Male libido advice
Hello there, hopefully, you guys can help a little here. I'm sorry this will be a long one, I'm trying to give you every piece of information I can think of to help, I just need to be 'normal' again.
I have been suffering from what I assumed were low testosterone/andropause symptoms over the last 3 years. I finally got to see an endocrinologist who said it wasn't, so I booked a private endo who also agreed it wasn't low T. So now I'm stuck in limbo with no direction.
My libido (sexual interest and drive) is virtually absent, I can get an erection (about 60% hard) with stimulation but these go fairly fast, within about 20 seconds with no physical stimulus. I often need to use Cialis just to be able to have sex on the odd occasion I get 'frisky'
I'm male 44 not overweight and in reasonable condition. My bloods are as follows:
Serum testosterone 16.2 nmol/l
Free test (calculated) 0.214 nmol/l
Testes are 15ml bilaterally
Pulse averages 78
Blood pressure is around 120/78
Thyroid just says normal
Cortisol is 455 nmol/l
IGF-1 37 nmol/l
I am on carbamazepine 600mg morning and 400mg evening. I am also on fexofenadine 120mg evening. These are my only prescription medications. I have been on B12 injections for over 1 year but I have decided to take myself off them as I don't have pernicious anemia and the last few I have felt better in the weeks before the injection, but not so good after it.
I have been on a very long term of oxytetracycline (18 months!!!) for head acne, but I decided to come off those in January 2018.
Since that blood test was taken I have been taking the following supplements daily
Zinc 30mg elemental morning
DHEA 25mg morning
Magnesium oxide 200mg morning
Vitamin D 10,000 IU weekly
St John's wort 3x daily (only last 2 weeks)
I used to take a multi vitamin (Centrum MEN) and add a B complex to it but have stopped those over a month ago. I have taken tryptophan for about a week over 6 months ago then stopped it. Also previous to that I have taken theanine, rhodiola and taurine.
I drink coffee regularly, but not daily. I walk around 5-10 miles daily. I probably don't eat enough, I think it's between 2,000 and 2,500 calories daily. I have lost a lot of muscle tone so think I probably need more protein??
Language skills are terrible
White coating on the tongue
Low-grade anxiety - I sometimes have difficulty waiting on things I feel are important.
Don't dream any more
Sweat lots, more than I ever have
Don't fantasise sexually
Skin itching at night (hence the fexofenadine)
I have found I am quite pessimistic these days unless it's something that interests me.
I do sometimes have mood swings that are uncontrollable
Sleep; I can't remember the last time I had a refreshing sleep. I can usually get to sleep no problem, but staying asleep is much harder. I usually wake around 3 times at 2:30, 5 and 7:30 am. I don't feel refreshed when I wake.
Muscle loss; I have had quite a lot of muscle loss since January (since I started walking). I can put it back on, but struggle to keep it. I think I might not be getting enough protein and/or food in general?
Low/zero libido; I can't even fantasise about sex, it's like a switch has been turned off inside my brain
Erection; much softer erections. If I were a 10 before they are more like a 6 now. There's no 'pump' and it doesn't 'stand' on its own when lying down, just rests on my stomach, even with Cialis. I no longer get spontaneous erections either. Doesn't seem to have as much sensation and is always flaccid and unresponsive unless masturbated. I have been thinking about eating more nitric oxide rich foods to try and 'pump' it more when erect. However this doesn't seem to do a great deal on the occasions I have done this.
Orgasms; sometimes I can reach orgasm easily, but probably 75% of the time I struggle to reach orgasm and often can't. It's as though I don't enjoy it as much, I assume because my erections aren't as hard as they used to be, the pressure is different.
Loss of joy; things just aren't enjoyable for me right now. I still have a laugh and a joke with friends etc.. but the little things aren't enjoyable
Joint pain; recently my joints are hurting, my thumbs and shoulders especially. this came on 3 days after my last b12 injection.
As you can see, all of the symptoms point to low testosterone, but both endocrinologists say no and after finding out that it's a lifetime thing since it shuts your own production down, I don't fancy trying it privately. That and the prostate cancer issue as my father has literally just been diagnosed.
The private endo did suggest that the symptoms were sympathetic with depression but he also stated that based on my interactions and that we were having a giggle that he didn't think I was depressed and I agree, I don't feel depressed, just frustrated that I'm broken and my Dr can't or won't help.
Now here's the part that is interesting:
I mistakingly used my girlfriends progesterone cream (22mg per pump) and had half a pump. Within about an hour I actually felt things in my penis again for the first time in ages. My erections are a little better when I use it but there is a caveat; the sensations stop quite shortly, I would say around 4 hours after using it.
I have since taken a full pump twice a day with the same results. Although I am sleeping longer now but still not refreshing :(
So, here's my question, should I be using more progesterone? Maybe couple the pg with a dopamine agonist like DLPA??
All help will be gratefully received.
Any help or insights greatly appreciated, I really need this fixed soon.
Thank you for your input in advance.