29 yo being taken off TRT by doc and not sure what to do next

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irishguy1989

New Member
TLDR:
My urologist is refusing to keep treating me and I'm unsure if Testosterone is the answer to my symptoms. I would love advice from you guys on whether TRT is the right road for me.

Background:

I've had many blood tests over the past 2 years due to a list of symptoms (ED, lack of morning wood, anxiety, low mood, low energy, headache, random sweats, low confidence).

After some research (and having dabbled with steroids 5 years ago) I figured it might be good to try TRT.
I’m based in Ireland where it's incredibly difficult to get TRT. We don’t have TRT clinics.

After months of searching I eventually found a urologist who started treating me 3 months ago with Androgel.

He said it was a trial as Im ''not technically low T -- but have some symptoms.'' On the gel I felt great the first month (never felt better in years) and then reverted back to how I was feeling pre TRT.

Unfortunately because of this he wants to take me off TRT as he thinks its not the answer to my problems and he believes my issues are ''more mental than hormones''. He won’t prescribe injections either. I’m now coming off Testosterone and feel like crap.

My question to this forum:
While my total T is not textbook low I feel like my free T is and could be affecting my symptoms?
Question is do I keep pursuing TRT or follow docs advice and live life without?

Age: 29
BMI: 25 (cardio + weights 5 times per week)
Medication: none but was on anti-depressants last year and did use cycles of test and deca in the past (5+ years ago).
Symptoms: Social and performance anxiety, low mood, zero to low libido, ED, no morning wood, low motivation for past 1-2 years, random sweats.
All other bloods are ok.

Pre TRT numbers:
Total Testosterone: 450 ng/dl (300 - 950)
Free testosterone: 6.3 ng/dl (5 - 19)
SHBG: 51 nmol/L (18.3 - 54.1)
Oestradiol: 55.00 pmol/L (0 - 192.00) [14.98 pg/ml]
Albumin: 50 g/L (35-50)
Prolactin: 312 mU/L (86-324)
LH: 7.0 (1.7 - 8.6)
FSH: 1.9 (1.5 - 12.4)

TRT numbers:
Total Testosterone: 550 ng/dl (264-916)
Free testosterone: 10.6 ng/dl (5 - 19)
SHBG: 50.00 nmol/L (18.3 - 54.1)
Oestradiol: 43.00 pmol/L (0 - 192.00) [12 pg/ml]
Albumin: 52 g/L (35 - 50)
Prolactin: 248 mU/L (86-324)
LH: 4.9 (1.7 - 8.6)
FSH: 1.6 (1.5 - 12.4)
LH: 4.9 (1.7 - 8.6)
FSH: 1.6 (1.5 - 12.4)
 
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