Shrunken Testicles Cause?

I was wondering what could cause Shrunken Testicles? My testosterone is in the upper 600’s yet I have all symptoms of hypogonadism.

Did they check SHBG? Are you on TRT? Have you ever taken steroids in the past?

Your not giving us a lot to go on here bro…

My TT was in the 500’s and I felt like dog shit with high SHBG and low free T.

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Same situation here. Decent looking total T but crap free t and high shbg.

Need more info.

This is his original thread

OMG
Maybe its the whiskey but I feel like I am drowning in snowflakes.
I think I need to change forums. This ones just not feels right these days.

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My testosterone is 500-600 naturally and I plan to start TRT.
Because most people need more than 1000 to resolve symptoms.

Its very unlikely with 600 to be OK, except if you do not have extremely low SHBG which is not healthy

My shbg was 21 I think. When I went to my 3rd endo he said that its not my testosterone of 660 hes worried about. It is my “carriers” that are low (shbg)
He told me to come back in a month with new bloods and I will get treatment. I came back a month later and he told me I am fine, that I should see a sex therapist…

Bulshit.

What is your free testosterone?

Even if your free testosterone is decent, in the middle of the range, some people need TOP RANGE or above range to feel optimal.

Of course sexual issues can have other causes except testosterone.

Do you have other low t symptoms - low energy, brain fog, lack of focus, lack of clarity of thought, difficulty putting muscle? Which of them are strong?

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yes I have low energy, brain fog, lack of focus, lack of agression, muscles feel empty, there is no “pump” in the gym like before.

Free testosterone for me was tested in a percentage it was something like 2.34% (1.65-2.65%) The endo was not happy about it being in a percentage and said that he wanted my free t to be tested in an absolute value (pg/ml etc) I came back and he basically said I need a sex therapist…

I cant even begin to explain how messed up I am. The testicles seem to be blocked or something. I can feel a little tingle like static (some kind of message) is trying to get to them… but its like there is some kind of resistance. My eyes are dry and tired all day no matter how much I sleep. Appocrine sweat glands seem dysnfunctional. I do not have to wash my penis anymore, there is no discharge liek before. Stress incontinence, numb rubbery genitals with 0 sensitivity and 0 libido…This is all one big circus

So most probably you are defficient in testosterone(like 99 percent).

For the test the endo was right. Otherwise you do not waste time with endocrinologists. They are crap and waste of time. None of them will help you.

You need a good hormonal doctor. But seems also you need urologist. I know only one doctor in US who is really profficient in both of these fields: dr Merrill Matschke.

The issue is he is not officially practicing now because he is contracted to to some research work or something like that. If you live in the USA you can try to contact him and insist you have a complicated case and need his urology expertise. And he can very skillfully advise you how to optimize testosterone and other hormones as well.

I can recommend you other good TRT doctors but they are not urologists. There ARE good TRT urologists but I do not know them