No Testosterone, hypogonadism and ED!

[JBerto]

Hi!

I'm 42 years old and I've had Erectile Dysfunction always. I've tried Cialis, Levitra and viagra with no results at all ...I NEVER have had sex...

So I was to the doctor and and this are the "scary" results... I've almost no testosterone!

SHBG: 2.6 nmol/L (normal range: 13.5 - 71.4)

Total Testosterone: 0.13 ng/mL (normal: 1.66 - 8.11)

Free Test: 0.65 pg/mL (3.64 - 19.30)

FSH: 1.16 mIU/MI (1.55 - 9.74)

LH: 0.322 mIU/mL

Prolactin: 83 mIU/mL (78 - 380)

TSH: 1.05 uUI/MI (0.35 - 4.94)

Albumin: 4.21 g/dL (2.40 - 5.40)

...And my testicles are 3.5cm long

I'm very worried and scared.

I would appreciate anyone's insight or feedback about this!

TRT would help?

Thanks in advance for your insight.

 

[Driven2lift]

At those levels of course, get on TRT

It will probably change your life

 

[tyga tyga]

HRT/TRT would absolutely help

 

[sammpedd88]

Hi!

I'm 42 years old and I've had Erectile Dysfunction always. I've tried Cialis, Levitra and viagra with no results at all ...I NEVER have had sex...

So I was to the doctor and and this are the "scary" results... I've almost no testosterone!

SHBG: 2.6 nmol/L (normal range: 13.5 - 71.4)

Total Testosterone: 0.13 ng/mL (normal: 1.66 - 8.11)

Free Test: 0.65 pg/mL (3.64 - 19.30)

FSH: 1.16 mIU/MI (1.55 - 9.74)

LH: 0.322 mIU/mL

Prolactin: 83 mIU/mL (78 - 380)

TSH: 1.05 uUI/MI (0.35 - 4.94)

Albumin: 4.21 g/dL (2.40 - 5.40)

...And my testicles are 3.5cm long

I'm very worried and scared.

I would appreciate anyone's insight or feedback about this!

TRT would help?

Thanks in advance for your insight.

What kind of dr are you currently seeing and what has his recommendations been? You've never had sex or have never had an erection in your life?

 

[kisaj]

Low shbg and total test are signs of metabolic illness and should be looked into before jumping on TRT. Your levels of free test are also low, which would normally be increased with low shbg, so there is likely something bigger going on.

Get to a specialist asap.

 

[Todd Garner]

Low shbg and total test are signs of metabolic illness and should be looked into before jumping on TRT. Your levels of free test are also low, which would normally be increased with low shbg, so there is likely something bigger going on.

Get to a specialist asap.

Good info right here, this isn't something to talk to your normal Doc about it, have him refer you to a specialist. But as long as nothing bigger is going on, yes TRT would change your life with the numbers you have.

 

[Todd Garner]

Also if your 42 and you've never had sex or couldn't, you should have been seeing a doc a very long time ago.

 

[JBerto]

What kind of dr are you currently seeing and what has his recommendations been? You've never had sex or have never had an erection in your life?

Urologist. I went to him due to my problem with erections, I've NEVER had a "good", "hard" erection in my life, so I couldn't have sex never (even when I was 20 years old, so that's not related to the use of PHs, cause I never ran PH until 35 or so). This urologist made me that bloodwork.
I'm going to see him with that results next week.

Also if your 42 and you've never had sex or couldn't, you should have been seeing a doc a very long time ago.

...yes... you're right...

 

[JBerto]

At those levels of course, get on TRT

It will probably change your life

HRT/TRT would absolutely help

I hope so!

 

[NoAddedHmones]

I hope so!

What "supplements" have you used recently?

 

[The Matrix]

You need to check parameters such as lipids, full thyroid panel, ETC
Before going on TRT it would be highly suggest to look at your dietary intake and lifestyle habits. TRT may be just a bandaid or justification for eating poorly which will lead to other issues down the road.
With low SHBG this is a red flag for insulin resistance and hypothyroid all which need to be properly evaluated ..

 

[JBerto]

What "supplements" have you used recently?

Ment + Tren (but not when I did my bloodwork)

Sure that affect the results, but I'm sure that's not the cause of my ED, lack of libido and hypogonadism, because I suffer all that problems since I was a teeneager, and I didn't use any anabolics before I was 35

 

[NoAddedHmones]

Ment + Tren (but not when I did my bloodwork)

Sure that affect the results, but I'm sure that's not the cause of my ED, lack of libido and hypogonadism, because I suffer all that problems since I was a teeneager, and I didn't use any anabolics before I was 35

Well im not going to pretend i am an expert on hormones or anything, but what i do know is those two compounds are probably up there with the most suppressive compounds in existence. Depending on the ester and dosage you used they can keep you completely suppressed for a while after you stop jabbing, even with proper pct.

 

[JBerto]

You need to check parameters such as lipids, full thyroid panel, ETC
Before going on TRT it would be highly suggest to look at your dietary intake and lifestyle habits. TRT may be just a bandaid or justification for eating poorly which will lead to other issues down the road.
With low SHBG this is a red flag for insulin resistance and hypothyroid all which need to be properly evaluated ..

Hmmm... That could explain why I've been always very fat. When I was a teeneager I weighed around 255lb (I'm 5.75ft). So I started to do a lot of sports (running, bodybuilding) to get fit. And I have to keep doing a lot of sports, cause when I stop I put on weight very easily.

 

[The Matrix]

Again its not to complicated as often its sitting there just slapping you in the face...
Where you fed soy milk as a baby?
You need a good lipid panel along with Ha1c and even still you can have insulin resistance with low cholesterol. Doctors will still miss it
Again there are other underlying pathologies which need to be evaluate which can be easily ascertained through history and symptoms.

 

[JBerto]

Well, my Doctor prescribed me testosterone patches and Stendra... Hope this helps!

 

[Brolz]

Thinking of coming off 6 months androgel, been lifting and eating right for 8 years, 6' 210 lbs, a semi lean, had taken 2 months Ostarine (supposedly non suppressive SARM) about a month before first blood work but symptoms were there for years prior,original pre trt total test was 219, then 264, went to GP w low libido and energy at 29 years old after 3 years of these issues, sexual problems really upsetting, finally up to 4 pumps (TT was 531 at 3 pumps) awaiting blood results , slight improvement in mood and energy, thinking of trying to taper off or cold turkey and quit trt take some OTC pct, natty test booster, and humanofort (wish I tried this before trt as I've heard it's amazing and good for overtraining and adrenal fatigue which I feel may have been the cause of my low test). Questions for anyone who knows:
1) should I taper off or cold turkey? The 1.62 gel is mild and I haven't been on it very long. As above some OTC pct to help return to pathetic original levels maybe hopefully higher w the humanofort and a small break from training?
2) should I try and continue receiving my insurance paid androgel, taking it for 2-4 days pre bloodwork and cycle it for like 2-3 weeks on at 5 pumps , 2-3weeks off to keep balls working?
3) any thoughts or experiences w humanofort? My buddy and a lot of people on these forums seem to put a lot of stock in it for every ailment, so if libido, well being, and stress hormones can be controlled w that someone w a natty bs test boost maybe I can get by w out relying on the gel at my young age?(29)

Thanks for the help

 

[The Matrix]

Treat the symptoms not cause while also using caveman techniques ...Typical traditional medicine for you...

 

[Brolz]

YOure saying to treat symptoms and use caveman techniques or that prescribing me test was an outdated notion ? Which Caveman techniques?

 

[diogodasilva]

What he is saying is that you should find the cause of the issue before prematurely jumping on to treating symptoms.

 

[Brolz]

How do I go about guiding my endo through "finding the cause"? (Find a new endo HAHA I know, might try a urologist) Im about to do a HPTA restart/TRT Exit and live w my low natural levels until I can establish causation, randomly dropping like that at 29 must have a cause. It would be great if there were a guide out there like "If these are your symptoms, get these labs and then treat these abnormal range findings with this"

 

[diogodasilva]

First of all you need to check if primary or secondary hypo and also eliminate adrenal fatigue/thyroid issues. If primary, problem is with your ballz, nothing much else to do apart from getting checked for cancer, if clear, TRT for life.

If secondary, the rabbit hole goes deeper. This will require MRI/CT scan to check your brains pituitary, you could have a tumor or something.

Imagine you just treat the cause, feel better and years later you find a massive tumor that needs intervention ?

I know I am being dramatic here but this stuff is serious and it should be looked into accordingly.

 

[sammpedd88]

How do I go about guiding my endo through "finding the cause"? (Find a new endo HAHA I know, might try a urologist) Im about to do a HPTA restart/TRT Exit and live w my low natural levels until I can establish causation, randomly dropping like that at 29 must have a cause. It would be great if there were a guide out there like "If these are your symptoms, get these labs and then treat these abnormal range findings with this"

Either find a new endo or go in an integrative medicine office, not an anti-aging clinic. Urologists are usually the worst at TRT.

 

[Brolz]

"When AndroGel 1.62% treatment is discontinued, serum testosterone concentrations return to approximately baseline concentrations within 48-72 hours after administration of the last dose." - http://www.rxlist.com/androgel-162-drug/clinical-pharmacology.htm

This was only after 30 days but "When AndroGel treatment is discontinued after achieving steady state, serum testosterone levels remain in the normal range for 24 to 48 hours but return to their pretreatment levels by the fifth day after the last application."
https://dailymed.nlm.nih.gov/dailymed/archives/fdaDrugInfo.cfm?archiveid=4279

If this is even semi true, then my OTC PCT I have planned should b more than enough to bring me to test levels above baseline in a week! Nolvadren XT contains a cortisol reducer, 200 mg DIM (AI), and 75 mg Arimistane(AI). Humanofort "supposedly" is a miracle snake oil supp that regulates endocrine system naturally esp. adrenals. I am also going to take Purus Labs Recyle and HCGenerate in hopes of at least a little jumpstart to my LH FSH output.

The humanofort and the Nolvadren XT are both supposed to assist adrenal regulation. Maybe this will bring me back to where I want to be? Which of my old labs should I look at to determine adrenal fatigue pre-trt?

Anyone know what labs to look at to fix libido/ED issues? Main reason I started TRT. My original labs pre trt but coming off of SARMS 2 weeks prior.

Total test 263
Free test 80.5
Estradiol 25
Prolactin 11.2
LH 5.1 (1.5-9.3)
FSH 4.3 (1.6-8)
TSH 1.74 (0.4-4.5)

IAlso Im getting bloodwork Saturday to see where Im at w 4 pumps androgel 1.62 before I stop it , including estradiol, Total test, free test, and LH FSH

This way I can see if my balls work at all and gauge where Im at in a month after stopping.

 

[sammpedd88]

Are the above the only things you have been tested for? There's no way to look at one thing in bloodwork and say fix this and your libido and ED will be fixed, unless you were balanced in all other hormone areas and your E2 was super high or low. There's so much more to TRT than the levels you have listed. Personally I don't think you're going to be able to get what you are looking for with OTC test booster, but I hope you do. I hate injecting myself twice a week to be "normal" but I wouldn't go without TRT. It's changed my life.

 

[Brolz]

Unfortunately I never had bloods taken when I was feeling good, only right before they put me on Androgel, which happened to be 2 weeks after an 8 week Ostarine run, so I dont even know what my true baseline is. But I have faith in my BS supps and the fact that Androgel supposedly while suppressive should not have me totally shut down (will see results of sats LH FSH test). Whats messed up is that I think the LGD and Osta really shut me down (teste atrophy), and since Im on the TRT i dont know if my body will resume whatever natural production I had left while on TRT pre-sarms. My plan is:

Get bloodwork 7/25 9am (after 3 months of 4 pumps gel, and 2 weeks post 8 week LGD cycle) then immediately begin this as PCT:

Week 1:
Androgel taper (3 pumps days 1-4, 2 pumps days 5-7), Nolvadren XT (2caps AM), Humanofort-(100mg am, 100mg Noon, 100mg PM), HCGenerate (3 caps AM, 2 caps PM), Recycle (2 caps AM, 2 caps PM), DAA (3g AM), PowerFULL (2 caps PM), Organ Shield (2 caps PM), then all my usual maintenance crap ie. turmeric, fish oil, vitamin C, SuperCissus RX, Glucosamine MSM Chondroitin......

Weeks 2-4: Same except ZERO exogenous test

This covers a test taper, a few AI products, cortisol control, every researched test booster there is basically in proper dose, adaptogens for the natural transition....

Hoping this will be a gradual enough taper, plus give the other stuff a week to build up before I'm only running on my own juice. Even if It gets my nuts jump started to 50% capacity, that is a start! Hell I can get Clomid later if it doesnt work out, and if my gains (about 15lbs up and recomped between the test and the SARMS) diminish, **** it Ill get them right back with more LGD, gel, and clomid next time. I will also be getting bloodwork either in 1 or 2 months to assess the effectiveness of this protocol.

I will also attempt to eat a little bit more Paleo (diet stays pretty clean anyway) and try and lift for shorter duration sessions and less volume while I recover.

 

[damage007]

Well, my Doctor prescribed me testosterone patches and Stendra... Hope this helps!

adding something like andractim to that might help as well!

 

[sammpedd88]

Have you been to an endo? Your TSH is low even though it's in range. You could have some thyroid issues that is causing all of your problems. Wouldn't hurt to start there

 

[damage007]

Have you been to an endo? Your TSH is low even though it's in range. You could have some thyroid issues that is causing all of your problems. Wouldn't hurt to start there

Thyroid definitely could be at the heart of the problem...it's sort of similar to the beta-adrenergic pathway; it is directly related to the cAMP-PKA pathway which initiates steroidogenesis, so low thyroid hormones essentially leads to less steroid production.