Thank you, and thanks for the hasty reply.
Correct, based in Germany. Nothing progressive was said about my labs other than "you're in range, normal, but you might need fertility help based on the INHIB-1 result...". I asked the doctor about my testosterone level citing my diet/sleep/nutrition, questioning why I feel so low energy/low motivation/weak with such a high-T 'lifestyle' and he said depression. I laughed and said the only thing I'm low about is suffering these symptoms and that my emotional mood and outlook is actually very positive or I wouldn't be taking such good care of myself. The conversation ended there basically.
These questions you ask about primary/secondary, I'm not sure but I'll explore with the urologist this time if they deem bloods necessary.
Not sure a sensitive E test is available here and those labs I posted were my first set.
My libido is ok, sometimes I have an issue keeping an erection but it's seldom.
Sleep, because I know myself, is one thing I do not take lightly. I cannot function properly if I don't get at least 8 hours, it's ridiculous. Anything less and I am a nightmare, whilst being in a nightmare.
I feel due to the insurance in Germany I'm going to need to be below 249 total T for them to even consider treating low T and even then I'm unsure what the options are. I'm seeing a urologist in two weeks and I'd like to think I'm a little more prepared this time for the exchange. Either way, I've gone to the extent of being operated on to try and solve this, at some point a doctor has to take the symptoms and my extensive history (which all points to hormonal disturbance) serious, one would hope?
