I have a history of moderate to severe depression for the last 10 years or so ( i am now 39). I also have had many of the symptoms of low T throughout my adult life such as low energy levels, obesity, low sex drive etc etc. During my latest bout of depression, my GP did a testosterone level check and found my levels to be 4.9 then 3.2 on a second test. I have been diagnosed with hypogonadotropic hypogonadism and about 5-6 weeks ago I started on TRT, using 1 x 5g sachet of Testogel (Androgel) per day. My initial response was dramatic, my energy levels went through the roof, and I just felt generally great. Unfortunately at the end of that first week, I was asked to take a week off work as they were concerned that I may become physically violent ( I think this was an over reaction on their part, however I do admit I was a bit agressive and confrontational, where I am normally very mild, to the point of being timid). I took a week off and felt better than I have ever felt during my adult life. I was just loving being alive, and finding enjoyment everywhere. I also had great energy levels. This response seemed to fade over the following three weeks or so and when I went to see my endocrinologist, sure enough my T level was higher at 7.2 but still not in the normal range ( lower limit of 8 I believe). I was put on two sachets of testogel per day, and ever since ( about two weeks) I have not experienced any of the great mood or energy levels, in fact I feel really rubbish. I am also having terrible mood swings, ranging from feeling quite seriously depressed one hour to being very angry/confrontational then next hour.
I am starting to think that I have only two options. 1. I can stop the TRT and be depressed but mild mannered or 2. I can carry on and feel generally less depressed, but angry and not very nice to be around ( i am already losing friends).
Can anyone offer any advice ? Do you think I am converting the T to estrogen? I believe this can happen. Would this cause the mood swings i am experiencing? Do I just need to give it more time for things to stabilise ? ( I think people at work are beginning to lose patience with me ) or do I need to try a different delivery method ( I have read that injections/implants are even more likely to give me mood swings).
Any advice would be VERY gratefuly received.
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