Hi everyone,
I would like to pose a question on symptoms of muscle pain, DOMS and muscle twitching that are potentially due to low testosterone levels. I need to go into my medical history a bit, but I try to make it brief.
Two years ago I had one of my testicles surgically removed on suspicion of testicular cancer. I had pain in my testicles and the urologist saw a black shadow on the ultrasound and two days later the surgery was done. There was no blood tests or anything before the surgery. In the end, it was not cancer but a hematoma - I was relieved but never really got an explanation for this mis-diagnosis.
About half a year later my ejaculate was reduced in volume and changed consistency (more watery) so I saw the urologist, who did another ultrasound of the remaining testicle, said everything was fine and wanted to send me away. I insisted on a testosterone test, but was never contacted on the result, so I assumed everything was OK.
My sex drive was and is very low, but I was/am a father of two very young girls/babies so I assumed it is just due to the stressful living situation of a young family. I was/am also quite low on energy, but put it also down to my stressful living situation.
A year after the removal of the testicle, I started to have muscle pain in my right thigh and sporadic muscle twitching all over my body. I googled it and landed pretty quickly on ALS which obviously freaked me out quite a bit. I had a lot of bloodwork done and went to a neurologist who did a thorough check-up and said he sees no indication of a neurological problem and send me on my way.
The muscle pain never went away in the last year and spread to the lower leg(s), my righ shoulder, and both hands. It is very pronounced, after I do strenuous activities - like intense DOMs. I also noticed the affected muscles getting softer and smaller. The twitching also never went away but also did not increase in intensity.
About half a year ago I remembered the testosterone test and called the urologist. I had a total testosterone of 290 ng/dl (10 nmol/l). I did some follow-up tests which were at 267 and 262 ng/dl (9.1 nmol/l) and also a free testosterone test that was at 6 ng/dl (208 pmol/l).
I was having a hard time to find a gp/urologist/endo to do something about it (since it was still in the “standard range” in my country) but one of them finally started me on Nebido 1000mg TRT two days ago as a trial run (no real effect yet).
Now back to my question: do you think my (comparatively low) testosterone levels could cause my muscle pain and twitching - considering that it is probably quite a bit lower than what I had before the removal of the testicle (unfortunately I have no test-results from before). If so - when would you expect it to clear up with Nebido 1000mg TRT?
Thank you and sorry for the long post.
