I am a 30 year old male, who about seven years ago was diagnosed with low T and secondary hypogonadism. Through this time, I have had some capable and less capable doctors and really been through the spectrum of treatments to include clomid monotherapy, HCG monotherapy, and joint HCG/injected-testosterone.
All of the above treatments led to increased strength and muscle mass and – all of the above treatments never resulted in me having a normal libido. I cannot masturbate for a month and still have no drive and never feel “horny.” Women are art instead of sex objections, and its awful. I have seen several specialists and everyone agrees that my labs look good and frankly I concur for what it matters with my medical training only including reading threads for years. I looked at porn way too much for many years, but have really curbed that habit over the last year.
Fast forward to the present, I have been currently on clomid monotherapy for about two years. I am in probably the best shape of my life and besides libido, I feel pretty good. I wake up energetic, not needing a drop of coffee, and perform well at work. I lift regularly and do intense cardio as well. I am currently seeing an endo who genuinely cares, a therapist, psychiatrist, and I have a primary care.
My doctors/therapist are all convinced that my lack of libido is due to anxiety and/or depression, maybe directly related to almost a “sex-phobia.” The depression to me doesn’t really fit. The anxiety I can kind of believe, as I am certainly worry-prone and obsess about the missing the libido because I believe its destroying my life. My primary care wants me to try an SSRI, which I resist because the number one side effect is reduced libido. My Psychiatrist has convinced me to try Wellbutrin for a libido boost ((150 extended release)), but so far I am not noticing any differences.
QUESTION: All this said — does anyone on this board have any comments on whether moderate but sex-focused anxiety alone is enough to cripple a men’s libido to near zero? ((Or would you still side with their being an unknown remaining physical/hormonal issues?)) If yes, how would you suggest overcoming this phobia? The only way to expose myself is in high-pressure romantic situations with a new partner, which is frustrating as heck. Women are throwing themselves at me and I feel like I can’t act, as how can I perform with no libido?
Current meds Levothyroxine 50mcg/3x week, clomid 50mg/4x week, Wellbutrin 150extended releaser daily, multivitamin, fish oil, vitamin d.