I’m a 42 y/o male, and my marriage is in jeopardy due to my long-term lack of sex drive. Having browsed this forum, I think it may partly (if not all) due to taking finasteride for about two years. I’ve stopped taking it for 4.5 years now, but I know the damage can be permanent for some people…
I am 181cm tall, 76 kg. I’m generally lean, don’t smoke and occasionally drink 1 - 3 cans of beer a week.
Having consulted a urologist, I was put on Clomid 25mg ED.
Six months in, my test results came out as follows:
- Testosterone: 19.40 nmol/L (ref range 8.64 - 29) - this is about a 50% increase from pre-Clomid results
- Estradiol: 156 pmol/L (ref range 41.4 - 159)
- SHBG: 27.4nmol/L (ref range 16.5 - 55.9)
- LH: 8.5 IU/L (ref range 1.7 - 8.6)
- FSH: 4.7 IU/L (ref range 1.5 - 12.4)
- Prolactin: 224.7mIU/L (ref range 85.7 - 322.2)
- Albumin: 44g/L (ref range 35 - 50)
In hindsight, it would’ve been good to get other test results as well i.e., DHT etc., but this is what I have for now.
My doctor said that my test results were “fab”, but I told him that my symptoms haven’t gone away at all; my libido remains very low and I struggle to maintain an erection. I assume this is probably due to the high estradiol level, but my doctor repeatedly claimed that this is “in normal range” and dismissed my request to consider putting me on TRT even though my wife and I are not thinking about having another child.
Having browsed this very helpful forum, I know that ‘good’ numbers don’t mean anything unless your symptoms go away or lessens. So I’m consulting another doctor tomorrow to ask for a TRT treatment, but I am wondering if I need to wait a few weeks/months for the effects of Clomid to taper off before I start my TRT session. I am also very worried that I may have a PFS that is irreversible. Any helpful insight would be greatly appreciated.