Attempt two: My lengthy reply vanished. Very rare issue.
B12: Do you have heart burn and use any antacids?
You are in-range and many docs there will be dismissive, it is the system and mind-set of health care there.
Test LH and FSH, please not LH only, discuss with doctor. This will determine if problem is pituitary or testes. If LH/FSH are the problem, test E2 and prolactin to see if these HPTA negative feedback hormones are the problem.
Liver looks good, AST/AL, so we do not expect that liver has reduced E2 clearance increasing E2 in that manner. SHBG is good, also a positive indicator for the liver.
TSH better near 1.0, please see last paragraph in this post to self-evaluate overall thyroid function. Many there do not have enough iodine in their diets. Do your vitamins list iodine and selenium? How much?
Were you holding your breath for blood draw?
Were you dehydrated for your fasting lab work?
SSRI’s do have a reputation for altering hormones and often absolutely interfere with sexual function.
TSH has very little to do with androgens.
Melbourne? Search the forum for that!
Please read the stickies found here: About the T Replacement Category - #2 by KSman
- advice for new guys - need more info about you
- things that damage your hormones
- protocol for injections
- finding a TRT doc
Evaluate your overall thyroid function by checking oral body temperatures as per the thyroid basics sticky. Thyroid hormone fT3 is what gets the job done and it regulates mitochondrial activity, the source of ATP which is the universal currency of cellular energy. This is part of the body’s temperature control loop. This can get messed up if you are iodine deficient. In many countries, you need to be using iodized salt. Other countries add iodine to dairy or bread.