High shbg, high total T, low estrogen

Ek_2209

New Member
Hi,
Around 8 months now been having really low libido and erectile dysfunction. Symptoms have personally been awful for me and feel noone is helping me, I’ve been to various GPs and went to a an endocrinologist (see below)
Based on the UK. Aged 30, 80kg, weight lift 3-5 times a week. Diet could be better in terms of protein intake but I do eat a good amount of carb
Shbg - 95nmol (range 10-47)
Total t - 39.9nmol (range 8-29)
Free t - 0.42 (range 0.117-0.62)
FSH - 9.9 (1.5-12)
LH 7.5 (1-8.6)
Estrogen - 26.1pmol (41.1-159)
DHEA - 4.89umol (4.34-12.2)
Prolactin - normal

I am type 1 diabetic which is very well controlled which I think is part of the problem after doing research online. I am also hypothyroid which is well controlled (apart from 6 months ago when it was overtreated). Now treated properly and TSH 3.49

I’m at an age where I still want children, I did an at home sperm test and motility and concentration were good. I have a lab semen analysis booked for next week.

Spoke to an endinocrinoogist privately who solely blamed my overtreated thyroid from 6 months ago! After researching online this should only be a temporary effect and shbg should correct itself after 2-3 months which it hasn’t!

Not sure what to do next, Ive been looking on the forums and TRT seems the only option which would be a shame given my good natural testosterone levels. Also a bit worried about it affecting my fertility. I’ve tired boron, stinging nettle magnesium and selenium, I found a transient improvement but nothing significant. Would really like some advice as it’s starting to have a massive impact on quality of life and mood too.

Thanks.
 
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TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

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Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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