New tests, great labs but still feel horrible

Link to previous thread
https://www.excelmale.com/forum/showthread.php?6039-t-e2-ratio-off-optimal-ratio
33 years old
My total test increased to a great 653 over 100 jump from last time (range 30-1080 ng/dl)
calc free testosterone 14.9 (range 4.8-25.7 ng/dl)
sbgh 31 (range 16.5-55.9 nmol/l)
Estradiol 32 (asked for senstive dont know if it is? range <=63)
FSH 4.4 miu/ml (range 1.3-11.4)
LH 4.1 miu/ml (Range 1.2-7.8)
T4 6.0 ug/dl (range 4.4-12.4)
TSH 1.4 UIU/ml (range 0.5-4.7)
Free t3 3.7 pg/ml (range 2.3-4.2)
They failed on my DHT test so they called me randomly in the morning so dont know if this could have increased my DHT results. Was my birthday, ex girl came and gave me head to climax like an hour or 2 before they redrew blood. so DHT results are below from a different day after climax

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DHT 355 pg/ml (range 112-955)
any suggestions? I have all the feelings of low t, cant get hard and maintain it, memory fog, etc. I truly had believed my symptoms came from low DHT since the anavar (DHT steroid) only cycle from many years ago. Am baffled dont know what to look into at this point. Am at the point of running TRT under my own care for 3 months to see if I feel normal like that, stopping if symptoms are still there of course. (If this portion of my post breaks the rules, please forgive me and ill take that portion down) My labs are great yet something feels wrong and the years of failing with many girls/situations is not mental.


Here are my labs from the previous year missing important tests but for reference sakes.
Here is my results Expected
FSH +LH profile 5.5 MIU/ML 1.3-11.4
Luteinizing Hormone 6.1 MIU/ML 1.2-7.8
Hemoglobin 5.3% 4.0-5.6
Prolactin 5.0 NG/ML 3.0-30.0
Testosterone 552 NG/DL 292-1052
TSH 1.6 UIU/ML 0.5-4.7
Estradiol 20.2 pg/ML 10-42
Estrone 18.1 pg/ML 9-36
Total Estrogens 38.3 pg/ML 19-69
PSA 0.6 <4.0
free psa 0.30
% free psa 50
Lipid Panal
Cholesterol 190 MG/DL <200
Triglycerides 55 MG/DL <150
HDL Cholosterol 77 MG/DL >39
Calculatd LDL Chol 102 MG/DL <100
Risk Ratio LDL/HDL 1.32 Ratio <3.55
Plus symptoms
1. My balls for the first few years shrunk and fluctuate during the day to different sizes (still smaller then what they once were). When I ejaculate my balls literally disappear for a few minutes. Also if I have to do the restroom (#2) my balls will shrivel away until after I have gone to the restroom.
No morning wood, I rarely have morning wood, I may have it once every 2 to 3 months, obviously when I was younger had nearly everyday.

Weak erections that cant be maintained, poor orgasms, and lack of drive. When I ejaculate my erection litterer will be gone during orgasm

Very emotional! I feel like a women on PMS, I cry at movies, tv shows, etc, get moody over the littlest things.

Memory Fog, I will say something then forget it a minute later, same for writing things, if I go somewhere I will forget why I even went at times.

No facial or body hair (all though I assume this is just genetic)

Lack of drive, dont care to do anything.

Also have been supplementing with creatine and boron to increase DHT before the lab was taken

I would urge you to consult with another doctor. Have you considered engaging Defy for a second opinion? What is your current protocol? No, you did not have a sensitive estradiol test, but with your standard reading of 32 it is unlikely you have an issue at the present time.

Hi Rude, It's perfectly normal for your testes to retract, especially at orgasm. If their unruliness is a concern take control. About 30" of 3-5 mm hemp rope or 1/4" leather strap will do the trick. If you missed being a scout search for Oxballs silicon products.

Gradually stretching that sack increases the travel distance. Select either the"passive" or "active" methods.

Traditionally the choice is usually in the hands of a s.o. who will often employ both. In the passive method a training regimen begins with a polished clamping steel weight. Like all weight training the s.o. will progress the boys from 8oz tthrough 16oz, 24oz then 32oz. Compliance often being a problem the trainer typically insists on being a "key holder". This is where you need to be careful. Inspect the weight closely. If it has holes on the outer perimeter don't believe it when you're told "just for ventilation". They are almost always threaded and the trainer is concealing the matching accessories from your view.

A word of caution: make sure you do NOT have any MRI's scheduled. The resulting mishap will feel like a cake walk compared to the above mentioned accessories in the "vented" model.

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Your testosterone and estro levels look great! You aren't on TRT right? I read your other post and I am confused if you are on or not. The whole thing with your balls is completely normal with changing size/hanging different during the day. Also the "disappearing" during and shortly after orgasm is normal, and would probably be more of a concern if that didn't happen lol. Have you tried daily Cialis? Your problems aren't Testosterone or Estro related, I would put money on it. If you want my honest opinion I think you should try taking Cialis daily if you aren't already and see a psychiatrist/mental health professional for the other problems. Good luck

edit: your lh/fsh levels are fine so you obviously aren't on trt. (answers my own question)

CoastWatcher said:

I would urge you to consult with another doctor. Have you considered engaging Defy for a second opinion? What is your current protocol? No, you did not have a sensitive estradiol test, but with your standard reading of 32 it is unlikely you have an issue at the present time.

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I am thinking about switching to them since this doctor asked me why I wanted e2 senstive, didnt want to test free test, dht, etc.
I am not on trt but live a lifestyle to help my test levels. Healthy fats, sleep, supplement with zma, creatine, vitamin d3, heavy weights, etc. but yet my libedo is non existent. This blood test is the highest it has ever been usually average low 500's on total test.

Htx52086 said:

Your testosterone and estro levels look great! You aren't on TRT right? I read your other post and I am confused if you are on or not. The whole thing with your balls is completely normal with changing size/hanging different during the day. Also the "disappearing" during and shortly after orgasm is normal, and would probably be more of a concern if that didn't happen lol. Have you tried daily Cialis? Your problems aren't Testosterone or Estro related, I would put money on it. If you want my honest opinion I think you should try taking Cialis daily if you aren't already and see a psychiatrist/mental health professional for the other problems. Good luck

edit: your lh/fsh levels are fine so you obviously aren't on trt. (answers my own question)

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My numbers are the best they have ever been yet still cant perform even while masterbating. Using cialis/viagra is the only way I can "perform" for years now, hence why I dont date anymore. I truly dont believe this is a mental thing.

Rude are you circumsized or intact?

Rude:
In my opinion and what I have gained by Dr. Shippen's book and other experts, its all about symptoms not numbers. Your total T of 653 is nothing to get excited about if you are still having low T symptoms. Your free T is 2.3% and your estradiol is in line so you may be one of the guys who needs T levels in the 900+ range to really feel great and perform.
I know I fell my best when I get my T levels up in the 1000 range due to very high SHBG. Coastwatcher makes a good point in at least talk to Defy and have their blood test and consult with them. They can provide some very good direction for you to take to solve your ongoing issues. Good Luck!

Response to an old thread here, but maybe Rude is still around.

His T4 levels are just above minimum. Maybe hypothyroid? Would explain a lot of things.