i think he is far from fucked. maybe fucked up for being a tool, but not fucked. he said he's able to have sex, so he has some sort of normal function going on, which means that his endogenous T has most likely rebounded to low-normal levels.
HRT with a proper HCG protocol is the way to go IMO. Then follow up with a hardcore, agressive, no holds barred PCT. done and done.
go to the doc if you wish. a medical degree in no way garauntees REAL APPLICABLE knowledge of AAS culture. quite frankly, some bros on this board and others could give any doctor a run for his/her money when it comes to applied knowledge concerning AAS.
that being said, it can't hurt to go to the doc. just be somewhat cautious and get opinions on the advice given.