I’m a 32 year old male and I have suffered with low libido and erectile dysfunction for over 10 years. I almost never experience morning wood. I feel pretty fine besides this. I don’t think I’m depressed or anything like that. My mood is OK and I have a good life.
I just got the following lab results back:
Total Testosterone: 14.60 nmol/L - normal range: 7.6 - 31.4 nmol/L
SHBG: 42.00 nmol/L - normal range: 16-55 nmol/L
Free Androgen Index: 34.80 - normal range: 24-104
Prolactin: 213.00 mlU/L - normal range: 86-324 mlU/L
Oestradiol: 69.00 pmol/L - normal range: 0-192 pool/L
TSH: 2.3 - normal range: 0.30-4.0
The blood test was done at 8.30 AM.
As far as I understand my total T is rather low, and my SHBG is rather high. Thus the pretty low Free Androgen Index. Can these numbers explain my problem? Unfortunately the lab I could find can not test free T directly, but uses this index instead. I live in Scandinavia and don’t have the same labs available like in the US.
I’m currently at around 16% body fat, live healthy, is pretty active with mounting biking, walking and yoga. I sleep around 7 hours at night. This problem have been going on for so long that I don’t think it’s a lifestyle issue. I’ve tried everything. I’ve tried lifting weights a lot for many years and have been under 10% body fat, but all the heavy lifting only seemed to make the problem worse. I’ve also tried sleeping 10 hours every night, all kinds of different macros and supplements etc. Not much change. The only thing that DO seem to make a difference is if I overeat. If I stuff myself with burgers and ice cream and get A LOT of calories in I do see a positive change for some time. But it’s not sustainable as I don’t want to get fat. My testicles are sometimes aching and my nipples sometimes as well. My nipples look completely normal though so it’s not like I have gyno or anything. I currently eat a good multivitamin from Thorne + Zink and Magnesium. No meds besides some Cialis that my doctor just prescribed. I have a kid and my girlfriend is pregnant so my sperm is fine - just had to use Viagra in order to make them pregnant.
TRT is not a big thing here, so I’m considering getting some testosterone on my own. Any advice on how to proceed? I’m lost and the general doctors like most other countries are clueless.