Hey! Going to give as much detail as I can to help anyone who has advice be able to give as much as possible, sorry in advance for the long post. Just don't know what to do at this point of time.
I'm a 29 year old male, about 5'11 ~190 pounds. Definitely got a belly, but work out fairly regularly, and have put on quite a bit of muscle since college. My main issue is simply put, I haven't had sex in a long time. Never get random erections throughout the day. Morning erections are rare. I often feel fatigued throughout the day (although this I a bit more attribute to the desk job and stress of it.) My ex and I broke up years ago, and even then our love life wasn't the best. Had another long time gf before that, but didn't really do much dating besides that. After the last break up, there was a long period of time where I just stayed away from relationships, partly due to other issues that were going on in my life. Dealt with them to a point where they aren't a constant stressor on my mind, and started dating again, even having a few one night stands. It was rare I had success picking up women, but it actually happened from time to time unlike in the past. Unfortunately each time I had no success with erections, which was a huge blow to my mental state, and to the state of the women I was with. That really bummed me out!
Decided to see a therapist for a while, 5-10 sessions or so. It was a great experience, and I really recommend it to anybody who has had any mental issues, even if you don't think they're that serious. It definitely helps clear things up. Anyway, she pointed out some things I didn't realize, and suggested that I get a physical to help put the thought that there was something physically wrong with me at ease. Got a physical (no testosterone test), he said everything came back normal. When I discussed my physical problems he just said it was more along the nerves end, it happens to people, etc.
Things get shitty again in other aspects of life, dealt with them again, and for the past half a year or so have been in a great place. Living situation is great, job is amazing, etc. Decided that maybe what my therapist said was right, it really was a numbers game, and to be much more aggressive and confident in trying to pursue women. This isn't something that I want bothering me for the rest of my life. I did, and it worked. I've had the chance to be intimiate with women more in the past few months than I have my entire life, I notice a lot more attention from the opposite sex just in general day to day comings and goings. I'm not saying this to brag, in fact kind of the opposite, but just to help rule out the fact that I don't see how this can be a mental issue. Feeling that it was for me has basically made it become a mental issue because I've had people blow my problems off so easily! Anyway, despite all this success, the only thing that's changed is that now instead of the problem being how do I get the chance to be alone with a woman, is what do I do once she's there. It's almost like theres a disconnect between my attraction and my body's response, just nothing going on.
Decided to go back to the doctor, was much more explicit and specific about what my physical problems were (I should have done this way, way earlier.) He said that he could see absolutely how that is a huge deal, and ordered more blood work including a testosterone test. Here's the results of those tests that I think are relevant based on my reading so far. (Tests were taken around noon, I realize now that this might affect the results a good bit.)
Testosterone, Adult Male: 364 ng/dL
Sex Hormone Binding Globulin: 18 nmol/L
Testosterone Free, Adult Male: 87 pg/mL
Testosterone, Percentage Free: 2.4%
FOLLICLE-STIMULATING HORMONE: 3.0 mIU/mL
LUTEINIZING HORMONE : 4.43 mIU/mL
In addition I had a COMPREHENSIVE METABOLIC PANEL, URINALYSIS and CBC W/DIFF - everything came back within normal ranges. I'd be happy to specific anything else that would be in those, but I haven't come across any of the terms in there in my readings of the site and it's just a lot of stuff.
The test results came in a few days ago, the doc has a really nice client portal that I can just login to to get all these test results. But since they all came back within normal ranges, he hasn't called me. Basically the question is, what do I do at this point? There are so many complex answers throughout the forum, it's hard for me to tell what the interplay of all the numbers mean. I know that 364 is pretty damn low - but I don't know what that relationship is with all the numbers. And to be honest, even if the doctor was like, ok, here's testosterone injections, I'm not sure that's something I want to do for the rest of my life, the idea of my testicles shrinking and me losing my fertility aren't things that I'm really for. Or maybe I'm being foolish and I'd hugely benefit from it, I don't know, do you have the same side effects from gels / patches?
Either way, it sounds like diet and exercise can be huge helps, whether or not I decide to try and do hormone therapy. My diet definitely isn't the best right now. I've just exercised and ate much better in the past, and I still had the same problem, I'd hate to become a health nut for half a year, lose 20 pounds, and be like, great, the same problem. I'm not sure that's enough of an answer. But, I could try to get more aggressive on this health stuff, and retest in 3 months and see if there's any effect? Or should I just be like, doc, prescribe me ED meds? I've never taken them, I don't know how effective they would be.
I noticed that one of the doctors who's mentioned on the forums is close enough to me that I could go see him, it might be a better idea to have him check me out and see what he thinks of the blood work. I'm just basically at a major crossroads and don't know what I should do, I just know standing by idly isn't an option at this point. I've lost relationships that I've wanted to become something because of this, I just don't feel right on.
This probably seems really depressing and negative, although it does really REALLY suck, everything else in my life is pretty awesome. I have awesome family and friends. I can feel down from time to time but in general I'm pretty damn happy. I have a great job, people think I'm awesome.., it's just this one area of my life that's just stuck. If anyone has been down the same road, or sees similarities that they've been able to get to, or even a simple, hey, your bloodwork shows that blahblahblah, that'd be amazing and awesome. Thanks very much.