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My Battle with Low Libido and Low T - Lab Results Inside

rimseb

New member
Hey everyone, I’m a 32 year old male that has been suffering from low libido and low T for the last 5 years.

I’ve done endless blood tests and seen many doctors but all of them brushed it off saying it’s mental, stress etc etc.

Im not going to post all the lab tests since there are way too many, but my Total T , Free T have always been on the low side ( varying from 300 to 380 ng/dl , range 300-1080 ).

Also my TSH has always been on the very low end, 0.35 iUI/mL - 0.49 iUI / ml , range 0.35 - 4.94 ).

My main symptom has been low sex drive followed in a smaller extend by fatigue , dry skin, brittle nails.
I have to add Im fairly active and fit. I workout 5 times a week , 1.76m at 76kg and my strength overall is pretty good.

Fast forward to Dec 2018, I repeat my lab tests and this time both my Total T and Free T are under the norm. My TSH is again at a lowish level at 0.49. Also a bone densitometry showed I have osteopenia ( at the very initial phases ).

Finally my doctor decides to start me on Clomid 50mg EOD. After the end of the first month, he asked me to do 50mg every three days for the second month and 50 mg every 4 days the third month.

To make things easier, I have put in a table my lab tests before , during and after the treatment.

Invalid Link Removed

While my Total T and Free T shot up, so did the estradiol.

As for my symptoms, nothing really changed. I feel I am progressing faster at the gym but the libido is exactly the same as before treatment.

Finally, yesterday I went to (yet) another doctor and he thinks clomid is good for fertility but not for libido. He asked me to stop clomid entirely for 2 weeks and then start TRT injecting Nebido 1000mg every 3 months.

I am really at a loss here since this has been going on for way too long and I can’t find a doctor to solve my problem.

Thoughts are greatly appreciated!
 
If you want to try some things that are not pharma, you might try chrysin, I3C and/or DIM
 
Wow. The clomid protocol was something new to me.

I would follow the advise of the first doc, he clearly knew how to handle your test problem.
Why would you need TRT when the clomid protocol worked awesome?
If only libido is a problem, there are a lot of things to try.
I would take 2x 25mg proviron/d. This would up free test, lower shbg, up libido and curb estrogenic sides.
 
hairygrandpa said:
Wow. The clomid protocol was something new to me.

I would follow the advise of the first doc, he clearly knew how to handle your test problem.
Why would you need TRT when the clomid protocol worked awesome?
If only libido is a problem, there are a lot of things to try.
I would take 2x 25mg proviron/d. This would up free test, lower shbg, up libido and curb estrogenic sides.
Click to expand...

Because even the first doctor after these results said the estrogen is fine, doesn't need to be lowered and let's just continue by lowering the dose. So no real solution to my main problem.
 
It’s time to look at a few things.
Do you simply just want to be on TRT? Because that wouldn’t be hard to do. It’s for life but if you’re ready for that, it’s just a matter of finding somewhere that fits your budget. Libido is more complicated than having high or low test or E. Mine has been **** this last 5 months and my test is 1126 and I was running one of the most libido friendly drugs ever. Herbal supplements help tremendously. Irwin naturals makes one called steel libido that’s incredibly effective.
I’m an advocate of TRT for those who know the pretty scary risks of it and are prepared for the responsibilities and hurdles. There are many of both.
It’s gonna be hard to help you without knowing exactly what you want. To avoid TRT or find a doctor to put you on it, or just help your libido.
I have seen just Clomid change guys lives for a full year in the low T department so that doesn’t surprise me.
 
Matthersby said:
It’s time to look at a few things.
Do you simply just want to be on TRT? Because that wouldn’t be hard to do. It’s for life but if you’re ready for that, it’s just a matter of finding somewhere that fits your budget. Libido is more complicated than having high or low test or E. Mine has been **** this last 5 months and my test is 1126 and I was running one of the most libido friendly drugs ever. Herbal supplements help tremendously. Irwin naturals makes one called steel libido that’s incredibly effective.
I’m an advocate of TRT for those who know the pretty scary risks of it and are prepared for the responsibilities and hurdles. There are many of both.
It’s gonna be hard to help you without knowing exactly what you want. To avoid TRT or find a doctor to put you on it, or just help your libido.
I have seen just Clomid change guys lives for a full year in the low T department so that doesn’t surprise me.
Click to expand...

My only goal is just to fix my libido. Ideally I want to avoid TRT for as long as possible since I want to preserve my fertility. That's the reason why I haven't started it for the last 5 years even though my libido was nearly non existent. So if you have any suggestions how to fix it or know any doctors specialised in this it would be very welcome.
 
I like mucuna pruriens and several of the herbs listed in Steel Libido and a small dose of Pramiprexole, like 1/10 of 1mg at night and that works for me.
 
I would buy RC exemestane. 12.5mg once a week until dropping the clomid. I also would follow
Matthersby 's advise and get some:

Irwin naturals makes one called steel libido that’s incredibly effective.
Click to expand...
...if I can't source proviron.
 
You mentioned you have brittle finger nails, low libido?
Have you had your zinc levels tested?
Zinc, if you are deficient will cause both these symptoms......
Do some research on zinc
 
ironranger said:
You mentioned you have brittle finger nails, low libido?
Have you had your zinc levels tested?
Zinc, if you are deficient will cause both these symptoms......
Do some research on zinc
Click to expand...

Yes, they were good since I take ZMA every day before sleep.
 
Ok, a quick update.

The last doctor told me to stop Clomid for about 20 days and then do a first shot of Nebid 1000mg.

So here's how my numbers look like 20 days after stopping clomid:

Total T: 6.5 ng/mL
Free T: 27.81 pg/mL
Estradiol: 44 pg/mL
LH: 5.10 mIU/mL
FSH: 2.80 mIU / mL
SHBG: 63 nMol/L
DHT: 116.52 pg/ml ( range 250-990)

So apart from DHT being very under the norm, the rest looks pretty OK.

Anyone has any idea how come Clomid raised Total T / Free T / E2 and SHBG but not DHT at all?
 
Last edited:
rimseb said:
Ok, a quick update.

The last doctor told me to stop Clomid for about 20 days and then do a first shot of Nebid 1000mg.

So here's how my numbers look like 20 days after stopping clomid:

Total T: 6.5 ng/mL
Free T: 27.81 pg/mL
Estradiol: 44 pg/mL
LH: 5.10 mIU/mL
FSH: 2.80 mIU / mL
SHBG: 63 nMol/L
DHT: 116.52 pg/ml ( range 250-990)

So apart from DHT being very under the norm, the rest looks pretty OK.

Anyone has any idea how come Clomid raised Total T / Free T / E2 and SHBG but not DHT at all?
Click to expand...
Either naturally or due to something you take, you have low levels of 5 alpha reductase, thus very little test is converted to dht. Just a thought
 
Carnivorecon said:
Either naturally or due to something you take, you have low levels of 5 alpha reductase, thus very little test is converted to dht. Just a thought
Click to expand...
which could also explain high estrogen/low libido.
 
only have practical experience with us doctors - trying to "tune" with nebido = no clue. too bad can't do cypionate/enanthate in small injections e.o.d to start and check after few months and go from there.

50mg/day clomid a lot for guy starting at 300 i say. most us trt docs i know use 12.5mg/day, *maybe* 25mg. 50mg only used for 2 weeks usually, for totally suppressed drug user. there is estrogen as part of clomid molecule. but if you were at 93 with t at 1200, unless crazy nipple problem, i not worry personally. i definitely not try to lower the 44 estrogen though!

yes, the dht weird - like above, 5ar make dht. totally skeptical that "natty" things raise dht... but since you VERY GOOD with bloodwork, can't hurt to try i guess. in us, trt doc can give oxandrolone legally.

did you ever fix thyroid? that big thing to get right for all problems mentioned - i actually would have start there first.
 
Ok another update here.

I waited two more weeks to see how things would change after stoping Clomid.

Here are the values for T and Est.

Total T: 4.96 ng / mL ( 3-10.8 )
Estradiol: 18 pg/mL ( 11-44 )

Looks like both fell but Estradiol a bit faster.

Also, during this time I had a phone consultation with Dr. Abraham Morgentaler ( author of Invalid Link Removed ).
He believes also that I should be on TRT and agrees with my local urologist that Nebid is a good start.

So today I'm going in for my first injection and hopefully will help.

Will keep you updated on how things go.
 
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