After reading through the stickies and some threads, I decided to open my own.
So before I talk about me a little, I'll post my labwork and other physical stats.
describe body and facial hair: generally not very hairy, legs are an exception.
describe where you carry fat: belly and lower back.
health conditions, symptoms [history]: No energy,motivation,sleeping problems, no libido, weak erections, fighting with mild depression all the time.
describe diet: I watch my kcal intake practically every day and try to eat a balanced diet. A 2500kcal day usually looks like about ~250g carbs, ~150g protein, 100g fats.
describe training: pretty low volume push pull legs 2x week. coming back from a back injury though so haven't been very active lately.
testes ache: Had a testicular torsion about 10 years ago. Very rarely it aches for a day. Havent put much thought into that though since it really happens so rarely.
morning and nocturnal wood: nocturnal wood regularly, morning wood is VERY rare. Even night wood is no steel rod though. Maybe 7-8/10 hardness)
Medications: 50mg L-Thyroxine every day for ~7,8 months now (due to a knot on my thyroid)
First are from August (done by my "thyroid"-doctor)
Parathyroid hormone: 6.7 (12-88)
Vit D3: 56.7 (10-51.9) (taking a d3 sup)
FT3: 3.96 (2.3-4.1)
FT4: 2.13 (0.56-1.31)
TSH: 0.34 (0.35-3.5)
anti-TPO: <40 (<40)
TAK: <100 (<100)
TRAK: <1 (1)
TG: 2.7 (1-70)
Calcitonin: <1.5 (<15)
These results are from October:
E2: 21pg/ml (<20-47)
LH: 3.1 mIU/ml (1.24-8.62)
FSH: 3.7 mIU/ml (1.27-10.0)
Prolactin: 6.7 ng/ml (2.64-13.4)
DHEA-S: 434.1 ug/dl (85-690)
Testosterone: 5ng/ml (1.75-7.81)
TSH basal: 0.13 uIU/ml (0.35-3.5)
Cortisol: 152.7 ng/ml (67-226)
SHBG: 29.6 (13-71)
GH: 0.03 ng/ml (0.003-0.971)
FAI: 58.6 (15-95)
The endocrinologist that did these tests evaluated in the letter to my families physician that he excludes hypogonadism and that he sees no reason for all my symtpoms and his diagnostic is done with this.
My families physician (who is also gynaecologist) argues, that you can not simply 'treat only lab results' but have to treat the patient and gave me a receipt for testosterone gel, which I am to use 7d/wk (which results in roughly ~35mg/wk) and see if my symtpoms get any better.
Ok! So honestly, I just don't know what to do or believe anymore. All I know is that I haven't had a rock hard steel erection for 6 years now, my libido is down the drain ever since, I never have alot of energy, small problems feel like a heavy burden and my sleep is pretty miserable. I can't really remember the last time I really felt like a man. I mean, I look at woman and still think they are sexy and all, but it's just not the same feeling..like it has become more of a rational thing than anything else.
I should add that I have been in psychotherapy for 4 years now. I don't take any anti-depressants and I am not heavily depressed.
All kind of doctors have been telling me for years that 'it's all in your head' but as you can see that advice has not brought me alot of success.
I come to you for help now, because I have no idea how to proceed. I don't necessarily want to start trt, although I wouldn't mind IF it helps me to feel like my old self again. And even though I normally have trust in my families physician, my lab results really do seem to be pretty damn normal so I wonder if trt is really the right way to go here.
What do you guys think? Any ideas on my situation is deeply appreciated!