22 yr Old. No Libido, poor erections, poor well being. PLEASE HELP

[VICREP]

Hey guys.

I'm 22 yrs old. I live a healthy lifestyle but I have been struggling severely with a few symptoms for a while now.

My problems are:
Very Low libido
Poor erections
No morning wood
Small ejaculatory load size
Lack of motivation energy
Poor sense of well being (more so indirectly caused by above)
Puffy nipples
Slight nipple lactation
Stubborn fat and bloating

These are some labs I had taken a month ago.
Test Total 28.5 nmol/L (8.3-30.2)
Free Test 395 pmol/L (225-725)
SHBG 68 nmol/L (17-66)
Cortisol 682 nmol/L (119-618)
Prolactin 147 mIU/L (45-375)
TSH 1.29 mIU/L (0.50-4.00)
FSH 9 iu/L (1-10)
LH 8 iu/L (1-10)
Progesterone 2.4 (1.2-4.8)
E2 193 pmol/L (<145)

I have had other labs done at other times and but not as extensive

I have been running Aromasin at 12.5mg-25mg the past 3 weeks to try lower my e2 but I haven't noticed much difference.

Also I added Raloxifene 12 days ago to help get rid of the puffy nipples. Again not much change.

Please help guys. It isn't right for someone my age to struggle like this

[austinite]

Most of your numbers look fine. You'll need bring your E2 down as that is too high and could cause fatigue. More blood work is needed to narrow down some of these symptoms.

Any stresses in your life lately, Vicrep? Have you cycled recently?

[VICREP]

Most of your numbers look fine. You'll need bring your E2 down as that is too high and could cause fatigue. More blood work is needed to narrow down some of these symptoms.

Any stresses in your life lately, Vicrep? Have you cycled recently?

what other blood work is needed?

Yes some. But I had this problem prior to these problems as well. I have seen a psych. Not helpful

[austinite]

what other blood work is needed?

Yes some. But I had this problem prior to these problems as well. I have seen a psych. Not helpful

I wasn't going to suggest a psychiatrist, but it certainly sounds like some of the issues could be psychological and OTC drugs could help you, such as Tryptophan.

As for more blood work, a CBC (Complete blood count), CMP (Comprehensive metabolic panel) and full thyroid panels would be a great start.

[VICREP]

Na I don't think psychological issues are the problem. A low libido really is distressing in itself.

[austinite]

Na I don't think psychological issues are the problem. A low libido really is distressing in itself.

so what do you think it is?

[DocMeehan]

Vicrep, Austinite asks the best question ever. Whether you do it here or in a doctor's office, you should think hard and dig deep into what you think is going on. You shouldn't hold anything back. You have some smart people here that are willing to help.

Also, consider starting over...with your program, nutrition, supplements...everything. Rebuild from a solid base of great nutrition, improved sleep, getting away from toxic people and stressors...I'm sure you know the drill. But don't try to tinker around the edges when fundamental issues are being ignored. For example, if you aren't sleeping really well, don't expect anything else to work well.

[Trific]

Bet you could use some vitamin d.

That cortisol doesn't look too healthy.

[dreadnok89]

That estrogen is a godamn killer

[dreadnok89]

So vitamin d3 controls cortisol?

[Trific]

So vitamin d3 controls cortisol?

That remark about vitamin d was made by looking at the SHBG level and guessing

[ZenFitness]

That estrogen is a godamn killer

Yes I can vouch from experience that, at least for me, E2 *completely* controls my libido and erections. Too low, really rough, too high, really rough. I would talk to your doc about available prescriptions (adex, etc.) maybe... I'm not an expert by any means, however. Whatever you decide to do, I would definitely do it under a doctor's care and don't shoot from the hip via Internet research.

[Trific]

Maybe he could knock down that E2 with some DIM and zinc?

[ZenFitness]

Yes I almost recommended DIM but thought that a doctor's supervision might be something to look at first. In my experience, adex will knock your E2 down hella fast so you need to be careful on dosage. I would definitely go with zinc either way... 50mg a day (I take mine just after breakfast).

The OP would also do well to see a doc to maybe see why E2 and SHBG are high.

[Trific]

That estrogen is a godamn killer

Yah, I think that high could give him every one of his symptoms. Addressing the high estradiol certainly may not solve everything but it should be addressed and it's likely to address some of them....

[VICREP]

My cortisol was 1059 nmol/L (119-618) on a previous lab.

I have been using aromasin . Is armidex a better option for lowering already high e2?

[dreadnok89]

All I know is I was using exestamane everyday and my unit became 10000x better with that and cialis.

[VICREP]

I have been on the Aromasin for a few weeks now. Ill get bloods done in another couple weeks and report back.

Adex is on it's way

[Trific]

I like aromasin better than arimidex because it is suppose to be easier on lipids than arimidex.

There should not be any E2 rebound from stopping aromasin like there is from stopping arimidex.

They say that you usually don't crash your E2 too low with aromasin...with arimidex guys crash their E2 all the time....it happens so often that it almost seems like a right of passage.

[VICREP]

Here are some updated bloods 2 weeks after stopping aromasin

E2: 142 pmol (<146) HIGH *note it was around 190 until I took aromasin for a couple weeks
FSH: 5.2 IU/L (1.4-18.0)
LH: 6.2 IU/L (1.5-9.3)
Prolactin 291 mIU/L (45-375) HIGH-NORMAL
SHBG 45 nmol/L (13-71)
Test 1055 ng/dl (230-750) HIGH
Free Test 752 pmol/L (225-725) HIGH
Androstenedione 16.8 nmol/L (2.1-10.8) High
DHEAS 10.9 umol/L (2.2-15.2)
Free T3 4.9 pmol/L (3.5-6.5)
Cortisol 675 nmol/L (119-618) High

From this obviously my test/free test is great. I'm guessing my poor libido, weak erections, bloating, puffy nipples and fatigue are due to high E2 and slightly high prolactin.

So I have some Cabergoline on it's way (dostinex so pharma quality) and I just started some Liquidex (arimidex ) but I'm think ing of switching to pharma grade arimidex as well.

I'm thinking Arimidex 0.25mg ED for first week, Caber 0.5mg twice a week, then drop Arimidex to 0.25mg EOD until libido comes back.

Thoughts?