I've got a health issue that I'm sure is not new to this forum so I'm hoping that I can get some useful advice / guidance. First I'll give some background. I recently had an annual physical and, on a hunch, I asked my Dr. to order a testosterone test on my blood sample. It came back at 365 ng / dL. The blood was drawn in the morning 3 hours after I woke up. I should mention that I'm a 37 year old male. So naturally, 365 is just a number to me. Although I did notice that it was in the bottom 20% of the normal range listed on the test result sheet (241 to 860). I've since done quite a bit of searching on the web and most of the discussions / articles / research findings, etc, regard 300 ng as the low end of normal. So that would put me at about the bottom 10% of the normal range. The reason why I asked my Dr to order the test to begin with is that I've experience several symptoms of low testosterone. If I were to rate symptoms from 1 to 10, (1 = does not apply to me and 10 = absolutely applies to me), I'd say that there are at least 4 symptoms that score 8 or higher. For example, in the last 3 years I've lost about 18 lbs of lean weight. While life changes have reduced the amount of weightlifting I've done, I've never had that kind of loss of lean weight in that compressed a timeframe (given that I still lift 3 to 4 days per week). More telling is the fact that I find it much harder than it used to be to put lean weight back on. And my strength is down about 30% across the board in all areas in the same timeframe. And I find the strength difficult to get back as well. I've also experience depression, extremely low libido (almost non-existent), difficulty maintaining an erection during intercourse, loss of endurance (running, biking, etc), and I've become quite a bit more passive in the last year or so.
According to several citations I've seen on the Internet, a male with a level below 300 should consider hormone replacement therapy and a male between 300 and 400, WITH SYMPTOMS, should consider hormone replacement therapy. I fall squarely into the 2nd group.
So here are my questions. Should I go down the hormone replacement therapy route? From what I've read, it's a pretty safe bet in males and the upsides outweight the side effects. Or should I try to boost my testosterone naturally first? And if I go the natural route, how long should I wait it out? 3 months? 6 months? At the end of the day, regardless of the route I take, what level should I shoot for to consider it a successful effort? 500 ng? 600 ng? Where should I be at 37 years of age? Or should I base it entirely on how I feel? Since I have no earlier baselines, I have no idea where I used to be and how far I've dropped. The bottom line is that I don't feel like myself anymore and it's been that way for at least 12 to 18 months. I'm newly married and I recently became a father and right now I feel more like my wife's neutered cat than I feel like a human male and I owe it to myself, my wife, and my daughter to get back to normal so that I can be the husband, father, and man that I need to be in their lives.
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