20 Year Old - No Libido

Pharma / TRT Testosterone Replacement
1

Hi Everyone,

Starting a thread to hopefully get some input from everyone to help me figure out what is causing my Low Libido and Depression. I’m 20 years old and I’ve never really had much of a libido. Had a lot of anxiety issues when growing up and still do to a slight extent, but a lot better than it was.

No problems with body hair.

Active weightlifter, not used any steroids, completely clean. Only supplemented Whey Protein and Creatine. 4 Days a week, fairly good clean diet and don’t drink or smoke.

Previous Medical Issues

Minor Case of Gynecomastia, From Puberty - Surgery completed 1 month ago.
Testicular Hernia when born.
Anxiety and Panic Attacks.

Symptoms

No/Low Libido
Depressed
Lack of morning erections.

Blood Test 1 - 20 June 12 @ 2pm

Total Bilirubin - 14 umoYl (Reference: 0-26)
Alkaline Phosphatase 407 * lU/L (Reference: 88 - 330)
ALT 49 * ru/L (Reference: 7 -35)
Totat Protein 81 * g/L (Reference: 63 - 78)
Albumin 47 glL (Reference: 35 - 50)

Testosterone - 11.7 nmol/L (Reference: 8.0 - 29.0)
Serum TSH - 1.48 mlU/L (Reference: 0.2 - 4.0)

Blood Test 2 - 15 August (Pre Gynecomastia Surgery Bloods + Liver Retest) @ 3pm

NOTE: Stopped Creatine and Cut Down on Protein Supplements.

Total Bilirubin 17 umoYl (Reference: 0-26)
Alkaline Phosphatase 384 * lU/L (Reference: 88 - 330)
ALT 45 * ru/L (Reference: 7 -35)
Totat Protein 83 * g/L (Reference: 63 - 78)
Albumin 48 glL (Reference: 35 - 50)

Potassium 4.0 mmol/L (Reference 3.5 - 5.0)
Sodium 139 mmol/L (Reference 135 - 145)
Urea 8.7* mmol/L (Reference 3.1 - 7.5)
Creatinine 94 umol/L (Reference 59 - 104)
GFR (Calculated) 89 mumin/1.73m^2

INR 1.1* (Reference: 2-O - 4.5)
PT 11.6 s (Reference: 8.0 - 12.0)

HB 152 g/L (Reference 130 - 180)
WBC 9.8 x 10^9/l (Reference 3.6 - 11.0)
Plats 264 x 10^9/l (Reference 140 - 145)
RBC 5.2 x 10"12 (Reference 4.6 - 6.5)
HCT 0.452 l/l (Reference 0.40 - 0.54)
MCV 86.1 fl (Reference 81 - 101)
MCH 29.0 pg (Reference 27 - 32)
RDW 12.6 % (Reference 10- 16)
MCHC 336 g/L (Reference 320 - 370)
Neutrophils 5.30 x 10^9/l (Reference 1.8 - 8.0)
Eosinophils 0.4 x 10^9/l (Reference 0.04- 0.5)
Basophils 0.0 x 10^9/l (Reference 0 - 0.10)
Lymphocytes 2.92 x 10^9/l (Reference 1.0 - 4.0)
Monocytes 1.15 * x 10^9/l (Reference 0.3 - 0.9)

Blood Test 3 - 18 September @ 8.50am

NOTE: Stopped Protein Supplements All Together.

FSH 2.1 IU/L (Reference: 1.4 - 18.0)
LH 5.9 IU/L (Reference: 1.5 - 9.3)

Estradiol 159 * pmol/L (Reference: 0 - 150)
Prolactin 687 * mIU/L (Reference: 70 - 538)

Serum TSH 2.32 mIU/L (Reference: 0.2 - 4.0)
Testosterone 18.1 nmol/L (Reference: 8.0 - 29.0)

Total Bilirubin 16 umoYl (Reference: 0-26)
Alkaline Phosphatase 302 lU/L (Reference: 88 - 330)
ALT 72 * ru/L (Reference: 7 -35)
Totat Protein 79 * g/L (Reference: 63 - 78)
Albumin 46 glL (Reference: 35 - 50)

Questions

Testosterone has increased from 11.7 to 18.1, expected increase when taking test in morning compared to mid afternoon?

ALT level from the function test was going down, now shot up back up to highest level yet even though Alkaline Phosphatase has decreased to normal lab references. Had a urine sample, protein came back elevated, sent off to lab for testing for a infection. Could this cause the ALT levels to shoot up?

FSH is low (2.1 IU/L) and prolactin is moderately high (687 mIU/L), could these be lowering the Testosterone levels?

The Estradiol (159 pmol/L) is slightly elevated, could this cause a gyno reappearance again soon? Had 95% of gland removed.

Ending Notes

Seeing a Endo next Tuesday, has a very active interest in his areas, university lecturer and publishes research journals regularly so I’m feeling positive he should be able to help me. NHS doctor wasn’t interested when testosterone came back low on first test but managed to get him to run some further tests which are above.

2

Dr is most likely masking something else by, putting you on testoserone with out looking into what is causing it. Being from UK most likely, I do not see vitamin D levels check, or other typical parameters suggested here. Drs are not well adverse over across the pond. Putttng Guys like your self on Testosterone at such a young age should be a crime. DR look for easy way out. Endo are not hormones Dr they are diabetic drs.

3

[quote]Hardasnails wrote:
Dr is most likely masking something else by, putting you on testoserone with out looking into what is causing it. Being from UK most likely, I do not see vitamin D levels check, or other typical parameters suggested here. Drs are not well adverse over across the pond. Putttng Guys like your self on Testosterone at such a young age should be a crime. DR look for easy way out. Endo are not hormones Dr they are diabetic drs.[/quote]

Haven’t been put on Testosterone yet and I will refuse to go on to it until the root of the problem is found. The Endo specialises in Hypogonadism and it’s surrounding areas so I’m fairly positive he should be able to help me.

I agree, I’m missing some blood work. Hopefully I will be able to get the rest done with the Endo I am seeing next week.

I’m really hoping everything can be sorted out without going on Testosterone replacement. I’m pretty worried about my Liver as the last test the ALT levels came back pretty high and they have been elevated all summer. Don’t know if this is related to the symtoms I am experiencing and also the not so good levels in E2, FSH and Prolactin.

4

Approximate body fat % ?

5

[quote]fmrdh wrote:
Approximate body fat % ?[/quote]

13/14

6

Your testosterone levels look okay. Yes, the afternoon test is supposed to be lower than the morning. The morning value is the one you should use for diagnostic purposes, and it is excellent.

Your prolactin is elevated. This is a classical cause of lack of libido (and sometimes contributes to gyno). You should get an appointment with an endocrinologist to rule out a prolactinoma (a kind of pituitary tumor that often causes high prolactin).

7

[quote]seekonk wrote:
Your testosterone levels look okay. Yes, the afternoon test is supposed to be lower than the morning. The morning value is the one you should use for diagnostic purposes, and it is excellent.

Your prolactin is elevated. This is a classical cause of lack of libido (and sometimes contributes to gyno). You should get an appointment with an endocrinologist to rule out a prolactinoma (a kind of pituitary tumor that often causes high prolactin). [/quote]

I feel my testosterone should be around the 24/25 mark for my age (20). By looking at the averages it seems I have the levels of a 60 year old.

8

I am no expert, but your prolactin # is jumping up and down and screaming.
In women, prolactin causes lactation after a woman gives birth. In men it serves little purpose.
Its main action in men, is post orgasm. It is the thing/chemical that makes your erection go away
for what is called the refraction period. So, basically you have to rest for a spell before you can go again.
Most guys fall asleep, or wish their women would turn into pizza during this period.
Now, if your prolactin stays elevated, guess what ?? Your sex drive and libido stay basically inoperable, you are basically stuck in that post orgasm phase, you have no energy, it also causes gyno and low Test (sound familiar) ?
The tumor (prolactinoma) is usually treated by a drug called cabergoline with great success, in fact, I have read many account (on T Nation) where men use that drug on a recreational basis to artificially (and temporarily) lower their prolactin in an effort avoid the refraction period. Some even report not having to take a break after orgasm.
I believe an MRI is used to verify the presence of a prolactinoma. Once treated, the T and libido issues usually go away.
Good Luck

9

[quote]PKNY wrote:
I am no expert, but your prolactin # is jumping up and down and screaming.
In women, prolactin causes lactation after a woman gives birth. In men it serves little purpose.
Its main action in men, is post orgasm. It is the thing/chemical that makes your erection go away
for what is called the refraction period. So, basically you have to rest for a spell before you can go again.
Most guys fall asleep, or wish their women would turn into pizza during this period.
Now, if your prolactin stays elevated, guess what ?? Your sex drive and libido stay basically inoperable, you are basically stuck in that post orgasm phase, you have no energy, it also causes gyno and low Test (sound familiar) ?
The tumor (prolactinoma) is usually treated by a drug called cabergoline with great success, in fact, I have read many account (on T Nation) where men use that drug on a recreational basis to artificially (and temporarily) lower their prolactin in an effort avoid the refraction period. Some even report not having to take a break after orgasm.
I believe an MRI is used to verify the presence of a prolactinoma. Once treated, the T and libido issues usually go away.
Good Luck
[/quote]

Thanks PKNY,

Reading a lot of the experiences on here it seems a lot of people have problems with finding a Endo/Doctor that will treat them. But it appears that my levels are abnormal enough to stand out and make anyone treat me?

I understand that you’re not a professional but do you have any thoughts on my FSH level, 2.1 IU/L ? To my knowledge it appears low, makes sense that this could be caused by a Prolactinoma too and also be causing the Estradiol levels to be high?

10

Thought I’d also add the fact that I was highly anxious during the blood test. After having researched, this can also increase the levels of Prolactin?

11

One tidbit is how do you sleep? If your going to bed early I would have to assume that would at least help.

12

I’m going to bed roughly at noon at the moment and getting at least 8 hours.

13

Your high prolactin is probably suppressing your LH and causing your lowish T. If you search the steroid section, you will find a lot of talk about a steroid called Trenbalone. Using tren supposedly aggravates prolactin so much that it can cause gyno even though it cannot aromatize into Estrodial (normal causue of gyno). Many guys run cabergoline along side tren or at least have it on hand in case gyno starts up during a tren cycle.
Want to know the terrible side effect of Tren ?? Its called Tren Dick. The stuff kills your ability to get an erection, I believe it is a result of the high prolactin.
Outside of that, has your Dr said what may be causing your ALT and AST to be so high ?

14

[quote]PKNY wrote:
Your high prolactin is probably suppressing your LH and causing your lowish T. If you search the steroid section, you will find a lot of talk about a steroid called Trenbalone. Using tren supposedly aggravates prolactin so much that it can cause gyno even though it cannot aromatize into Estrodial (normal causue of gyno). Many guys run cabergoline along side tren or at least have it on hand in case gyno starts up during a tren cycle.
Want to know the terrible side effect of Tren ?? Its called Tren Dick. The stuff kills your ability to get an erection, I believe it is a result of the high prolactin.
Outside of that, has your Dr said what may be causing your ALT and AST to be so high ?
[/quote]

Doctors does not know why ALT levels are high yet, hopefully specialist will be able to shed some light. I’m starting to think the two problems are related.

15

[quote]richtea9 wrote:
I’m going to bed roughly at noon at the moment and getting at least 8 hours.[/quote]

If that was your schedule at the time the blood tests were taken, I think it would invalidate the testosterone results for the purpose of determining how you compare with others in your age range. Morning testosterone level comparisons are predicated on the assumption that you slept normally during the night and the blood was drawn within a couple of hours of waking.

Your prolactin level cannot be explained away by the fact that you were nervous. Your high prolactin should definitely be addressed by the specialist.

16

You may want to pick up a supplement/herb called Liv52 for your liver. Its not a cure for whatever is causing stress to it, but it has amazing purifying powers and helps to strengthen the liver. Lots of guys running steroids that are hepatotoxic run Liv52 before, during and after cycle.

Be sure to tell your Dr that you are taking it so he doesn’t think whatever is causing the stress has subsided on its own. No matter what, you do not want to let your liver get damaged while your doctor is trying to figure out your issues.

17

If you exercise heavily sometimes your liver enzymes can be elevated from the muscle damage that exercise causes. Just to rule that out maybe give your body a couple days rest to make sure it isn’t exercise related with the liver enzymes the next time you test.

18

[quote]Ptownmike wrote:
If you exercise heavily sometimes your liver enzymes can be elevated from the muscle damage that exercise causes. Just to rule that out maybe give your body a couple days rest to make sure it isn’t exercise related with the liver enzymes the next time you test.[/quote]

That could be something.

I haven’t been lifting for 4 weeks due to having surgery for Gyno but I’ve had a constant problem with my right quad (slight pain for the last few months through all of the blods). I’ve just kind of dismissed thinking it would get better with time and just started running again to get back into fitness.

19

Specialist proved to be useless, said there’s nothing wrong and that I should properly speak to someone.

Haven’t got a clue what to do next.

20

What did they say about your prolactin being so high ?