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?