I’m new to this site, so sorry in advance if this topic has been beaten to death.
I initially went to my general physician because I’ve had soft erections for as long as I’ve been sexually active, but always put off seeing a doc about it because I never wanted to admit it. I initially thought it must be a venous leak, but to be safe he wanted to check my Test levels before sending me to an urologist. Since seeing him, I’ve had 4 blood tests done in the past 4 months.
Test 1: Testosterone Serum: 334 ng/dL (348-1197).
Free Testosterone (Direct): 8 pg/mL (9.3-26.5).
Blood taken at 11am. (April)
Test 2: Testosterone Serum: 346 ng/dL (348-1197).
Free Testosterone (Direct): 10.3 pg/mL (9.3-26.5).
Blood taken at 1pm. (May)
After these results my urologist sent me to an endocrinologist
Testosterone Serum: 373.9 ng/dL (348-1197).
FSH: 0.9 mlU/m (1.5-12.4).
LH: 3.8 mlU/m (1.7-8.6).
Blood taken at 8am. (June)
Testosterone Serum: 288.7 ng/dL (348-1197).
FSH: 0.9 mlU/m (1.5-12.4).
LH: 2.1 mlU/m (1.7-8.6).
Blood taken at 8am. (July)
After my first test showed low T, my doctor asked me if I was experiencing other symptoms.
I realized besides the ED (which I have always, whether I’m with my GF or watching porn, and I never wake up with morning wood or get spontaneous erections), I’ve also been experiencing:
Depression (not related to any psychological cause, I saw a psychiatrist to make sure my ED wasn’t in my head).
Cognitive problems (mental fogginess, inability to concentrate, memory problems).
Exhaustion (I want to fall asleep 2 hours after getting up after 8 hours of quality sleep. And I don’t drink any caffeine, soda, or energy drinks that would cause me to crash, and when I was younger (16 and I’m 23 now), I used to be able to run on 4 hours of sleep).
Trouble falling asleep.
Increased fat retention around my midsection (I was 6% BF senior year of high school, I’m 23 now and am around 12% and train hard 5 times a week).
My urologist then checked my testicular structure to make sure there weren’t any defects down there, which there were not. And my endocrinologist sent me for an MRI to check for any pituitary tumors, and found none.
Even though my pituitary is clean, my doctors are convinced I have secondary hypogonadism, which I agree with. My problem is however, my endocrinologist has never prescribed TRT to someone my age (her youngest patient is 37), and has never prescribed fertility medications like HcG or Clomid. Because of this, in her words, “she doesn’t want me to be her guinea pig,” so she won’t do anything for me at the moment.
She is looking into finding me “academic doctors” though, who are doing research on hypogonadism in young males at Columbia and NYU medical, and would be able to help someone my age with a proper TRT.
I guess my biggest concern, and why I’m writing all this is the possibility she won’t find somebody (I’m assuming my situation is extremely rare and may not even be being researched). So does anybody out there have any experience or knowledge about young guys and TRT? Any information I should relay to my doctors? Studies? Success stories of TRT in young guys? I guess I’m just looking for some advice on what I should do? Should I just try different endocrinologists while I wait to hear about the “academic doctors?”
I know low T isn’t exactly life threatening, but I really can’t live with these symptoms much longer, they’re impacting my life in every way, socially, romantically, in school. I know the risks, especially to my fertility, but I plan on freezing sperm as a fallback just in case using HcG doesn’t preserve my fertility.
In terms of other health risks, I’m not too worried because I am low risk. Outside of the low T, I’m in great health, I have amazing genetics. No family history of heart disease, high blood pressure, cancers, diabetes, obesity, etc. Outside of the increased fat retention around my midsection, the rest of me is actually in great shape, I’m actually surprised how big and strong I am considering my low T. (I train 5 times a week, and train hard).
I have a great diet made up of proteins, complex carbs, and essential fats. I rarely ever drink (normally 3 drinks max if I ever do), I don’t do recreational drugs, and I don’t smoke.
Thanks in advance to anyone who can give me some advice.
Oh, and some more info that the “advice for new guys” thread told me to put.
Weight 210 BF% 12% (Almost all my fat is around my midsection)
Waist line 37"
Although I train hard, I don’t over train. I do a 5 day split for legs, chest, back, shoulders and arms, with 2-3, 30 min cardio sessions thrown in. I give my muscles plenty of rest, and some of these tests were actually done when I hadn’t lifted for more than 3 weeks.
I’ll eat anywhere between 2800-3300 calories a day, but like I said, only of high quality nutritious foods.
I have little to no body hair, despite my dad being a gorilla.
I have very little facial hair and it takes weeks to grow in, despite my dad also being a lumberjack.
As for my thyroid, everything is fine with that too, and I got checked for cushings syndrome, because my Endo wanted to check everything, and of course no cushings either.