physical or psycological problem - should i go to a doctor?

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LekoMio

New Member
hello, im from germany.

my speech is not the best. hope you could understand me.

i got much symptoms for hypogonadism. but i dont know if i should test me by a doctor, becauseit can be psycological symtoms too. im bit afraid to there to be honest.

first there are some asympotomatic signs in my opinion. my body and face hair grow normal i think. four till five days to the next shaving.
the other is the libido. i masturbate every weekend. sometimes during the week too. 2 till 3 times a week.


with sex i got a problem. i dont enjoy sex really. once every year i pay for a woman after i think about that "trip" for a few month. i need that warm-up time to make that decision. but i hope that the "session" last not long. i need much time to "finish" and the orgasm is not heavy like it was.
i got morning errections to, 1 till 2 times during 2 weeks.

may be that is not really normal or average. but its ok.

the mental problems are bigger. i dont go out and during the time i lost mush friends because i dont like to do things in evening (or day). hard to meet family too. use pc or television or eating. dont like place, where are much people. go shopping in the same stores or internet. new things make me nervous. when i go in supermarket i often got problems to speak, getting nervous and temperatur is rising.
in evening i go to school for further education. but my math-skill is gone. its difficould to concentrate there and at work. i must be alone to concentrate really.
my sleep problems grew up. use melatonin to sleep. im tired the hole day. drink coffee but it only helps a bit. in school my collegues are fit. teacher ask why im so tired.
at work these things make my life harder. some work is must do in the morning or i delay it even more time. to phone, mail or type sms is hard for me. i need "the right moment" for that. im not on ******** or whatsapp. it stresses me very.

when i was a teen till my 16th year a weighted much 233pound (106kg) at high 5.7feet (176cm). i smoked weed 7 years every day. 1.5 years ectasy and amphetamines and 1.5 yeas cocain. during my xtc and amphetamin time i lost much weight. with 18 years i weighted 132pound (60kg) same hight. know im 28 years old. on my work i get tested on drugs. so i must stop that. 1 or 2 times a year i smoke weed. thats what i waiting for the hole time.

im not hard depressed. more like a pessimist and less like a real depression.

there are more thinks, but in general i think thats enough.

does that look like hormoneloss or like psycological problems?

sorry that the text is so long. but hope u could give me advice. thank you.
 
Defy Medical TRT clinic doctor
Hi Leko-
Thank you for posting, this is definitely a safe place to ask these questions. You are young at 28 years old. From your history it appears you have never used hormones or steroids? If I understand correctly, you have not used hard drugs in 10 years? Certainly these types o drugs (MDMA, ampthetamines) can cause both the psychological and physical symptoms you are describing. If you have been off these drugs for a long period and you are still having these symptoms, then it may be due to an underlying condition. You can always check your hormone levels through a blood test. I am not sure if you are able to get a prescription for blood testing in Germany, or what the costs are, but understanding hormone levels can always be valuable. This forum has information regarding what tests to have done.

By the way, the sexual symptoms can result from something going on psychological. Especially when you are speaking of dopamine, which those types of drugs interact with. A genetic dopamine imbalance can cause depression, fatigue, anxiety and sexual dysfunction. I would discuss these issues with a doctor as they may be able to offer a good treatment that can help
 
Also, I would like to chime in and say that it can never hurt to get a blood test done! Your symptoms may be caused by psychological factors, or by hormonal factors, or possibly even both! If you have a suspicion that it might be hormonal, get the tests done! There is nothing wrong with wanting to check your hormone levels, and even if it costs you some money, it is worth it! If your symptoms are not caused by a decreased level of hormones, at least you have the peace of mind that it's not hormonal. And if they are caused by a low level of hormones, then no matter how much psychological counseling you go through, you will never reach the peace of mind you could have reached had you been balanced chemically!

I can tell you from personal experience that I've been to many different psychologists in my life because I dealt with really bad "icky" type of depression (not the severe depression that you wanna die from, but the other type where you just don't feel like doing ANYTHING, like ever!), and I've been on anti-depressants and I went to meditation courses, and was glued to the internet to find solutions for myself. I was like this for years. Until one day I said to myself, "Hey! A lot of your symptoms are consistent with low testosterone. Why not get yourself checked, just to knock out that option?" So I went and got my levels tested, and my total testosterone was a whopping 55 ng/dl! Not joking! I got diagnosed with primary hypogonadism at 25 years old! I am now 26, so I've been on TRT for one year.

Trust me dude, go get the tests done. Regardless of the results you get, it is worth it, and is certainly not a waste of time! Just make sure that your doctor (preferably an Endocrinologist, as they are very OCDish about hormones lol) orders a blood test for: Total T, Free T, LH, FSH, TSH, Complete Metabolic Panel, A1C - at a minimum! You never know what the source of the issues are. Just check everything at once. Insist on it! It's worth the hassle!
 
thank you for your opinions!

i visited an urologist/andrologist. my total t is at 587ng/dl (range 270-1,080ng/dl). he said, its above the average.

in his option, it would be a good idea to check my thyroid.
 
I'm not sure if 587 ng/dl is considered "above average", but it is considered normal (most doctors would consider it perfectly healthy). The reason he wants to check your thyroid is because a lot of people who suffer from many symptoms coherent with hypogonadism (especially the fatigue) results from low thyroid function. You should check everything together. There is no reason to go back multiple times to do multiples blood tests. Fatigue and low sex drive can also result from vitamin deficiencies. Just test everything together and get it over with lol. :)
 
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