POST SSRI low libido recommendations, PLEASE HELP!

Pac81

New Member
Hey Gents,

This is my first time posting, was wondering if some of you hormone gurus could assist me in shedding light on fixing my low libido /ED predicament. Can someone take a look at my labs below and provide their take or any recommendations they would pursue please?

I took antidepressants over 6 years ago for a few years on and off. Towards the end around 2010 I noticed a drastic decrease in my libido and ability to get aroused and pop wood. That's when these medications freaked me out and I quit them cold turkey. For years I survived by utilizing cialis and other PDE5 inhibitors but recently they seem to have lost their effectiveness. I had visited Dr's over the course of the years and some said it was all in my head, another Dr. recommended testosterone cream but he really didn't seem to understand hrt at all and I wanted to use that as a last resort. I even tried clomid on the recommendation of a urologist which boosted my T but really didn't seem to do much for my libido.

I have a plethora of labs to share hopefully someone can gleam some obvious insights. For background purposes I'm 35, 6"4 195 lbs with about 13.5% bodyfat which seems to all gather in my abdominal and chest region. The chest fat appears to be a very mild case of gynecomastia. I've worked out at the gym quite religiously since I read that compound movements boost low T which is what I suspected that I suffered from, when I'm not in the gym I try to do T boosting exercises like sprinting and hill sprints with a weighted sled. I also cycle for cardio health for about 4-6 hours a week so I stay very active and eat very clean, in hopes that this would assist with my low sex drive.


The first time I went to the urologist he tested my total and free T. and gave me some cialis trial packs, below were the test result figures.


1/23/2014 Total Testosterone 399 ng/dL 348-1197 Free Testosterone 10.7 pg/mL 8.7-25.1


After a month I had another test which revealed the following. At this point I didn't know much about labs I just supposed if you were low the Dr. would tell you and assist. I never started analyzing them for myself until now. Those fucks barely look at them.


2/15/2014 Total Testosterone 513 ng/dL 348-1197 Free Testosterone 7.6 pg/ml 8.7-25.1


After a trial of clomid 25 mg every other day my total T came back as, but I had no improvements whatsoever in my ailments of low libido & ED.


5/4/2015 Total Testosterone 784 ng/dL 348-1197


Recently the cialis I was using appeared to fail to work with a decent looking gal I began a real push to find out how to fix this and I have some newer more robust labs (below). Some things I gleamed from this were that my TSH was high 5.450, the endo recommended that I was mildly hypothyroid and could possibly begin taking synthroid which might help with some of my symptoms, I began synthroid a bit after these results thinking they could assist with sex drive, which doesn't see to have helped after 1 month of 50 mcg per day.


4/11/2016

TSH+Free T4

TSH 5.450 High uIU/mL 0.450 - 4.500 01
T4,Free(Direct) 1.22 ng/dL 0.82 - 1.77 01


Testosterone, Free+Total LC/MS

Testosterone, Total, LC/MS 468.7 ng/dL 348.0 - 1197.0 02

Free Testosterone(Direct) 8.8 pg/mL 8.7 - 25.1 02

Luteinizing Hormone(LH), S

LH 6.2 mIU/mL 1.7 - 8.6 01

FSH, Serum

FSH 6.3 mIU/mL 1.5 - 12.4 01

Prolactin 11.7 ng/mL 4.0 - 15.2 01

Ferritin, Serum 176 ng/mL 30 - 400 01

Sex Horm Binding Glob, Serum 34.6 nmol/L 16.5 - 55.9 01


Below are my most recent labs. I knew my chest fat I was showing wasnt extremely high but was not normal so I pushed to have my estrogen checked on these most recent labs. Below are the results. This is before I began my trial of thyroid meds which I have been on for a month.

5/12/2016

TSH+Free T4


TSH 3.780 uIU/mL 0.450 - 4.500 01

T4,Free(Direct) 1.42 ng/dL 0.82 - 1.77 01


Testosterone, Free+Total LC/MS

Testosterone, Total, LC/MS 497.0 ng/dL 348.0 - 1197.0 02

Free Testosterone(Direct) 15.0 pg/mL 8.7 - 25.1 02

Estradiol

Estradiol 32.3 pg/mL 7.6 - 42.6 01
Roche ECLIA methodology

Thyroglobulin Antibody 0.2 IU/mL 0.0 - 0.9 03
Thyroglobulin Antibody measured by Beckman Coulter Methodology

Thyroid Peroxidase (TPO) Ab 15 IU/mL 0 - 34 03


Estrone, Serum 75 High pg/mL 12 - 72 02


The one figure from all these labs that stands out is my Estrone at a level of 75 pg/ml above the range for adult men. Does anyone have any experience with Estrone levels? I rarely see them spoken about on any forums, I only hear about Estradiol. I see that my estradiol isnt out of the range but I hear 20-30 is ideal.

I was thinking of trying an aromatase inhibitor to get my estrone levels down and possibly my estradiol in the 20-30 pg/ml range. From what a have gathered these test levels are pretty damn low especially someone who hits the gym 4-5 times a week focusing on deads, squats, bench and other compound movements. I eat very healthy, lean proteins, un processed carbs high fruit and vegetable content. I track all my foods almost daily in my fitness pal eating anywhere from 1800 to 3000 calories depending on my activity for the day. I get around 140-180 grams of protein a day, at least 200-400 grams of carbs and 40-80 grams of fat per day. I focus on eating at least 2 servings of vegetables per day, usually cruciferous and I sleep 8-9 hours religiously per day.

Im sure if the average guy did all the things that I do his gains and test levels would be off the charts. The only thing I think I can improve is stress. It seems like my life is dedicated to finding a cure to my ails and it definitely takes a toll stress wise. From what I have showed here what would you recommend. The only options I can see are trying a aromatase inhibitor to lower my very high estrone to see if that solves some of my symptoms or go on hrt.

It seems to be that testosterone with HCG and an AI is what many of the hormone shops are doing nowadays, is this a sound plan? Any recommendations or insights would be very much appreciated. I don't know what else to do. Just want to move on with my life. Don't want to further damage my body just want to live with a normal sex drive and abilities again.



Thanks,

Mike
 
It seems you are fortunate and have one, if not several docs who reached the SAME CONCLUSION after evaluating your "condition".

In fact the only criticism I have is conducting an Estrone level, in the presence of a NORMAL Etradial value.

That's bc Estrone is a hormonal weakling compared E-2 and as such the results are meaningless, except it gives those with emotional disorders something to pursue on an organic basis for their problems

ITS IN YOUR HEAD!

Good luck.
 
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I've been through periods like this here and there through my life. You've got to quit worrying about your sex drive and go about your business. Ive never had low T and have been through episodes where my junk just didn't cooperate. What was it? Who knows but it works fine now and it wasn't because my hormones went out of whack and magically fixed themselves. Once you convince yourself that you're fucked up the only thing that's going to fix it is time spent not worrying about it. At least you didn't mention morning wood so you're already slightly ahead of the game.
 
It seems you are fortunate and have one, if not several docs who reached the SAME CONCLUSION after evaluating your "condition".

In fact the only criticism I have is conducting an Estrone level, in the presence of a NORMAL Etradial value.

That's bc Estrone is a hormonal weakling compared E-2 and as such the results are meaningless, except it gives those with emotional disorders something to pursue on an organic basis for their problems

ITS IN YOUR HEAD!

Good luck.
Dr. Jim, these Dr.'s didn't reach any similar conclusion, they didn't come to any conclusion. They didn't even recognize test results that were outside the bounds of normal. They basically didn't do anything so I would stop visiting them and seek help elsewhere or just not even seek help. So many Dr's are so behind new research and really are just there to prescribe me something. I wish you were right but this is definitely nothing all in my head. My test is very low for someone my age and with the anaerobic activities and lifestyle I live. Those meds definitely caused an imbalance in my body that has remained for over 5 years. Thousands of other people have experienced similar outcomes after utilizing SSRI's. I award you no points, and may God have mercy on your soul.
 
I've been through periods like this here and there through my life. You've got to quit worrying about your sex drive and go about your business. Ive never had low T and have been through episodes where my junk just didn't cooperate. What was it? Who knows but it works fine now and it wasn't because my hormones went out of whack and magically fixed themselves. Once you convince yourself that you're fucked up the only thing that's going to fix it is time spent not worrying about it. At least you didn't mention morning wood so you're already slightly ahead of the game.
You are right about worrying I think this issue has taken hold of every fabric of my mind which has probably led to a lot of stress hormones consistently circulating throughout my body. I think if I get back into my meditation routine that the symptoms wont be as strong as they are now but will still persist. Morning wood happens maybe once every month or two at most so, in my opinion something is definitely wrong.
 
I get it. I forgot to mention I was prescribed ssris at various points between 30 and 40 so I've been there with that. My first hormone check was at 32 or so when I was convinced I had low T mainly owing to libido and anxiety issues. It checked out fine, high 400s if I remember correctly. I used cialis when I started dating a girl around then and after a few months it just wasn't necessary anymore. Im not going to say we had an identical problem but everything you've laid out I've experienced and I know how frustrating it is.

The morning wood comment was sort of a joke. I haven't had morning wood in years,I'm really not sure why it's such a red flag to people. I have plenty of sex drive and no issues getting it up. 43 and my last test was T at 896. I'm just not 16 anymore and neither is my dick, it doesn't stand up for no good reason. I don't wake up at 5 am on Christmas either haha.
 
Thousands of other people have experienced similar outcomes after utilizing SSRI's. I award you no points, and may God have mercy on your soul.

Post-finasteride syndrome and now we have post-SSRI syndrome, I guess. Seems people think there should be a post syndrome for everything now.

Thousands of men suffer from post-SSRI syndrome?

Only on the internet, which is tailor made for the induction of mass hysteria.
 
Dr. Jim, these Dr.'s didn't reach any similar conclusion, they didn't come to any conclusion


I think what doc is telling you is just that. When multiple docs look at test results and *don't* have diagnoses of physical conditions....well that is a conclusion itself. The conclusion being that it is likely a psychological issue.

If it wasn't, there would have been something probative in the test results, which there wasn't.


I know that blows but... there it is.
 
T levels look good to me. Your free T was low a few times in the face of higher total T, but you had a enough normal tests that I wouldn't do anything drastic like go on TRT.

I've been through SNRI withdrawal btw. Extremly unpleasant to say the least. I think it it probably took about a year after my taper finished for me to get back to "normal"
 
I get it. I forgot to mention I was prescribed ssris at various points between 30 and 40 so I've been there with that. My first hormone check was at 32 or so when I was convinced I had low T mainly owing to libido and anxiety issues. It checked out fine, high 400s if I remember correctly. I used cialis when I started dating a girl around then and after a few months it just wasn't necessary anymore. Im not going to say we had an identical problem but everything you've laid out I've experienced and I know how frustrating it is.

The morning wood comment was sort of a joke. I haven't had morning wood in years,I'm really not sure why it's such a red flag to people. I have plenty of sex drive and no issues getting it up. 43 and my last test was T at 896. I'm just not 16 anymore and neither is my dick, it doesn't stand up for no good reason. I don't wake up at 5 am on Christmas either haha.
Man I'd kill to have that natural T. And at 43 nonetheless!
 
Believe me when I tell you, there is nothing special about it. The difference between me at 900 and random other guy at 450 is nil. I'm fairly sure Dr Jim would back me up on that as well, normal range is normal.
 
Post-finasteride syndrome and now we have post-SSRI syndrome, I guess. Seems people think there should be a post syndrome for everything now.

Thousands of men suffer from post-SSRI syndrome?

Only on the internet, which is tailor made for the induction of mass hysteria.


And why not?

Shouldn't we all have something or someone else to blame for those instances when an individuals behavioral patterns, physiologic differences vary from the norm, besides US!

Oh heck no, why that's NOT PC, as it places the blame or burden squarely on the shoulders of those whom are already having such "a difficult time"!

Well so what, grow, find, rediscover or transplant some testicles for God sake!

And if such a suggestion or notion is "mean" and coldhearted then that I am!
 
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