Help me figure out whats wrong with me - 22 No sex Drive

[cobalt172]

Hello all,
I am 22 years old and I am at the end of my rope with this thing I really need some advice.
Over the last couple years or so I have completely lost my libido and ability to maintain or even get an erection. I feel Tired ALL the time and frequently have to take naps in the afternoon like an old man. I cannot 'perform' with girls at all and It is destroying my life. I is EXTREMELY difficult for me to EVEN MASTURBATE. Oh and I have never done any steroid cycle before...

I saw a doc and had blood work, and my test was at 669.7 ng/dl... I thought this was strange... I mean I have all the symptoms of SOME type of hormonal imbalance:
1.) tired ALL the time 2.) Bad E.D. / no sex drive 3.)gain weight (fat) extremely EASILY 4.)trouble sleeping 5.) foggy thinking 6.) TERRIBLE memory, I seriously can't remember anything. I always repeat stuff to people because I forget that I already told them...

I had another test on friday in which tsh,t3,t4 and free test will be tested. An interesting thing about my first test is that albumin was tested. According to my research, albumin plays a role in binding testosterone? Well I had a level of 5.0 on a reference range with a MAX of 5.0 Does this indicate low free t?

If the doctor says everything is 'normal' again, then I think I am going to start self medicating with testosterone (maybe 250mg/week) or anti-estrogens (does putting on weight on the love handles indicate high e?). What would happen if I started using an AI or Nolva?

Before you say "do you even lift", yes I lift, I have been seriously lifting and training for 7 years (distance runner as well). I am 5' 8 and 160 pounds. I Deadlift 315x12, bench 185x8, squat 200x8. I also run long distance.

Just got my results back from another test and my free t was at 12.5pg/ml on a scale of 5-40. Converting this to ng/dl is 1.3 ng/dl. I looked at t levels by age and for my age group at 22 should be around 12.3 ng/dl. According to this table I have less free test than a 100 year old man... Is this incorrect? Opinions?

I am primarily concerned with the libido Issue, here so If I could get some insight into how I can reconcile this that would be great. I have lost tons of opportunities to get a GF lately. I don't feel like I used too just a few years ago, I want to feel like that again... lots of energy and sex lol

[HRTstudent]

The symptoms of low testosterone are so ambiguous and overlap with so many things, that it is simply not something a person diagnoses based on symptoms alone.

And at a total testosterone in the ballpark of 700, you would be a fool to self medicate with testosterone. I am not attacking you, but merely saying that would be a very foolish thing to consider.

I would advise you to look at other areas. You are focusing overly on testosterone because you are merely linking up some symptoms you have with some symptoms of low testosterone. Meanwhile, your testosterone is definitely not low...


The debate of free vs total is far from settled. But a total testosterone such as yours just should not be thing to treat.

I would look at other things, mainly neurotransmitter related, stress, lifestyle, potential toxins, and eliminating modern foods.

[testoment]

Are you on any other medications or d.r.u.g.s? I say this because I was on some anti-depressants that absolutely killed my libido and my erection.

[steroid.com 1]

Totally agree with HRT.

Needs a complete Thyroid work up as well; many of the same symptoms of Hypogonadism are the same for Hypothyroidism.

[Rusty11]

Agree with the guys above. No need to add T when you're in the 700s. It won't resolve your issues. Also interested in thyroid levels. When I had hypothyroidism, I suffered every symptom that you mentioned...EVERY ONE!

[phaedo]

Agree with the guys above. No need to add T when you're in the 700s. It won't resolve your issues. Also interested in thyroid levels. When I had hypothyroidism, I suffered every symptom that you mentioned...EVERY ONE!

^ this is exactly what I was going to say. At this point in your life, TRT would be a step backwards.

[powerlifterty16]

^ this is exactly what I was going to say. At this point in your life, TRT would be a step backwards.

i think you guys are missing the point, that his free is non existent...i think at minimum he should take an ai

[steroid.com 1]

i think you guys are missing the point, that his free is non existent...i think at minimum he should take an ai

And this is based on what?

His Free T is low most likely because he's SHBG dominant but there are on labs here to assess that.

He's young and something is amiss and he needs a complete and thorough hormonal assessment to rule out any other clinical condition or pathology.

[Rusty11]

gd covered it, but I just have to add that I always cringe when someone recommends an ai without proper bw. Of course, there are exceptions-experienced guys who cycle and know exactly what their bodies are doing. Most of us don't fall in that category, though.

[Moparman]

I didnt see estradiol levels but being you're a distance runner your E could be really high.