View Full Version : Hypogonadism


ahmeda
06-11-15, 06:39 AM
Hi. I just thought to add here this thread because some of the symptoms of hypogonadism go hand in hand with ADHD.

I have been diagnosed with SAD (2004), ADHD (2012) and just a few weeks ago I was diagnosed with a primary hypogonadism ie. my testes donīt manufacture enough testosterone. At the moment I only take SSRI the minimum dosage.

I am all the time very tired ( I exercise on a regular basis, eating healthy, sleep well and do not drink much ~4 bottles of beer / week), low sex-drive and have difficulties in concentrating.

My ADHD-doc said, that before I try anew ADHD-meds. my hypogonadism should be treated. So it is interesting to see, what will happen and what ADHD-symptoms will disappear (if they disappear), if I start testosterone replacement therapy with gel.

someothertime
06-11-15, 08:56 AM
Sounds like a good game plan :)

There are some really good experiences shared by members about this. I dug up a few.... but in the end your experience may differ...... like to hear updates should any developments happen :)

It's great your posting about this though...... pretty important in the treatment sequence.....



http://addforums.com/forums/showthread.php?t=128564&highlight=testosterone
http://addforums.com/forums/showthread.php?t=58304&highlight=testosterone

ahmeda
06-17-15, 05:43 AM
Sounds like a good game plan :)

There are some really good experiences shared by members about this. I dug up a few.... but in the end your experience may differ...... like to hear updates should any developments happen :)

It's great your posting about this though...... pretty important in the treatment sequence.....

Thank you for the links and cheers :).

ahmeda
06-23-15, 06:12 AM
And I will keep you updated...On Friday Ill have my lab-tests taken: thyroidal stuff, blood picture (hcr, Hb, blood cells, white cells), total testo, free testo, e2, cortisol and prostata enzymes. And the cost...300 € ~330 USD (with ~25% support from the government). + Consultation (add 60-80 €). If I went via public sector, would be much less. But...It would take months to get dg. and in FInland they do not necessarily provide TRT-treatment even if your lab-results were clearly under the limits.

ahmeda
07-02-15, 06:34 AM
I received my vast blood tests the other day. Everything else was ok except Testo-levels, which were very low, even lower than in the prior test.

Free-testo: 114 pmol/l (NB! the units), 200 - 580 pmol/
Total testo: 6,1 nmol/l (NB! the units), 10-38 nmol/l

Basically these are 80-90 year-old-mens testosterone-values. I have now tested two times testo-levels and others, ~1,5 month between the tests, always at 07.30-08.00 am.

Ill have a meeting with an urologist next week, and I will probably start TRT-therapy. So much have I suffered during these years, and now finally something measurable and concrete has been found, so Ill need to try this.

ahmeda
07-12-15, 01:51 AM
Tomorrow I will have my Nebido-injection (long chain testosterone esther, injection every 2-3 months). Letīs see.

Now that I am on my summer vacation, I feel well: no work stress.

The cost so far: 2 lab tests, 2 physician meetings, purchasing of the med: 700 € (~730 USD).

ahmeda
07-15-15, 04:58 PM
After three days of a Nebido-injection I can say that a new page has turned in my life. I am calmer, more focused and energetic.

Nebido is a long chain testoesther, which releases testo slowly but steadily. I will have a re-injection after 6 weeks then once in 2-3 months if test results do not show any worrying things (mainly prostate antigens) and I feel ok.

This is amazing.

For those who havent read my history, I had testo-levels of 80-90 year old male. I am 38, otherwise healthy, sport-loving male. During my 20 years of adulthood I have been diagnosed as having anxiety, depression and add. I was NEVER tested testolevels, until I myself went to a private lab and had them tested. Well, the rest is history.

I hope this is it, what has been bugging me since my teens.

ahmeda
07-22-15, 08:29 AM
Hi. Update: This is short of miracle. I feel wonderful. This is so strange. I have struggled with low testo probably from my teens being quite scared of outside world and learned to cope.

Now I feel like mentally strong and more focused. But, I have learned not to celebrate too much: So many times I have disappointed after a few weeks of varoius treatments.

But so far I can only say: Wow! What is this?!

ahmeda
07-26-15, 06:07 AM
Two weeks treatment behind:

+ increased libido
+ increased sleep, and deeper sleep
+ more energy
+ much more concentration ( I can actually watch movies. Testo boosts dopamine-levels also.)
+ better physical fit-level, hugely improved recovery from training
+ much better working memory, cognitive skills improved hugely (My ability to play chess has increased from 1300 ELO-level to 1600-level, basically I donīt do stupid mistakes. And I can remember openings better).

- somewhat scary to notice the changes > I have had a few bad anxiety attacks in shops
- blood pressure spiked one week after injection (190 / 92), now ok
- so much energy that sometimes difficult to just sit still (mild acathisia/akathisia)

All in all: I am a new man. Happy man. Relaxed man. Horny man. My eyes start to well, when I think my adulthood: why I wasnīt diagnosed earlier :(? Well, better later than never.

ahmeda
07-29-15, 08:26 AM
A visit to a leading specialist here in Finland today. Instead of primary hypogonadism, I have actually a secondary hypogonadism. Because my wife is pregnant, the treatment would have been the same anyway. If not, I would have been treated with HCG and possibly also with Testo (not necessarily though). He said that in his opinion there is not enough evidence for safe and proper long-term HCG-treatment only, and since my wife is now pregnant we continue with Nebido.

The next injection is within 4 weeks, then the next after 2 months, then a control lab in early December and when the levels have reached a plateau, we will probably stop SSRI-use also. Small steps towards better.

I strongly encourage all male to have the testo-levels measured: it is a cheapish measurement, and can be a matter of life and death, really. It can be the most important investment in your life.

ahmeda
08-13-15, 03:07 AM
Update: 5th week from the First Nebido-injection. Still going strong, the only thing which I notice is increased tiredness. It is quite logical: my levels were extremely low, The first injection boost the levels, but at the same time the own production gradually cease off.

Now I am in the end part of the time between the 1st and the 2nd injection and my levels are probably just slightly over the lower limit. I went to a lab Yesterday, so it is interesting to see how the values have developed.

Plusses and minuses so far:

+ increased libido, stronger erections
+++ increased cognitive abilities ( indicative in: no typos at work, no mistakes, work-memory much better, chess playing ability has increased, I can read nowadays linearily like normal people I suppose, I can watch tv and focus on them!)
++ increased self-trust, ability to say things and keep the opinion even though not neceassarily consensus! (this is amazing feeling)
++ increased physical condition
++ decreased weight ( 3 kgs!, leaner body, no muscle loss?!)
++ no SAD

- decreased sleep quality (for the last 2 weeks)
- greasier skin (I wash the skin properly 2 time / day with water+soap)
- a bit worried of course how the laboratory results develop, hopefully no contra-indications (much elevated PSA, prostate enlargement etc.)

ahmeda
09-11-15, 02:09 AM
Update: 8th week after the first Nebido, 3rd week after the second injection.

Things has been pretty consistent, no contraindications based on the lab results, testo-levels are now in the reference zone. Other blood values are actually extremely good and my BP has gone perfect too, 125/85.

One thing has came though, my estrogen (e2, estradiol) levels have gone up. Little estrogen is good and essential for men, but not too much: it takes away the benefits of testo and in the worst case scenario, it can develop gynecomastia, mood swings etc.

Everything else is good for me except that my tiredness has crept back. Now, I dunno if it is due to the elevated e2 or what or some other underlying issue. Nevertheless, I have been prescribed now an aromatase inhibitor (AI), which decreases e2 level in the body. It is a very powerful drug, so I started very cautiously. The typical usage of AI are for women who have breast cancer: diminished e2-levels slowers the progression of cancer tissue.

But the positives highly outweigh the negatives, I donīt have that social fear and daily worriness any more.

ahmeda
09-16-15, 02:25 AM
Update: 9th week after the first Nebido, 4th week after the second injection.

Huge fatigue persistent. I started AI (aromatase inhibitor) 1/4 tablet 2 x week last week, no improvement to my condition.

Ill go to labs next week (s-testo, e2, prolactine, blood cell values, thyroidal, cortisole, lipid profile, d-vitamins).

Fatigue could be caused by high estro, high testo, low testo, high prolactine, low d-vitamin or whatever. The only thing to do is to have the labs checked. And of course, it could still be the possible underlying ADD...

ahmeda
10-23-15, 03:08 AM
Update, 2nd week of the third injection, 3 months after TRT-treatment. First of all A LOT has happened since Iīve last been here.

1. My testo-levels during the treatment decreased very rapidly. With Nebido, the typical minimum target injection interval is 8 weeks. Well, already after 7 weeks of the injection my testo levels were even lower than before the treatment ( I felt like Micky Mouse, crying and laying in my living room sofa)! This means now, that we try 6 week injection interval to keep the levels high enough. Also my e2 hit through the roof first, so now they are being controlled by AI (Arimidex), and the right dosage has been found.

All the other critical blood values (Hb, Hcr, S-Psa, Liver values) have stabilised into a very good levels, which is awesome. Sexually: well sometimes i am so horny, that when i just see a ladies bike, I feel i would like to do horizontal mambo juggle with the bike in the bed...it is sort of wonderful... i have lost 7 kg weight in just 3 months...i am leaner now, and my weight training has been in the same level (actually with some movements +20%) even though a considerable weight loss...everybody who lifts weights understands that it is somewhat strange. my working memory is better, the same is true with the concentration.

2. Having been so happy to notice cognitive and sexual parameters going up, I applied a new very challenging job. After a lot of testing and interview rounds (in total 157 applicants) I was chosen...I took the job, ending my job in a peacefull small Company (in which I was getting bored to death) after 2,5 years. Well now my anxiety levels have gone through the roof, I sleep poorly (2-5 hours / night) and social anxieties have come back. I have a start in a global corporate company after 1,5 weeks. I am so afraid This is all very confusing and so strange.

Luckily, I notice that moving (going to the gym or jogging or even driving a car)helps with the symptoms. But if I need to sit a long time in a kitchen table, I go wasted ( this happened last weekend with my mother-in-law...5 hours sitting in the dining table, I thought I will become mad...it was so embarrassing).

3. A very very interesting note from my ADHD-doc and my testo-doc: They both have noticed that they have surprisingly lot of patients who have issues with gonadal hormone levels! Which causes which, ADHD low/high testo, or low/high testo ADHD is a very interesting topic! How does this go with women? Beats me, perhaps deviations in testo-levels/estro-levels?

As u understand they can also be totally separate illnesses. And surely not all hypogonadal are ADHD-patients! But for sure there can be a connection. Some people who have hypogonadism, can be diagnosed as ADHD, the same is true the other way around.

I am convinced that this will be researched in the future more.

Anyways, I feel like crap right now. My wife is on the 7th month pregnant. My anxiety levels have boosted, I am worried sick, she is worried . Why the heck I chose to change the job? What should I do? Should I try Strattera or not? MF for a few years ago did not work, but it is very probable that my testo-levels have been low since child ( i developed years later than my peers...) , perhaps MF could help now? Perhaps Strattera?

Sorry guys, I wrote all my worries here. But i donīt want to consume my dear wife . I am lost. But luckily as I said, moving helps right away.

I also think it is very important to share these, we all hope for the best to the peers on this forum.

ahmeda
10-29-15, 05:31 AM
Things have stabilised a bit. A good night sleep, recovering from testo highs and lows also probably take time. It says it can take a whole year for body to stabilise...

Once again one cannot neglect the effect with a good night sleep. It is so vital.

InvitroCanibal
10-30-15, 06:40 PM
Thank you for your posts. They were significantly interesting.

I have a few questions, but without being too intrusive, feel free to answer them as you see fit or not at all.

1. Has your diet changed between and before the testosterone injections?

2. Were you on any adhd meds when you were tested or a month prior to having your testosterone levels tested?

3. Any history of bipolar in your family? Or Adhd?


4. Did the ssris continue with the injections, were the ssris regular and consistant, and did you go on or off the before the testosterone treatments or during?


Hope those are not too personal. You dont have to answer them but if you want to know why I am asking feel free to ask in the thread or pm me.


Thanks

ahmeda
01-10-16, 04:44 AM
Update. 5 injections behind, a new challenging job started, baby coming. So a lot of challenging stuff influencing psyche.

Well, unfortunately I still have some issues left. I am very sleepy and restless. Blood values stabilised between the injections and sexual drive increased.

I was hoping that fixing my testo-values would cure me. I suppose it has done some things (losing weight, sexual drive increase and a bit more energetic and i am not that fearful in social situations, and concentration increasid little) but I still have major issues in lethargy, tiredness ans procastrination and social anxiety.

The only things which almost totally calms my mind are sports and driving a car. I will re-test adhd meds. during spring.

ahmeda
01-10-16, 04:58 AM
Thank you for your posts. They were significantly interesting.

I have a few questions, but without being too intrusive, feel free to answer them as you see fit or not at all.

1. Has your diet changed between and before the testosterone injections?


2. Were you on any adhd meds when you were tested or a month prior to having your testosterone levels tested?


3. Any history of bipolar in your family? Or Adhd?




4. Did the ssris continue with the injections, were the ssris regular and consistant, and did you go on or off the before the testosterone treatments or during?

Hope those are not too personal. You dont have to answer them but if you want to know why I am asking feel free to ask in the thread or pm me.



Thanks

1. No. (Well, no alco during Mon-Fri. Before casual one beer sometimes after work.)
2. No, I dont use adhd-meds. I had major adverse effects trying stimulants a few years ago.
3. My mom has BiPo-dg.
4. SSRIs have been the same before and during the treatment, 25 mg sertraline/day.

No worries. Good questions.

TurtleBrain
01-13-16, 05:50 AM
I'm 27 and I also have hyponadism. I tried testosterone therapy using a gel, but I began having problems with my urethra sphincter, then it closed and then I had to get it open with a catheter. It was quite a traumatic experience, I don't think I want to get treated ever again, at least not with a gel. When I was younger, I got testosterone as shots and I didn't have that issue. I think I asked why I don't get shots and I was told that it wouldn't work as well. Quite frankly, i've already given up on treatment and don't care anymore. The main downside is I get weird looks when I tell people my age because I look like a teenager.