I am 34 years old, lean muscle, fit, and collapsed six months ago with persistent ED, low libido, general apathy with life, no motivation, and insomnia. I’ve had a few lab tests, am working with a very good doctor, and am looking for guidance based on all of your experiences.
My history: Suffered a physical/mental breakdown ten years ago at age 23 where I couldn’t sleep, couldn’t get an erection, and had extreme depression/anxiety. It was as though my body was being consumed by uncontrollable adrenaline. Went to numerous docs, had tons of labs done with a consistency each time: total T between 270-360, free T below range, low LH, and low FSH. Each doctor told me I was in range and normal and told me to talk to a psychiatrist and take Viagra. I realized I was on my own and started a regimen of vitamins, herbs, fish oil, 5htp, etc and was able to partially recover. I was able to sleep, erections got better but were still very lacking, depression/gloominess got better but still came and went, and I was able to have a sex life with Viagra.
Five years later at age 29, I eliminated the vitamins but kept the other supps and was able to have sex without Viagra with probably 70% erections and mood became much better. I started eating a lot healthier and exercising well and felt overall good and consistent and got married to an incredible woman.
Recent collapse: My wife and I want to start a family so I started taking an OTC fertility supplement with carnitine, ginseng, and maca in it. My libido skyrocketed and my erections (while still somewhat weak) became more frequent. Ten weeks later, I crashed with almost all of the symptoms I had ten years ago: insomnia, waking up in the middle of the night with heart pounding, ED, no morning erections, zero libido, no motivation, and anxiety.
Most recent labs:
Total T: 355 (348-1197)
Free T: 10.6 (8.7-25.1)
LH: 1.5 (1.7-8.6)
FSH: 2.0 (1.5-12.4)
SHBG 43.8 (16.5-55.9)
Estradiol 10 (8-35)
Progesterone 0.8 (0.2-1.4)
Pregnenelone 65
DHEA-S 366 (138-475)
Cortisol 18.1 (6.2-19.4)
TSH 2.3 (.45-4.5)
RT3 15.2 (9.2-24.1)
T3 113 (71-180)
T4 8.1 (4.5-12.0)
My doc is suggesting HCG 500iu ED and judging from the labs I’m secondary so that makes sense. My question is if anyone has been in this situation, what would you expect? If I’m having some kind of adrenaline/stress reaction causing all of these issues, would the optimal hormones likely ease this? Is the main benefit usually libido or does ease of erection/erection strength usually get better? I read of many guys getting on TRT and having their sex lives ruined and I’ve been hanging by a thread all of this time. I see it as a go for broke move, either a home run or it’ll overstimulate my body further. Also, would you worry about the 500iu HCG every morning leading to primary hypogonadism? Lastly, have any of you found any beneficial changes to vision from HCG/TRT?
Sorry for all the questions but I’d love to hear first hand from other guys who have gone through this before. Thanks a lot!