I am a 54 year old male with the symptoms of low T, most importantly, low libido and lack of “hardness” in erections. In addition, I have been taking variety of antidepressants (currently cymbalta 60 mg, buspar 15 mg for the past 18 months) since the spring of 06. I am fully aware of the sexual side effects of these meds but feel what I have been experiencing is out of the ordinary.
At a recent appointment with my doctor I convinced her to order a blood test. Even though I printed out the recommended tests from an article written by Dr Crisler, she would not order them all. The following is a partial list of what I was able to gather:
Cortisol 15.9 UG/DL
Estradiol 21.4 PG/ML
Testosterone 754.7 (250-950) NG/DL
TSH 2.04 (0.38-7.0) UIU/ML
Free Testosterone 10.7 PG/ML
ALK Phosphatase 63 (26-126) U/L
Bilirubin Total 0.4 (0.2-1.2) MG/DL
Direct Bilirubin 0.1 (0-0.3) MG/DL
AST (SGOT) 29 (0-46) U/L
ALT (SGPT) 30 (6-40) U/L
From what I have researched, it appears my Free Testosterone could be low. I asked my doctor and her answer was “yes, it is on the low side but still normal”. I would like opinions on if I should pursue raising my free T numbers or accept them as being in the “normal” range?
I have received a second opinion from an urologist; he is not concerned about my free testosterone because my total T number is so high. He blames my symptoms entirely on the anti-depressants.
Should I accept the AD meds as the cause or look into a third opinion on my testosterone levels? Any help would be greatly appreciated.