deadlift: 600 at time of 425/365 sq/bench, dipped down significantly in the following months, lost my groove for a while, in the past couple months I have done 445x10 and 450x9.
Military press: have had 1rm of at least 225 past year or two, 6-8 months ago i hit 245 and was very close to 250. About a month ago 205x8, last week 185x7 was difficult.
Now, reading that, it could seem I’m just burnt out. I follow 5/3/1 and Deload every 7th week.
Now, after some significant internet searching for a Doctor, I found a urologist that “specializes” in HRT that was highly recommended. I set up an appointment for consult/labs. While the doc seemed open minded and receptive, I’m on the fence as to how much he really knows, or perhaps his normal clientele for this is usually older. Anyhow, I explained to him how I had been feeling for the past year or so, and that I suspected either high cortisol levels or low T, perhaps a combination. This is where things took a turn that I wasn’t thrilled with. He sent me home with a self-test kit for Cortisol (saliva 4x) and Total Testosterone (blood spot). A friend of mine on TRT said that seemed lazy and the doc could have done it himself, but I digress.
From some reading on here I knew that Estradiol level would be another helpful figure in this search, so I added that to the blood test.
I’ve just gotten the results faxed to me and immediately wanted to rip someone’s face off, as it appeared a mistake was made, as my results were showing Cortisol, Estradiol, and PROGESTERONE levels! No T!
I called the doc and they verified that they had no other results, called the lab and they admitted their error and said the blood was still viable and they would get on it, and that I would receive the results Wednesday or Thursday this week. While it frustrates me, I have a follow up with the doc on Friday so at least I should have the T result by then.
But the results confuse me a bit:
Cortisol saliva test
morning: 2.5 range: 3.7-9.5ng/mL
noon: 1.7 range: 1.2-3.0ng/mL
evening: 2.1 range: 0.6-1.9ng/mL
night: 1.4 range: 0.4-1.0ng/mL
This doesn’t surprise me, as I almost always have a hard time getting out of bed, preceded by usually a tough time falling asleep.
Estradiol blood spot
result: 22 range 12-56pg/mL
So I guess that’s good?
Progesterone blood spot
result: 2.0 range <0.1-0.8ng/mL
This one, although not requested, confuses me. The conclusion of this test says usually due to progesterone supplementation or exposure to a partner using topical progesterone. Neither of these apply in my case. I am confused about the cause and effect of this raised level.
Lastly, it seems as though the doctor I’ve seen may only do Testopel (if it comes down to that), which I am not sure I’m a fan of. It seems the best results are had with something like 100mg Test Cyp/week split into two injections, with possible inclusion of HCG and Anti-E. Between the two, if it’s determined that’s what I need, I’d much rather the injections, but I guess that’s a bridge I will have to cross when I get to it.
Another thing the doctor said was that at my age, and with kids in mind, Test would be the last thing he would do. So I asked him what the first thing he would do was and he said. HCG injections, as a stand-alone treatment. Through some google searching, it seems some have had success with that, but it’s a real mixed bag. Additionally, I have read a lot that HCG is given along with the Test Cyp for the very reason of keeping the testes going strong, so if that’s the case, why couldn’t I just have the T Cyp and. HCG?
Hopefully someone can look at this all and provide some sort of feedback on the few labs that I have posted. I will update with the T # as soon as I get the results.