-Body is lean, never been "big"
- Carry fat (not much) on belly/waist
-TMJ (pain and discomfort.. can affect CNS) and mild asthma
- No hair loss drugs (but was once considering..?)
Range 28.0-156.0 pmol/L
Range 8.0 - 29.0 nmol/L
SHBG (Sex Hormone Binding) 31
Range Male 14.5-48.4
Free-Testosterone(Calculated) L 0.228
Range 0.3 - 1.0 nmol/L
This previous set I used an online (reputable) service (finger prick sample blood test).
I also received two further indicators from my GP:
Serum Testosterone 19.4 nmol/L
Range 9.9 - 27.8
Serum TSH 3.28 mIU/L
Range 0.35 - 4.5
-Diet: Eggs, lean meats, at least a portion of veg a day, and grains such as rice and bread. Probably eat too much microwave rice and drink from too many plastic bottles (BPAs?). Lots of coffee.
-Training: Usually two/three times a week but I've been of for a couple months because of postgrad studies.
-Occasional testes ache. Small testes and often v tight sack (prepubescent look). Also (sorry for graphic nature) the tubes going into the balls are sometimes painful and feel swollen. I suspect this is all related to my low Free T?
I've been ignoring this problem for a long while and have only just started seeking help. I'll break down the symptoms:
I have long struggled with primarily brain fog but also general tiredness (lots of yawning). In the past year I have resorted to using modafinil to keep me awake (which has its own drawbacks), but my symptoms existed way before this.
Along with brain fog and erection trouble, this is my biggest symptom. Whilst (I think?) it'd be difficult to attribute this purely to hormones, my mood has been relatively downcast in recent years. Likewise my drive, which I think goes hand-in-hand with the brain fog problem.
I don't think this is a problem. I get horny quite frequently, and the reason I'm on a dry spell (I'm single) is because I'm dealing with my other health problems (and v busy with studies).
I've been using cialis or viagra for almost every sexual encounter for perhaps 4 years now. Since I have no problem getting a (not very strong) erection on my own, I suspect this is more a psychological crutch and performance anxiety. Last time I didn't use a chemical aid, my erection would fade quickly and it'd be a battle to relax enough to sustain.
Two GPs I've been to now have had ZERO idea of what Free T is. One GP contacted a specialist (Urologist?) about it, and supposedly the specialist was borderline angry and adamant that my labs were fine and Free T didn't matter (GP even dropped in something about the test for Free T being expensive hence why they wouldn't test it, I had to go private).
He also had no comment on the size of my testes, which I think are definitely on the smaller side.
**So, is my out-of-range low Free T significant enough to be causing my symptoms alone? Or is it small testes, or both? **
I've tried supplements such as zinc and liquid Ionic Boron to no effect, and am healthier/more active than the average man my age.