What is classic is that skin changes with hypothyroidism make transdermal T absorption poor or nil. Then T injections are the only option. As you are young and need to inject 250iu hCG SC EOD to preserver fertility, injecting T is a no-brainer.
Eval overall thyroid function via oral body temperatures - see below.
Discuss history of using iodized salt. Iodine deficiency might be root cause.
TSH should be near 1.0
fT4 should be near mid-range is appears OK
fT3 is the only active thyroid hormone and should be mid-range or a bit higher. Your FT=5.8 suggests that fT3 is not working and we then suspect elevated rT3, reverse T3 is blocking at F3 receptors.
tT3 can be elevated from:
a stressful live
major stress events
illnesses
injuries
starvation diets
training with low T and low thyroid function
Thyroid is way more complicated than T issues and most docs are very clueless. But you can read what is here and in the thyroid sticky and be able to guide your own destiny.
Thyroid lab ranges are very useless. But according to them you are normal. So asking your endo is a waste if time+$
This state could promote thyroid autoimmune disease if you are selenium deficient. Find a multi-vit with 150mcg iodine and 200mcg selenium. This is not an idle nice to have suggestion.
As for low-T…
We really need the labs in list format with ranges and do not skip anything, normal or not. You are not going to get much help here without lab data.
Gyno can also be from prolactin+estrogens.
Was prolactin tested?
Because most symptoms of low thyroid function are the same as low-T, you are not feeling what TRT was expected to deliver.
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.
KSman is simply a regular member on this site. Nothing more other than highly active.
I can be a bit abrupt in my replies and recommendations. I have a lot of ground to cover as this forum has become much more active in the last two years. I can’t follow threads that go deep over time. You need to respond to all of my points and requests as soon as possible before you fall off of my radar. The worse problems are guys who ignore issues re thyroid, body temperatures, history of iodized salt. Please do not piss people off saying that lab results are normal, we need lab number and ranges.
The value that you get out of this process and forum depends on your effort and performance. The bulk of your learning is reading/studying the suggested stickies.