35 year old male here with some libido/sexual issues over the last year to 1.5 years. 150lbs, 6’ tall, no change in weight ever really. I’m curious what I should start with blood test wise to try to get some direction on whether T or thyroid hormones would help me–I’ve done a few basic tests over the last year or so due to several symptoms (more on those later) but I’m wanting to get one comprehensive set of tests done to post here to see what you guys think is going on.
Sorry my results are going to be kind of all over the place Here are the results I’ve had, though these were from several months ago:
TSH was nearly 3.0
Free test was very low, 4.1 [8.7-22.5]
I did not have SHBG tested, though I’m assuming it’s quite high
Total test was in the mid range, 448
Prolactin was high normal, 23
Estradiol was, I think, kind of low at 12 [8-35]
And that’s all the results I have. I have a previous total test results from about 6 months earlier where my total test was nearly 1000 (totally natural)
My symptoms for the last year+ have been lower than normal libido, difficulty achieving orgasm (sensation does not feel normal, I just don’t feel the “oh my god this feels good” feeling lately) + long refractory period. I used to be always good for once a day and by the time it’d been 3-4 days I would be more worried about being “done” in 3 minutes than not being able to at all. Now even when it’s been 4-5 days I’m lucky if it doesn’t turn into a long session (too long) to get the job done. Very frustrating for me and my partner.
Any thoughts/questions/direction would be much appreciated.
I have not been to a doctor about this. I have no confidence they will be able to do anything other than run a bunch of tests and tell me my total test is in range so I’m fine