Hopefully this post isn't as long as I think it is going to be in my head, but here it goes:
I am a 23 year old male, 5'7 and 155 pounds and about 2 years ago I moved to Utah for graduate school from Los Angeles. You'll see why this is important after. I was feeling great when I first moved here when I was 21 years old, but over the last 2 years I have felt that something within me is beginning to change.
I spend a lot of time alone as I do not have many friends out here. I am a social butterfly and back in Los Angeles I would hang out with friends every single day and just have a good time. Other than the gym and a couple hikes here and there, I don't really do much outside of my apartment to be honest.
I've been smoking weed chronically since I was 19 years old up to about the beginning of March 2015 (2 months ago). Now I have cut it down to about once or twice a month. Please no one beat me on this because I have graduated from a highly prestigious university and am in graduate school so it has not ****ed up my physical life, but my mental health is a different issue. Honestly everything was really fine until that time in March where I decided to quit. For example, I would get boners almost instantaneously around women and many spontaneous erections during the day. I had a crazy libido, where sometimes I would jerk off up to 5 times a day. A horny mother ****er in general. My mood in general was very positive, like nothing can put me down. A bit narcissistic, to be honest.
I realized something was wrong when I was out a couple of times last month and my desire for women had really decreased. I had no intention of going up to them and putting in the effort to talk. 2 out of the many nights I ended up pulling 2 different woman home and I realized something was wrong when it took like over 30 minutes to even get a half ass erection. Wouldn't even last up to 5 minutes while in both of them and it would just spontaneously go away and never come back. I could see how I mentally screwed myself and let my body not get an erection.
I went to the doctor to get my yearly physical after all of this and while he was checking off stuff for the blood test, I'm like "hey man check my testosterone too for shits and giggles, i'm sure it's going to be fine, i'm just curious." Since I got my first results where my testosterone was low, everything started going down hill from there.
First Test: Taken at 8:00 AM
Testosterone,serum: 264 (348-1197 ng/dL)
Free Testosterone(Direct): 8.1 (9.3-26.5 pg/mL)
Cholesterol:
Cholesterol 143 (0-200 mg/dL)
Triglycerides 42 (0-150 mg/dL)
HDL, Cholesterol 46 (40-60 mg/dL)
LDL (calculated) 89 (0-160 mg/dL)
Thyroid:
TSH 0.784 (0.360-3.740 mIU/mL)
Also my CBC and CMP all came back in normal ranges.
I got extremely worried about the testosterone, so I went to doctor again to get it checked.
Second Test: Taken at 3:30 PM
Testosterone,serum: 251 (348-1197 ng/dL)
Free Testosterone(Direct): 8.0 (9.3-26.5 pg/mL)
Luteinizing Hormone: 4.08 (1.24-8.62 mIU/mL)
Follicle Stimulating Hormone (FSH): 12.40 (1.00-42.50 mIU/mL)
Vitamin D, 25-Hydroxy: 26.8 (30.0-100.0 ng/mL)
I see that my Vitamin D is low, but when I asked my doc how much this affected my testosterone he said not much at all because basically everyone in Utah is Vitamin D deficient, so if it were to lower it, it would not be this significant.
So my testosterone came back low the second time again, but the hormones from my pituitary gland were normal. After this test, the doctor offered me either Clomid, shots, or the gel. I told him that I still feel i'm too young (only 23) for any of these things, but sometimes my depression and anxiety gets really bad. I don't know if thats because of me stopping weed daily, i'm sure that is a big issue, but I did truly start feeling all these symptoms after I stopped daily use. As I said I still do it only once a week. I never really had any significant symptoms before. I have been having suicide ideation lately, and man that is totally not me! Since I am a very positive being and I have my head on my shoulders. Sometimes I am very good and at times my mood just switches so spontaneously its crazy. I get angry at everything and don't want to talk to anyone. I just want to be left alone.
It seems that I have primary hypogonadism, but I am so confused at what to do at this age! Just needs some words of wisdom.
Thank you for reading.
PS: I take Multivitamins (has 1000 IU Vit D and 25 mg Zinc), Fish Oil, Vitamin D (4000 IU), and this supplement called Testosterone Up which basically has a lot of zinc and other natural products.