What to say to endo if free test is still low?

[yeahbuddy289]

So starting out I was on 25 a day of clomid and got blood work back in January. My total test nearly doubled but my free was borderline low. We increased my dose to 50mg a day and I got my blood drawn and have my appointment next week. Honestly I dont feel any better so im assuming my free test is low. If this is the case what are some things I can discuss with him? And what else can we do to get that higher? Check SHBG?

[kelkel]

Your test can rise dramatically but it doesn't mean you'll instantly feel better. This can take many months for some guys.
Yes, it's good to test your shbg as this is what both binds sex hormones and transports them.
Wait and see how your BW looks, maybe you'll be surprised.
If it's still not good then maybe it's time to discuss a different course of therapy. Some just don't do well on clomid or hcg mono.

[Low Testosterone]

As said by kelkel, it can take months to feel better. I'd say the average time frame is 12wks for the benefits to TRT to be legitimately noticeable, and that's assuming things are "dialed in" as they say. And that also doesn't mean you are now completely 100%. The full benefits of TRT can take upwards of a year, and that's assuming the individual is consistent with his treatment. That does not mean you still feel like garbage for a year.

Equally important, if you have low testosterone levels and correct them, this does NOT mean all your physical symptoms are taken care of. Low testosterone levels may not be the individual's only problem. The primary example, if a man has ED issues and corrects his testosterone levels, he will normally assume his ED issues will be taken care of, and that may very well be true. However, if he also has a blood flow issue, which is an issue of it's own, he may still have ED. What commonly happens at this stage is the man will stop TRT out of frustration, but sadly all could have been resolved had he fixed both issues.

[yeahbuddy289]

I do think my erection quality has improved but I never really had an issue with that. My concerns are I still have a low sex drive and low energy levels. I have been on clomid for about 7 months now and have never missed a day.