Antidepressants are notorious for screwing up a guys hormones, mostly of a sexual nature. Over time they will lower your T levels over the years, remember you are shoving synthetic chemicals into your body and overtime will cause other health problems and I’m your example as my pituitary is damaged from long term Klonopin usage.
I’ve been on just about all SSRI’s (antidepressants) and typically lower libido and soft lifeless erections. TRT has done more for me than all medications combined and with zero side effects.
Your doctor missed fT3 the most important thyroid hormone, fT3 is what FT is to testosterone, the active bioavailable hormone. Think about it for a minute, doctors pump you full of drugs and don’t bother checking your hormone levels after prescribing SSRI’s, but when you are on TRT only then do they start checking your hormones on a regular basis.
That’s why TRT can become so much more effective treatment option considering low T can cause depression and anxiety. These medications raise/lower SHBG, prolactin and a host of other important hormones thrown out of whack by these unnatural chemicals.
You can’t live a healthy lifestyle and proper dieting and then throw these unnatural chemicals into your body, some medications prevents you from getting proper nutrients absorbed into your gut causing nutritional deficiencies.
Testosterone is a natural hormone your body evolved to handle, it works for you not against you. I understand your main issue is the shrunken testes, HCG will fix it and if your doctor say no get anew doctor.