UPDATE 2024/04/26: Couldn't find any spot with a Endocrinologist right away so I went to a urologist.

Urologists these days, at least here in Brazil, are well versed in TRT and knows exactly what to look for.

Turns out I have some issues that could be causing my low T. My left testicle is way smaller than my right which indicates that things are not working. I also have varicocele (enlarged veins in the scrotum), which in some cases can cause low testosterone and in a lot of cases can lower your sperm count and quality.

So he ordered blood tests to check all my hormones as well as Triglycerides and other things, ultrasound of my balls and spermogram.

It'll probably take a week or two to have all these done and I'll come back here with the results.

I am also noticing some symptoms besides libido, like poor sleep (I am waking up a lot more in the night, like 4+ times) and really low muscle gain for someone who lifts for 10 years and can push some heavy weight. There are some things in me that it could be linked to this. I feel like I am just pushing through life these days, feeling a little beaten and just going through the motions. It could explain my exacerbated cynicism and lack of interest in everything.

It could be that my body has been working against me for some time.

Original thread:

I am 37yo.

One year ago I did a checkup and asked for my testosterone levels because I was feeling my libido was lower than normal.

The results came back and my numbers were 377 ng/dL, free test was 9 ng/dL and SHBG 23,6 mmol/L.

It was low, but within the normal range.

Everything else was perfectly normal.

Now almost a year later I am feeling that things are worse. I can go a week without feeling any desire. I still have morning wood, but it is not every day like it was. I have sex with my SO, but I can easily lose my erection.

I scheduled an appointment with an endocrinologist from my health inssurance, but it has a spot only in July!

So I went to a lab and did a blood test for testosterone and it is indeed worse.

It is now 255 ng/dL, free test was 6,5 ng/dL and SHBG 19 mmol/L.

I am physically active, lift weights 4 days per week, can squat relatively big numbers, am not overweight (on mornings I have a six pack) and drink alcohol only on weekends.

Is this drop normal when you reach 40s or there is probably an issue here?

I thought HRT was for when we were in our 50s.

Anybody has gone through anything similar and can share your stories?

I have no idea how to word this, as every similar post that I've seen has had an obvious cause, in some way shape or form. I, on the other hand, feel pretty shitty even writing this up know that others have actual problems that I am taking that visibility from.

When I wake up, I get to go to work a job that mentally stimulates me, teaches me new things (both in terms of a legacy system and in terms of new technology), and lets me work from home 3/5 days a week. On top of that, I have a very solid housing situation where I don't need to worry about rent being raised. I have a (reliable) car that only needs routine maintanence, and has very good MPG. I have a dog that I love, and would easily die for without a second thought. I have family living nearby, that, while we don't agree religiously or politically most times, can all get along and enjoy holidays or get togethers.

And yet, feel like I lied about my life just now.

When I wake up, the first thought isn't that my dog is waking me up to go out, it is the feeling of the weight that merely existing seems to put on me. As I just stated earlier, my job is not the cause of stress, neither is housing, nor food, nor family. I have no reason to feel the way that I do.

I've recently (in the last 6 months) started journaling, and the main theme that I have found is that I am constantly thankful for having everything that I do. And yet, tomorrow, when I open my eyes, either due to the alarm, or due to my dog waking me up to go outside, I will have a weight laying over my chest that I can only attribute to the fact that I still exist.

I try to ignore the news (while staying informed enough to vote properly on candidates), I don't use social media except for Tildes and to share the once a week or two photo on Instagram, and I am both active physically, and creatively. None of this seems to remove the weight. I feel like I am either wasting my existence when I am consuming media, wasting my time attempting to create when others have voices or messages with stronger meaning, or wasting other's time when I hang around them.

I have no right to complain about my life. Hell, two years ago I would have killed for what I have now. And, yet, I feel like I am wasting what I have been given. I am legitimately happiest sitting out in my backyard with my dog, either sipping a beer or just watching the stars. The issue is, that when I do, a weight slowly lays itself over me, one that I do not know the cause of, or reason for. A weight that I cannot shake, and can only attribute to simply existing.

I would like so very much, even temporarily, to remove it.