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canada1968
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Hi all,
Thanks for taking the time to read my lengthy questions. I am a 41 year old male. First had a low T test in 2000. Can't remember the exact number, but high 200s or low 300s, i think. Was referred to endocrinologist - he put me on clomid test and it boosted my T levels. He also found a nodule on my thyroid - it was suspicious and had a thyroid lobectomy (benign). While I was recuperating from my thyroid surgery, my endocrinologist notified me by mail that he was leaving the practice (and my city) and recommended I see my primary doctor for a new referral (needed referrals back then for the HMO). I was feeling pretty good/normal at this point so I didnt see a new endo, and discontinued Clomid.
Fast forward 8-9 years. Since hitting 40, I have had a gradual increase in classic low T symptoms (poor libido, mood, muscle tone, diminished beard), and decided to get retested. Sure enough, last month’s numbers:
T: 262 (range 241-827) (not 272)
SHBG: 17 (range 13-71)
Free T: 7.1 (range 6.0-27.0)
Primary doc started me on 5mg Testim 20 days ago. I was aware of fertilty risks, and don't plan to have more kids. The first week was ok -definitely no increase in libido or erections, but I seemed to have improved energy to finish xmas tasks. Week Two I spent in Colorado, skiing. Again, I noticed improved stamina, but lowered libido and testicular shrinkage. I liked the extra energy, and wrote off the the shrinkage to the cold skiing conditions.
When I got home, the shrinkage was worse, my libido was gone, and I cannot get or maintain an erection. When I attempt sex or masturbation, I ejaculate without ever getting erect.
Panicked, I scheduled an endocrinologist appt. and I stopped taking the Testim on day 18. Because I have Clomid on hand (wife took it), I have been taking 100mg Clomid for the past couple of days days in the hopes of restarting whatever endogenous T I still have.
I thought I knew what ED and poor libido were before I tried TRT. I did not. Before testim, if I really tried, I could usually successfully masturbate/have sex, even if it wasnt always the best. Now, absolutely nothing. My experience so far on TRT has been a nightmare. It seems to have made me impotent in less than 3 weeks.
I still have weeks till I see the endo, and intend to give him my full history. In the meantime, am I doing the wrong thing by stopping the testim and starting the Clomid? Did I not give testim enough time to "work"? Is the 5mg dosage too low? Should I stay on testim and watch my nads keep shrinking? I am not really concerned with ball size - I just want my libido and penis to function normally.
In my research, it appears that my poor response to exogenous T could be a result of Hyperprolactinaemia......, or low Estradiol (but my SHBG was low) or maybe just too low a dose? any thoughts? I am mad at myself and my primary doc for putting me on a hormone that has finished off what little libido and erectile function I had to begin with.
Any help, opinions, advice, suggestion, are greatly and sincerely appreciated.
Thanks
Thanks for taking the time to read my lengthy questions. I am a 41 year old male. First had a low T test in 2000. Can't remember the exact number, but high 200s or low 300s, i think. Was referred to endocrinologist - he put me on clomid test and it boosted my T levels. He also found a nodule on my thyroid - it was suspicious and had a thyroid lobectomy (benign). While I was recuperating from my thyroid surgery, my endocrinologist notified me by mail that he was leaving the practice (and my city) and recommended I see my primary doctor for a new referral (needed referrals back then for the HMO). I was feeling pretty good/normal at this point so I didnt see a new endo, and discontinued Clomid.
Fast forward 8-9 years. Since hitting 40, I have had a gradual increase in classic low T symptoms (poor libido, mood, muscle tone, diminished beard), and decided to get retested. Sure enough, last month’s numbers:
T: 262 (range 241-827) (not 272)
SHBG: 17 (range 13-71)
Free T: 7.1 (range 6.0-27.0)
Primary doc started me on 5mg Testim 20 days ago. I was aware of fertilty risks, and don't plan to have more kids. The first week was ok -definitely no increase in libido or erections, but I seemed to have improved energy to finish xmas tasks. Week Two I spent in Colorado, skiing. Again, I noticed improved stamina, but lowered libido and testicular shrinkage. I liked the extra energy, and wrote off the the shrinkage to the cold skiing conditions.
When I got home, the shrinkage was worse, my libido was gone, and I cannot get or maintain an erection. When I attempt sex or masturbation, I ejaculate without ever getting erect.
Panicked, I scheduled an endocrinologist appt. and I stopped taking the Testim on day 18. Because I have Clomid on hand (wife took it), I have been taking 100mg Clomid for the past couple of days days in the hopes of restarting whatever endogenous T I still have.
I thought I knew what ED and poor libido were before I tried TRT. I did not. Before testim, if I really tried, I could usually successfully masturbate/have sex, even if it wasnt always the best. Now, absolutely nothing. My experience so far on TRT has been a nightmare. It seems to have made me impotent in less than 3 weeks.
I still have weeks till I see the endo, and intend to give him my full history. In the meantime, am I doing the wrong thing by stopping the testim and starting the Clomid? Did I not give testim enough time to "work"? Is the 5mg dosage too low? Should I stay on testim and watch my nads keep shrinking? I am not really concerned with ball size - I just want my libido and penis to function normally.
In my research, it appears that my poor response to exogenous T could be a result of Hyperprolactinaemia......, or low Estradiol (but my SHBG was low) or maybe just too low a dose? any thoughts? I am mad at myself and my primary doc for putting me on a hormone that has finished off what little libido and erectile function I had to begin with.
Any help, opinions, advice, suggestion, are greatly and sincerely appreciated.
Thanks