Help with Bloodwork, Can't See Dr. Until Jan

thanks for the replies i’m going to go to a doctor soon.

I’m on TRT and would have symptoms with your Free T values. DHT is the main driver of libido and is coverted from testosterone, so it’s not surprising to see low DHT levels alonside subpar Free T levels.

The high prolactin can cause ED.

Are you on any medications or supplements?

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yeah just 25mcg of thyroid medicine a day

I am not convinced of this.

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It’s common for guys on finasteride to experience lower or a complete loss of libido as a direct result of lower DHT levels.

Its also known that guys on topical gels and creams report high libido as a direct result of higher DHT levels

DHT activates androgen receptors needed for sexual differentiation during fetal development and changes in males during puberty.

DHT is what make a man a man.

I had a noticeable increase in libido on Finasteride and exogenous T. I was previously on exogenous T, so I don’t think that was it. This is a common reported side effect of Finasteride too. It just doesn’t get all the press that lower libido does.

I have also heard some say Mast, or Proviron did not increase libido for them. Some do say it goes up. I guess I think libido is complicated. Not just a more DHT = more libido type relationship. I think Test can increase libido, I think E2 in the right ranges can increase libido.

We are not in fetal development or puberty. I’ll agree that it does certainly have a function. I just am not convinced it is as useful as adults as it is during development, and don’t see good evidence that it is universally linked to libido. Maybe for some. Maybe not for others.

The explanation can be multifaceted, your body might not need high DHT to have a high libido. It can also be mental state as a result of fuller hair then increasing mental state/wellbeing and self worth.

Drop DHT into the gutter and watch libido disappear. I’m not saying testosterone and estrogen doesn’t play a role in libido, only that DHT is most important heavy hitter in libido department.

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I think I agree with this. I think some DHT is needed. On Finasteride, I am still in range. I was previously out of range on the high end.

I also think the guys who typically get sides with it have a few things in common on average (not necessarily both of the things listed). They are very hair loss prone, and they don’t necessarily have high DHT levels, so Finasteride crushes DHT to too low of a level for them. They have low or lowish T. When they drop DHT with Fin, they just don’t have enough total androgens.

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Any idea whats going on in my body? Why would pregnenolone be 421?? its so high

I’ve never heard of high pregnenolone naturally before, but have supplemented it before and it didn’t go well at all.

I had insane heart palps and very fast heart beats.

Bro my heart squeezes and hurts all the time. jeez

Me either. Needed for erections, yes. Libido?

Even then though, I don’t think more and more DHT is going to equate to increasing erection quality. I think you need a certain amount, and you are good to go.

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