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    Zero libido/mood swings/other symp on 34yo male > help with diagnose/Hypothyroidism? (LAB RESULTS attached!)
    Foxtrot81 posted:

    Hi all! I live in the UK and reached your forum looking for some answers. I will see an Endocrinologist soon but I don't know how 'conservative' is - so would like to have some opinions beforehand...

    ME: Male / 34yo / No past-current affections / No STDs / No meds / No supplements / Healthy diet / Good sleep

    ALL of the symptoms started in my early 20s (34 now) and have increased in a slowly but constant way until many of then became unbearable or I have only realised about them because of how they affect my life.

    - low to none/zero libido (sex drive)
    - no morning erections
    - reduced penis sensitivity
    - reduced ejaculation volume
    - none spontaneous sexual thoughts/no arousal from watching porn
    - premature ejaculation (only in intercourse, not masturbating)
    - no working effect of cialis/levitra/viagra (even max dose, only cialis work to some extent) -> because of sex desire lack I think
    - somewhat good erections when masturbating only
    - slight less superficial (skin) sensitivity on all left side of body (from 2008 stress episode) - CT brain scan was good / No MRI done yet.
    - mood swings/irritable (specially when in front of people I know)
    - fluctuating low energy (not constant)
    - lack of motivation and self confidence
    - diminished enthusiasm/depression
    - passive attitude / depressed mood
    - reduced interest in life
    - not looking for desire/reward feeling
    - closed to meeting new people/more anti-social
    - flushed face when in front of people or stressful situations
    - brain fog (not constant, some days I'm really clear)
    - "Void" feeling -> as a general description

    Currently on psychotherapy but not working. Actually my therapist recommended me seeing an Endocri.

    You can review all my lab results in this PDF. All were done around 8-9am after a 12hr fasting.

    I did all of those tests after own research, only some where asked by my GP on primary consultation.

    After some homework I have noticed from the lab tests:

    DHEA-S: Low for optimum range
    FSH: Low
    Testosterone Total: Low for age
    Testo Bioavailable - lab measured: 50% less than calculated
    T/E2 ratio: Low
    SHBG: Low for age
    DHT: Low for age
    Cortisol: Low for age (waiting for a 24hr saliva test result)
    Progesterone: High for males
    IGF-1: Lower range
    ACTH: Lower range
    TSH: High for optimum range
    Homocysteine: High
    Lp-PLA2: High
    Potassium: Low
    Chloride: Low
    Uric Acid: High (no gout, ever)
    Ferritin: Too High (no hemochromatosis gene present)
    Copper: Upper range

    Hope you can add you 2cents to this, I'm kind of desperate - specially because of my complete lack of sexual desire being 34!

    Would like to find the root of all this and the borderline results - just don't know where to start.

    IDEAS from own research:
    - Secondary Hypogonadism
    - Adrenal Insufficiency
    - Hypothyroidism
    - Pituitary disorders
    - Low Testosterone (causes?)
    - Aromatase Disorders


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